Ossified iliolumbar ligaments

Case contributed by Dr Nikola Todorovic

Presentation

Lower back pain and reduced motion.

Patient Data

Age: 70 years
Gender: Female
X-ray

There is a bilateral ossification of the iliolumbar ligaments.

There are also a dextro- convex scoliosis and pronounced degenerative changes.

Case Discussion

Iliolumbar ligament has two separate bands, both originate from the transverse process of the fifth lumbar vertebra and runs laterally and posteriorly to the iliac crest, attaching to the anterior and posterior margin of the iliac crest, respectively.

Quadratus lumborum muscle is placed between these two bands. 

This ligament does not exist at birth. He originates from muscle fibers of quadratus lumborum muscle due to gradual metaplasia, as a response to the stresses due to transit to erect posture. 

The most important role of the iliolumbar ligament is maintaining the stability of the lumbosacral junction.

Diffuse ossification of the iliolumbar ligaments is a finding common to both degenerative disease and diffuse idiopathic skeletal hyperostosis (DISH), but may also occur in young patients with reactive arthritis

This patient's problems are probably due to scoliosis and degenerative changes.

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Case information

rID: 52376
Case created: 4th Apr 2017
Last edited: 18th Apr 2017
Inclusion in quiz mode: Included

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