Document Detail

Lumbar facet fracture as a possible source of pain after lumbar laminectomy.
MedLine Citation:
PMID:  1862418     Owner:  NLM     Status:  MEDLINE    
This study compared 50 patients with lumbar facet fractures and continued pain after lumbar laminectomy with a postlaminectomy control group without facet fractures. Computed tomographic analysis compared variables including direct measurements of bone resection. Average follow-up between surgery and postsurgical computed tomographic examination was 3.2 years. In the fracture group, more than one half of the bone immediately above the flare of the inferior articular process at the level of the laminectomy, measured in a medial to lateral direction, had been resected. No one in the control group had more than one quarter of this bone removed (P = .0001). Lumbar facet fractures may be one cause of late postlaminectomy pain. Caution in resection of a particular area of bone may avoid this problem.
C Rosen; S Rothman; J Zigler; D Capen
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Spine     Volume:  16     ISSN:  0362-2436     ISO Abbreviation:  Spine     Publication Date:  1991 Jun 
Date Detail:
Created Date:  1991-08-30     Completed Date:  1991-08-30     Revised Date:  2009-07-09    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  S234-8     Citation Subset:  IM    
Rancho Los Amigos Medical Center, Downey, California.
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MeSH Terms
Follow-Up Studies
Iatrogenic Disease*
Intervertebral Disk Displacement / surgery
Laminectomy / adverse effects*
Lumbar Vertebrae / injuries*,  radiography
Middle Aged
Pain, Postoperative / etiology*
Spinal Fractures / complications*,  radiography
Spinal Stenosis / surgery
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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