Flat back syndrome
Updates to Article Attributes
Body
was changed:
Flat back syndrome (FBS) refers to the decrease or absence of the normal lumbar lordosis resulting primarily in chronic lumbar pain.
Terminology
Flat back syndrome is a different condition from straight back syndrome and the two should not be confused or conflated.
Clinical presentation
Most typically it presents with persistent lower back pain.
Pathology
Aetiology
- iatrogenic: following corrective surgery for scoliosis
- degenerative
- hip flexion contractures
- fixed thoracic hyperkyphosis and or thoracolumbar kyphosis
- hormonal changes
- trauma
History and etymology
Historically the term flat back syndrome was reserved for that cohort of patients who lost their normal lumbar lordosis as a postoperative complication after corrective surgery for spinal scoliosis and developed disabling symptoms as a result 2.
-<p><strong>Flat back syndrome</strong> refers to </p>- +<p><strong>Flat back syndrome</strong> (<strong>FBS</strong>) refers to the decrease or absence of the normal lumbar lordosis resulting primarily in chronic lumbar pain.</p><h4>Terminology </h4><p>Flat back syndrome is a different condition from <a href="/articles/straight-back-syndrome">straight back syndrome</a> and the two should not be confused or conflated.</p><h4>Clinical presentation</h4><p>Most typically it presents with persistent lower back pain.</p><h4>Pathology</h4><h5>Aetiology</h5><ul>
- +<li>iatrogenic: following corrective surgery for scoliosis</li>
- +<li>degenerative</li>
- +<li>hip flexion contractures</li>
- +<li>fixed thoracic hyperkyphosis and or thoracolumbar kyphosis</li>
- +<li>hormonal changes</li>
- +<li>trauma</li>
- +</ul><h4>History and etymology</h4><p>Historically the term flat back syndrome was reserved for that cohort of patients who lost their normal lumbar lordosis as a postoperative complication after corrective surgery for <a href="/articles/scoliosis">spinal scoliosis</a> and developed disabling symptoms as a result <sup>2</sup>.</p>
References changed:
- 1. Harrison DE, Oakley PA. Non-operative correction of flat back syndrome using lumbar extension traction: a CBP case series of two. (2018) Journal of physical therapy science. 30 (8): 1131-1137. <a href="https://doi.org/10.1589/jpts.30.1131">doi:10.1589/jpts.30.1131</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/30154615">Pubmed</a> <span class="ref_v4"></span>
- 2. La Grone MO. Loss of lumbar lordosis. A complication of spinal fusion for scoliosis. (1988) The Orthopedic clinics of North America. 19 (2): 383-93. <a href="https://www.ncbi.nlm.nih.gov/pubmed/3282206">Pubmed</a> <span class="ref_v4"></span>
Sections changed:
- Syndromes
Systems changed:
- Musculoskeletal
- Spine