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Cross leg pain and trunk list


Khuffash-B. Porter-R-W. Doncaster Royal Infirmary, South Yorkshire, England. Spine. 1989 Jun. 14(6). P 602-3. The prognostic significance of gravity-induced trunk list and cross leg pain was investigated in 113 patients who had root tension signs from a lumbar disc lesion. Cross leg pain, (a positive contralateral straight leg raising sign) and list was associated with poor prognosis for conservative management. There was a high incidence of disc sequestration and extrusion in the operated patients with cross leg pain. It was concluded that cross leg pain is probably a contraindication to chymopapain injections, and the surgeon should be aware of the possibility of a migrated disc fragment during operation on patients with cross leg pain. Author-abstract.



Original Text by Clifford R. Wheeless, III, MD.