Role of complete neurological examination to detect missed dorsal spine lesion in patients with low back pain.

Krishna Kumar Pandey; Digamber Peepra; Manish Singh Rajpoot

Volume : VI, Issue : IV, April - 2016

Role of complete neurological examination to detect missed dorsal spine lesion in patients with low back pain.

Krishna Kumar Pandey, Digamber Peepra, Manish Singh Rajpoot

Abstract :

Low back pain is a common disorder noticed in adolescent to elderly age groups due to various causes like lumber disc prolapse, tumours, spondylolisthesis and infection etc. Weakness in legs and sensory disturbance are easily co–related with lumbar nerve roots compressions. Sometimes dorsal spine lesions in patients with low back pain are missed. There are reports of the neurological deterioration from missed dorsal compressive lesion in patients undergone for the lumbar surgery. We did complete neurological examination in patients with back pain from 10 years of age to 60 years of ages and found 12 case of dorsal spine lesion. Key indicators in finding out missed dorsal spine lesion are thoracic pain, muscle weakness and exaggerated tendon reflexes where local and radiological examination are negative. Early infection, verteal tumour and spinal cord space occupying lesion should be suspected and ruled out with complete neurological examination.