Abstract:
STUDY DESIGN:Case report. OBJECTIVE:To describe a patient with nodular fasciitis arising in the lumbar extradural space. SUMMARY OF BACKGROUND DATA:Nodular fasciitis is a benign proliferation of fibroblasts and myofibroblasts. It commonly occurs in the subcutaneous tissue of an upper extremity, trunk, head, and neck, but rarely arises in the spinal canal. METHODS:A 7-year-old boy experienced gradually increasing intense radiating pain from the bilateral buttocks to the lower extremities after a bruise on his lower back. Computed tomography and magnetic resonance imaging demonstrated a relatively circumscribed mass in the dorsal epidural space from the first lumbar vertebra (L1) to L2. The presumptive diagnosis based on the radiologic findings included aggressive neoplasm such as extraskeletal Ewing sarcoma/primitive neuroectodermal tumor or malignant lymphoma. RESULTS:The patient underwent L1-L2 laminectomy and resection of the tumor. Histologically, the tumor was mainly composed of a proliferation of spindle cells without atypia, positive for vimentin and smooth muscle actin, and myxoid areas with a loosely textured feathery pattern. These findings are the typical features of nodular fasciitis. Surgery relieved the patient's pain, with no evidence of recurrence at a recent 4-year follow-up. CONCLUSION:This report presents a very rare case of extradural nodular fasciitis arising in the lumbar spinal canal, which could have been misinterpreted as a malignant tumor such as extraskeletal Ewing sarcoma/primitive neuroectodermal tumor because of its rapid growth and absence of distinguishing radiologic features. A detailed histopathologic examination including immunohistochemistry is important for the correct diagnosis.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Kubota K,Okada S,Maeda T,Matsumoto Y,Sakamoto A,Harimaya K,Saiwai H,Kumamaru H,Oda Y,Iwamoto Ydoi
10.1097/BRS.0b013e318224568asubject
Has Abstractpub_date
2012-01-15 00:00:00pages
E133-7issue
2eissn
0362-2436issn
1528-1159journal_volume
37pub_type
杂志文章相关文献
SPINE文献大全abstract:STUDY DESIGN:A prospective molecular mechanism of macrophages infiltration in experimental disc herniation. OBJECTIVE:To investigate the mechanisms of macrophages infiltration into the dorsal root ganglion (DRG) in a rat model of disc herniation. SUMMARY OF BACKGROUND DATA:Macrophages infiltrate the DRG after applica...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3182a84701
更新日期:2013-11-01 00:00:00
abstract:STUDY DESIGN:A cell-based assay was developed to identify asymptomatic children at risk of developing idiopathic scoliosis (IS) and to stratify IS patients at an earlier stage in order to better predict their clinical outcome. Clinical validation of this assay was performed by testing IS patients at different stages, h...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181cf39ff
更新日期:2010-06-01 00:00:00
abstract:STUDY DESIGN:An immunohistochemical examination of the presence of inflammatory cells in routinely processed resection specimens of the lumbar disc, and a comparison of the histologic results with clinical data collected prospectively before and after surgery. OBJECTIVES:To assess the influence of inflammatory reactio...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200004010-00017
更新日期:2000-04-01 00:00:00
abstract:STUDY DESIGN:Cervical facet capsular strains were determined during bending and at failure in the human cadaver. OBJECTIVE:To determine the effect of an axial pretorque on facet capsular strains and estimate the risk for subcatastrophic capsular injury during normal bending motions. SUMMARY OF BACKGROUND DATA:Epidemi...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200005150-00007
更新日期:2000-05-15 00:00:00
abstract:STUDY DESIGN:To demonstrate the existence of mesenchymal stem cells (MSCs) in ligamentum flavum (LF) and their pathogenic role in LF hypertrophy. OBJECTIVE:To isolate and characterize LF-derived MSCs and their response to transforming growth factor-beta 1 (TGF-β1) and trichostatin A (TSA), a histone deacetylase inhibi...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3182053f58
更新日期:2011-08-15 00:00:00
abstract::The clinical features of many cases of low back pain is inadequately explained by anatomic abnormalities alone. A pathophysiologic mechanism that includes a combination of mechanical and biochemical factors is an alternative explanation that is accompanied by less paradox than a purely structural paradigm. A potential...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/00007632-199508150-00013
更新日期:1995-08-15 00:00:00
abstract::Vibrational effects have been found to be associated with increased frequency of low-back pain in various industries, and because of this the study herein reported was conducted to assess the physiologic response of the spinal system to sinusoidal vibrations. A device replicating industrial vibration was constructed a...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198205000-00008
更新日期:1982-05-01 00:00:00
abstract:STUDY DESIGN:Retrospective review of anterior and posterior fusions for treatment of adolescent idiopathic thoracic scoliosis. OBJECTIVES:To delineate the best factors determining final lumbar curve magnitude in patients with adolescent idiopathic scoliosis undergoing a selective thoracic anterior or posterior spinal ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000106488.51299.75
更新日期:2004-02-01 00:00:00
abstract:STUDY DESIGN:Isolated tubercular involvement of craniovertebral junction in a human immunodeficiency virus-positive patient causing paraplegia and sudden death with radiologic features is presented. OBJECTIVES:Isolated involvement of craniovertebral junction by tuberculosis causing quadriparesis is a rare entity. The ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.BRS.0000083257.63544.A9
更新日期:2003-08-01 00:00:00
abstract:STUDY DESIGN:Exploratory subgroup analysis in a randomized controlled trial (RCT). OBJECTIVE:To detect possible moderators in the effectiveness of a workplace intervention in a population of workers with sick leave due to sub acute nonspecific low back pain. SUMMARY OF BACKGROUND DATA:In a recently published RCT, a w...
journal_title:Spine
pub_type: 杂志文章,随机对照试验
doi:10.1097/BRS.0b013e3181a09631
更新日期:2009-05-20 00:00:00
abstract:STUDY DESIGN:Qualitative systematic review of the literature. OBJECTIVE:To determine whether surgical indications and techniques are influenced by the region of the cervical spine (occipitocervical, midcervical, and cervicothoracic junctions). SUMMARY OF BACKGROUND DATA:There are distinct differences in the anatomic ...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e3181bae1d2
更新日期:2009-10-15 00:00:00
abstract::Postlaminectomy deformities were simulated in the cervical or cervicothoracic spine by the use of a displacement incremental method based on finite-element analysis combined with composite material and spanning element theory. The simulation analyses revealed that the primary cause of postlaminectomy deformity was the...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199105000-00002
更新日期:1991-05-01 00:00:00
abstract::Experiments were carried out on cadaveric lumbar spines to determine the mechanical function of the apophyseal joints. It was found that they resist most of the intervertebral shear force and share in resisting the intervertebral compressive force, but only in lordotic postures. They prevent excessive movement from da...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198304000-00017
更新日期:1983-04-01 00:00:00
abstract:STUDY DESIGN:Mechanical and microcomputed tomography (micro-CT) study of cadaver spines. OBJECTIVE:To compare porosity and thickness of vertebral endplates with (1) compressive stresses measured in adjacent intervertebral discs and (2) grade of disc degeneration. SUMMARY OF BACKGROUND DATA:Endplate porosity is import...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000925
更新日期:2015-08-01 00:00:00
abstract::A case of thoracic chordoma successfully treated with surgical excision is reported and described. Thoracic chordomata presenting as posterior superior mediastinal tumors occur infrequently and may be highly malignant lesions. Early radical surgery through thoracotomy provide the best hope of cure, and radiation offer...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198310000-00016
更新日期:1983-10-01 00:00:00
abstract::Clinical practice guidelines and protocols are a seductive way of trying to improve the standard of clinical practice. If these are to be most effective, they must evaluate rigorously the evidence supporting a particular management strategy and make appropriate recommendations based on this information. This process n...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199607010-00021
更新日期:1996-07-01 00:00:00
abstract:STUDY DESIGN:A prospective cohort design was used to evaluate the Functional Rating Index in a multicentered setting with 139 participants. The Functional Rating Index is a self-reporting instrument consisting of 10 items, each with 5 possible responses that express graduating degrees of disability. OBJECTIVES:The goa...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/00007632-200101010-00015
更新日期:2001-01-01 00:00:00
abstract:STUDY DESIGN:Cross-sectional case-control study. OBJECTIVE:Compare psychosocial profile of magnetically-controlled growing rod (MCGR) patients to traditional-growing rod (TGR) with an array of psychiatric tools, expecting improvement in MCGR due to decreased number of surgical procedures. SUMMARY OF BACKGROUND DATA:T...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002938
更新日期:2019-06-01 00:00:00
abstract:STUDY DESIGN:Prospective, randomized, controlled study. OBJECTIVE:To report the results of using the PediGuard (SpineGuard, Inc., San Francisco, CA), a local electrical conductivity measurement device, to reduce radiation exposure while drilling the pilot hole for pedicle screw placement. SUMMARY OF BACKGROUND DATA:R...
journal_title:Spine
pub_type: 杂志文章,随机对照试验
doi:10.1097/BRS.0b013e3182666adc
更新日期:2012-10-01 00:00:00
abstract:STUDY DESIGN:Isometric and isokinetic trunk flexion-extension strengths were studied among 73 subjects (41 males and 32 females) and 10 patients (9 males and 1 female). The isometric strengths were measured in four postures of trunk flexion. The isokinetic trunk strengths were measured through the range of these postur...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199501150-00006
更新日期:1995-01-15 00:00:00
abstract:STUDY DESIGN:A quasi 3-dimensional pathologic survey of tears in the L4-L5 disc. OBJECTIVE:To seek accurate information on the pathogenesis and outcomes of tears to facilitate correlation with radiologic imaging and biomechanical testing; and to improve laboratory models for testing hypotheses of disc function and fai...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31815b64d2
更新日期:2007-12-01 00:00:00
abstract:STUDY DESIGN:A systematic review. OBJECTIVE:The aim of this review was to evaluate the effectiveness of motor control exercise (MCE) in patients with nonspecific low back pain (LBP). SUMMARY OF BACKGROUND DATA:MCE is a common form of exercise used for managing LBP. MCE focuses on the activation of the deep trunk musc...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0000000000001645
更新日期:2016-08-15 00:00:00
abstract:STUDY DESIGN:Systematic review. OBJECTIVE:To determine the effects of acupuncture for individuals with neck pain. SUMMARY OF BACKGROUND DATA:Neck pain is one of the 3 most frequently reported complaints of the musculoskeletal system. Treatments for neck pain are varied, as are the perceptions of benefits. METHODS.: W...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/01.brs.0000252100.61002.d4
更新日期:2007-01-15 00:00:00
abstract:STUDY DESIGN:In vivo measurements of low back flexion posture and muscle activity before, during, and after static flexion. OBJECTIVE:To identify the occurrence of creep and muscle fatigue development in the low back during static upper body deep flexion that resembled an above ground work posture. SUMMARY OF BACKGRO...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181aa6a55
更新日期:2009-08-01 00:00:00
abstract:STUDY DESIGN:A retrospective chart review of 1561 patients with spinal injury was conducted over a 4-year period. OBJECTIVES:To determine the rate of surgical site infection in the spinal trauma population, to compare infection rates after spinal operations for elective and traumatic indications, and to identify risk ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.BRS.0000067109.23914.0A
更新日期:2003-07-01 00:00:00
abstract:STUDY DESIGN:Retrospective cohort study. OBJECTIVE:To compare morbidity and mortality between nonagenarians and other older adult patients who underwent elective spine surgery. SUMMARY OF BACKGROUND DATA:There is a lack of information of the perioperative risks of nonagenarians undergoing spine surgery. METHODS:Data...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002842
更新日期:2019-03-01 00:00:00
abstract:STUDY DESIGN:Subgroup analysis of a prospective multicenter study. OBJECTIVE:Outcome analysis of nonoperatively treated elderly patients with type II odontoid fractures, including assessment of consequence of a fracture nonunion. SUMMARY OF BACKGROUND DATA:Odontoid fractures are among the most common fractures in the...
journal_title:Spine
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1097/BRS.0000000000000009
更新日期:2013-12-15 00:00:00
abstract:STUDY DESIGN:Dorsal root ganglion (DRG) neurons that have dichotomizing axons to the lumbar facet joint and to the sciatic nerve were investigated in rats using a double fluorescent labeling technique. OBJECTIVES:To clarify the existence of DRG neurons with dichotomizing axons projecting to the lumbar facet joint and ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200105150-00003
更新日期:2001-05-15 00:00:00
abstract:STUDY DESIGN:Survey. OBJECTIVE:The aim of this study was to objectify the burden of adolescent idiopathic scoliosis (AIS) to better advocate for scoliosis care in the future. SUMMARY OF BACKGROUND DATA:AIS is a common spinal deformity that can affect individuals on many levels. Patients with big curves usually seek m...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001708
更新日期:2017-01-15 00:00:00
abstract:STUDY DESIGN:This is a retrospective review of the epidemiology of contraindications to lumbar total disc replacement (TDR). OBJECTIVE:To define the prevalence of contraindications to lumbar total disc replacement in a cohort of patients undergoing lumbar surgery in the senior author's (F.P.C.) practice. SUMMARY OF B...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000144829.57885.20
更新日期:2004-11-15 00:00:00