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Query: UMLS:C0019270 (hernia)
 15,856 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

There are numerous etiologies to low back pain. Even if the degenerative origin is the most frequent one, other possible aetiologies have to be kept in mind. Inflammatory low back pain is encountered in the young patient, appearing at night and can be associated with extra-spinal symptoms (e.g. psoriasis, M. Reiter, etc.). The lumbar spine is rarely involved in chronic polyarthritis. In case of tumors, the metastasis is the most frequent cause whereas the plasmocytoma is the most frequent primitive bone tumor of the spine. Infectious diseases can be of hematogenous origin or by direct iatrogenic inoculation. Surgical treatment is indicated in case of inefficient medical treatment or if there is a risk of neurologic compromise or instability. Low back pain of metabolic origin is related to osteoporosis. Pain is secondary to vertebral compression fractures which makes it come close to post-traumatic low back pain caused by static disorders. Finally, in most cases low back pain is has a degenerative origin. The degenerative disease is dominated by the disc degeneration, primum movens of the degenerative disease. Alteration of the mechanical properties of the disc leads to degenerative arthritis in the intervertebral joints by modifying their motion pattern. These changes can lead to osteophytes which can, together with the narrowing of the disc space lead to a narrowing either of the foramen intervertebrale or the spinal canal (acquired lumbar stenosis). Treatment is nonoperative first except in urgent situations (conus cauda syndrome, disc hernia with paresia).
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PMID:[Etiologies of lumbago]. 1460 81

The authors report a new technique for secondary abdominal closure after burst abdomen as illustrated by the case of a patient who developed a perforated sigmoid diverticulitis following septic polyarthritis. Sigmoid resection was followed on the sixth day postoperative by a burst abdomen. Upon abdominal revision the burst abdomen was found to be caused by necrotic destruction of the linea alba. Abdominal wall closure was achieved using the novel technique of inverting bilateral interrupted figure-of-eight suture of the anterior and posterior rectus sheaths in combination with relieving lateral incisions and mesh implantation in the sublay technique. It remains for future studies to show whether this technique can reduce the high incisional hernia rate following secondary abdominal wall closure.
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PMID:Inverting bilateral figure-of-eight suture of the rectus sheath after burst abdomen with destruction of the linea alba: a new technique. 1734 94