Last reviewed: April 2018
Last updated: November  2017

Summary

Differentials

Common

  • Lumbar muscular strain/sprain
  • Herniated nucleus pulposus (HNP)
  • Spinal stenosis
  • Compression fracture
  • Degenerative disk disease or facet arthropathy

Uncommon

  • Spondylolysis and/or spondylolisthesis
  • Vertebral discitis/osteomyelitis
  • Malignancy
  • Inflammatory spondyloarthropathy
  • Connective tissue disease
  • Aortic abdominal aneurysm
  • Pancreatitis
  • Pyelonephritis
  • Renal colic
  • Peptic ulcer disease

Contributors

Authors VIEW ALL

Daniel K. Park

Assistant Professor

Department of Orthopedic Surgery

William Beaumont Hospital

Royal Oak

MI

Disclosures

DKP has acted as a consultant for Stryker and K2M. DKP holds stock in Johnson and Johnson.

Kern Singh

Professor

Department of Orthopedic Surgery

Rush University Medical Center

Chicago

IL

Disclosures

KS has received royalties from Zimmer, Stryker, Pioneer, Lippincott Williams & Wilkins, Thieme, Jaypee Publishing, and Slack Publishing. He holds stock in Avaz Surgical, LLC, and Vital 5, has consulted for Depuy, Zimmer, and Stryker, and is on the board of directors for CSRS, ISASS, AAOS, SRS, Vertebral Column - ISASS. KS has received a CSRS resident grant.

Dr Daniel K. Park and Dr Kern Singh would like to gratefully acknowledge Dr Howard S. An, a previous contributor to this topic. HSA declares that he has no competing interests.

Peer reviewers VIEW ALL

Professor of Medicine

Mayo Clinic College of Medicine

Division of Rheumatology

Rochester

MN

Disclosures

ELM declares that he has no competing interests.

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