J Korean Pain Soc.
2000 Jun;13(1):111-114.
Pain Around the Posterior Iliac Crest of Thoracolumbar Origin
- Affiliations
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- 1Pain Clinic, Department of Anesthesiology, Chonbuk National University Medical School, Chonju, Korea.
Abstract
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Pain around the posterior iliac crest area is usually attributed to disorders of the lower
lumbar or lumbosacral spine. However, low back pain arising from the thoracolumbar region
is common and it is very similar to low back pain of lumbosacral origin. Low back pain of
thoracolumbar origin is clinically distinguished from other nonspecific low back pain
syndrome. It is characterized by symptoms localized at one posterior iliac crest innervated
by posterior branch of T>z spinal nerve. Patients never complain of spontaneous pain at
the thoracolumbar junction. Only localized tendemess over involved segments of
thoracolumbar junction can be noted. We report two cases of posterior iliac ctest pain of
thoracolumbar origin which was relieved by the treatment on the thoracolumbar junction.