Document Detail

Posterior limbus vertebral lesions causing lumbosacral radiculopathy and the cauda equina syndrome.
MedLine Citation:
PMID:  8963999     Owner:  NLM     Status:  MEDLINE    
This report reviews our experience with spinal decompression for posterior limbus vertebral lesions or osteocartilaginous vertebral corner defects in the lumbar spine in 29 children and young adults. There were 19 male and 10 female patients with a mean age of 16.5 years (range, 9 to 24 years). Twenty-four patients were involved with various athletic activities. Clinical presentation included low back pain with a variable degree of radiculopathy in 25 patients and a cauda equina syndrome in four. The level of the affected spinal area was L1-2 in one patient, L2-3 in one, L3-4 in seven, L4-5 in 17, and L5-S1 in three. The preoperative imaging workup showed lateralised "non-calcified' or 'calcified' limbus vertebral defects in 13 patients and centrally displaced lesions in 16 patients. All patients underwent posterior spinal decompression with a slightly extended laminotomy, except for three patients who had a subsequent posterolateral fusion. All of the patients consequently returned to practice their favourite preoperative sport and lifestyle, but five discontinued their previous sports. We suggest that patients with posterior limbus vertebral lesions require careful diagnosis and therapy that are different from those with an ordinary lumbar disc herniation.
H Baba; K Uchida; N Furusawa; Y Maezawa; M Azuchi; K Kamitani; S Annen; S Imura; K Tomita
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Spinal cord     Volume:  34     ISSN:  1362-4393     ISO Abbreviation:  Spinal Cord     Publication Date:  1996 Jul 
Date Detail:
Created Date:  1996-12-10     Completed Date:  1996-12-10     Revised Date:  2011-06-06    
Medline Journal Info:
Nlm Unique ID:  9609749     Medline TA:  Spinal Cord     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  427-32     Citation Subset:  IM    
Department of Orthopaedic Surgery, Fukui Medical School, Japan.
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MeSH Terms
Athletic Injuries / complications,  surgery
Cauda Equina / physiopathology*
Follow-Up Studies
Magnetic Resonance Imaging
Peripheral Nervous System Diseases / etiology,  physiopathology,  surgery*
Spinal Cord Compression / complications,  surgery*
Spinal Fractures / complications,  physiopathology
Tomography, X-Ray Computed
Treatment Outcome

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