POSTERIOR LUMBAR APOPHYSEAL FRACTURES

被引：31

作者：

SAVINI, R ^{[1
]}

DISILVESTRE, M ^{[1
]}

GARGIULO, G ^{[1
]}

PICCI, P ^{[1
]}

机构：

[1] IST ORTOPED RIZZOLI,VIA PUPILLI 1,I-40136 BOLOGNA,ITALY

来源：

SPINE | 1991年 / 16卷 / 09期

关键词：

POSTERIOR LUMBAR APOPHYSEAL FRACTURE; BACK AND LEG PAIN;

D O I：

10.1097/00007632-199109000-00018

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

From 1984 to 1987, nine patients with posterior lumbar apophyseal fracture underwent surgery. The clinical pattern was characterized by vertebral rigidity and leg pain in all cases, with associated nerve root deficit in three cases, neurogenic claudication in one, and paraparesis in one. In all patients, treatment consisted of removal of a bony and/or cartilaginous fragment. In eight patients, it was done through a posterior approach (unilateral laminotomy with partial facetoctomy in six cases and bilateral laminectomy in two) and in one with paraparesis by means of hemicorporectomy followed by anterior fusion. At follow-up (minimum, 2 years), all patients showed complete regression of the painful symptoms, with a total recovery in cases with neurologic problems. The only complication was an incomplete cauda syndrome; this appeared immediately after the operation and regressed completely with conservative treatment after 6 months.

引用

页码：1118 / 1123

页数：6

共 30 条

[21]

Nishijima M., Tajima T., Yui S., Herniated lumbar intervertebral discs in teenage children, Chubu Seisai, 9, pp. 206-207, (1966)

[22]

Savini R., Di Silvestre M., Martucci E., Meie C., Le fratture posteriori dei nuclei epifisari vertebrali lombari, Giom It Ortop Traum, 13, pp. 75-81, (1987)

[23]

Schmorl G., Zur kentnis der wirbelkorperepiphyse und der an ihr vorkommende Verletzungen, Arcg F Klin Chir, 153, pp. 35-41, (1928)

[24]

Schmorl G., Junghans H., The Human Spine in Health and Disease, pp. 1-6, (1971)

[25]

Skobowytsh-Okolot B., Posterior apophysis, LIV. The Cause of NeuroRadicular Disturbances. Acta Orthop Scand 32:341-351, (1962)

[26]

Takata K., Inque S.-I., Takahasmi K., Ohtsuka Y., Fracture of the posterior margin of a lumbar vertebral body, J Bone Joint Surg, 70 A, pp. 589-594, (1988)

[27]

Techakapuch S., Rupture of the lumbar cartilage plate into the spinal canal in an adolescent, J Bone Joint Surg, 63 A, pp. 481-482, (1981)

[28]

Teramoto K., Nosaka K., Yasuda K., Matsuda Y., Kawamoto T., Four cases of juvenile lumbar disc herniation and slipped ring apophysis, Chubu Seisai, 26, pp. 1788-1789, (1983)

[29]

Tsubuku M., Posterior kantenabtrennung, Rinsho Seikeigeka, 3, pp. 79-87, (1968)

[30]

Tsukata T., Shiba T., Traumatic displacement of the posterior ring apophysis. A case report, Kanto Seisai, 6, pp. 386-389, (1975)

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