Posterior limbus fractures: five case reports and a review of selected published cases.
OBJECTIVE
To discuss the clinical presentation of posterior limbus fractures and present a review of the literature on this topic.


METHODS
Patients presented with a combination of lower back pain, muscle spasm, diminished reflex responses, restricted motion and foot drop. In some cases, onset followed trauma; in others, it did not.


RESULTS
Some patients required surgical intervention, whereas others underwent chiropractic manipulation and other conservative interventions.


CONCLUSIONS
Posterior limbus fractures represent an avulsion of the ring apophysis from the vertebral body. Appropriate diagnostic work-up can help determine the presence of this condition. Management considerations are discussed.
Bonic
E E
EE
Diagnostic Imaging, Western States Chiropractic College, Portland, OR 97230-3099, USA.
Taylor
J A
JA
Knudsen
J T
JT
D000328:Adult; D002684:Chiropractic; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications; D017116:Low Back Pain / Q000209:etiology; D008159:Lumbar Vertebrae / Q000293:injuries*; D008279:Magnetic Resonance Imaging; D008297:Male; D012447:Sacrum / Q000293:injuries*; D016103:Spinal Fractures / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D014057:Tomography, X-Ray Computed