A previously fit and healthy 18-year-old girl presented with a 2-year history of back pain. She had attended her GP on a number of occasions and was given simple analgesia to no effect. She denied any history of trauma; however, she had been a keen dancer for many years. On further questioning, she revealed pain in her mid to lower back for two years. There was no radiation to any limbs, and she denied any muscle weakness, paraesthesia, incontinence, or saddle anesthesia.
Her past medical history was significant for asthma, appendicitis with appendectomy at 14 years, and buckle fracture of the left radius at the age of nine years. A salbutamol inhaler was her only medication. Neurological examination did not find any abnormality; however, she did have bony tenderness over L1-L3. Therefore, she underwent Thoracic and Lumbar spine X-rays and was found to have minimal compression of T11…
