OSTEITIS CONDENSANS ILII: AN UNUSUAL CASE OF SEVERE BACK PAIN DURING PREGNANCY
AbstractBackground: Lower back pain is a common complaint in pregnancy which often impacts quality of life. An uncommon aetiology of lower back pain is Osteitis Condensans Ilii (OCI), a condition characterized by a triangular area of sclerosis of ilium adjacent to the sacroiliac joint. It is thought to be associated with pregnancy, but also affects non-pregnant women and men. We discuss a case of a 23-year-old woman, who presented during the 8th month of her first pregnancy with debilitating pain in her lower back. Several differential diagnoses were explored, including autoimmune aetiologies and pregnancy associated osteoporosis, before OCI was diagnosed via an MRI. The patient was managed conservatively with intravenous analgesics and physiotherapy, after which her pain abated gradually. On her 3rd day of admission, the patient went into premature labour and gave birth to a healthy child via vaginal delivery. Her pain resolved completely within days of delivering her baby. Keywords: Pregnancy; Low Back Pain; Osteitis; Sacroiliac Joint
Wu WH, Meijer OG, Uegaki K, Mens JM, van Dieën JH, Wuisman PI, et al. Pregnancy-related pelvic girdle pain (PPP), I: Terminology, clinical presentation, and prevalence. Eur Spine J 2004;13(7):575–89.
Kanakaris NK, Roberts CS, Giannoudis PV. Pregnancy-related pelvic girdle pain: An update. BMC Med 2011;9:15.
Wang SM, Dezinno P, Maranets I, Berman MR, Caldwell-Andrews AA, Kain ZN. Low back pain during pregnancy: prevalence, risk factors, and outcomes. Obstet Gynecol 2004;104(1):65–70.
Casagrande D, Gugala Z, Clark SM, Lindsey RW. Low Back Pain and Pelvic Girdle Pain in Pregnancy. J Am Acad Orthop Surg 2015;23(9):539–49.
Sicard JA. Osteites condensantes, a etiologic inconnue. J de Radiol Et d’Electrol 1926;10:503–7.
Mitra R. Osteitis Condensans Ilii. Rheumatol Int 2010;30(3):293–6.
Thompson M. Osteitis condensans Ilii and its differentiation from ankylosing spondylitis. 1954;13(2):147–56.
Jenks K, Meikle G, Gray A, Stebbings S. Osteitis condensans ilii: A significant association with sacroiliac joint tenderness in women. Int J Rheum Dis 2009;12(1):39–43.
Ayoub MA. Refractory osteitis condensans ilii: Outcome of a novel mini-invasive surgical approach. Int Orthop 2013;37(7):1251–6.
Numaguchi Y. Osteitis condensans ilii, including its resolution. Radiology 1971;98(1):1–8.
Shipp FL, Haggart GE. Further experience in the management of osteitis condensans ILII. J Bone Joint Surg Am 1950;32A(4):841–7.
Biswas S, Konala VM, Adapa S, Amudala P, Naramala S. Osteitis Condensans Ilii: An Uncommon Cause of Back Pain. Cureus 2019;11(4):e4518.
Santoro M, Alaimo S. A case of osteitis condensans ilii. Eurorad. 2007.
Vadivelu R, Green TP, Bhatt R. An uncommon cause of back pain in pregnancy. Postgrad Med J 2005;81(951):65–7.
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