Abstract
Senile round backs are mostly due to osteoporosis, wedge vertebrae and narrowing of the disc, and often associated with back pain. The accurate causes of the back pain are still obscure. 101 cases of senile round back were investigated to clarify the mechanism of the back pain. They were classified into 2 groups according to the types of round back, namely 1) the upper group in which the apex of kyphosis is located in the middle thoracic spine, and 2) the lower group in which the apex is the thoracolumbar junction.Most of the cases in two groups demonstrated similar clinical symptoms. The pain was located at bilateral paravertebral regions including the area close to lumbar spinal process and at the gluteal region.Facet block with xylocain at the lumbar spine produced relief of the pain in 76% of 34 cases, which suggests that one of the main causes of chronic back pain of senile round back originates from the lumbar facet joints.
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