Limbus lumbar and sacral vertebral fractures.
We evaluated the fractures of the lumbar and sacral vertebral limbus by disc impingement at the peripheral ring apophysis in 23 adults associated with trauma in 16 of them. Lumbalgia, radicular pain and narrow canal symptoms are the presenting forms of this underdiagnosed pathology. CT is the best method of examination, while plain roentgenograms and MR are usually negative. Accurate diagnosis and surgical technique with larger exposure are needed to resect the fractured fragments and protruded disc material for decompressing the roots and the dural sac. Our results were very good on the majority of cases.
Mendez
Jorge S
JS
Department of Neurosurgery, Catholic University, Chile, Marcoleta 367, Santiago, Chile. jmendez@med.puc.cl
Huete
Isidro L
IL
Tagle
Patricio M
PM
D000328:Adult; D000367:Age Factors; D017586:Diskectomy / Q000295:instrumentation / Q000379:methods; D005260:Female; D006801:Humans; D007403:Intervertebral Disc / Q000000981:diagnostic imaging / Q000293:injuries* / Q000473:pathology; D007405:Intervertebral Disc Displacement / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D007796:Laminectomy / Q000295:instrumentation / Q000379:methods; D017116:Low Back Pain / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000293:injuries* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012447:Sacrum / Q000000981:diagnostic imaging / Q000293:injuries* / Q000473:pathology; D012585:Sciatica / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D012737:Sex Factors; D013115:Spinal Canal / Q000000981:diagnostic imaging / Q000293:injuries* / Q000473:pathology; D016103:Spinal Fractures / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D013126:Spinal Nerve Roots / Q000293:injuries* / Q000503:physiopathology / Q000601:surgery; D013130:Spinal Stenosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D014057:Tomography, X-Ray Computed; D017211:Treatment Failure