A review of current treatment of lumbar posterior ring apophysis fracture with lumbar disc herniation

详细信息    查看全文

• 作者：Xueyuan Wu (1)
  Wei Ma (1)
  Heng Du (1)
  Kiran Gurung (1)
  
• 关键词：Ring apophysis fracture ; Lumbar disc herniation ; Low back pain ; Adolescent ; Systematic review
• 刊名：European Spine Journal
• 出版年：2013
• 出版时间：March 2013
• 年：2013
• 卷：22
• 期：3
• 页码：475-488
• 全文大小：495KB
• 参考文献：1. Albeck MJ, Madsen FF, Wagner A, Gjerris F (1991) Fracture of the lumbar vertebral ring apophysis imitating disc herniation. Acta Neurochir (Wien) 113:52鈥?6 CrossRef
  2. Bick EM, Copel JW (1951) The ring apophysis of the human vertebra; contribution to human osteogeny II. J Bone Joint Surg Am 33(A):783鈥?87
  3. Gooding CA, Hurwitz ME (1974) Avulsed vertebral rim apophysis in a child. Pediatr Radiol 2:265鈥?68 CrossRef
  4. Epstein NE, Epstein JA (1991) Limbus lumbar vertebral fractures in 27 adolescents and adults. Spine (Phila Pa 1976) 16(8):962鈥?66 CrossRef
  5. Leroux JL, Fuentes JM, Baixas P, Benezech J, Chertok P, Blotman F (1992) Lumbar posterior marginal node (LPMN) in adults. Report of fifteen cases. Spine (Phila Pa 1976) 17(12):1505鈥?508 CrossRef
  6. Farrokhi MR, Masoudi MS (2009) Slipped vertebral epiphysis (report of 2 cases). J Res Med Sci 14:63鈥?6
  7. Chen LH, Chang CH, Lee ZL, Niu CC, Lai PL, Tan CF, Chen WJ (2004) Intervertebral disc herniation in adolescents. Chang Gung Med J 27:22鈥?8
  8. Kuh SU, Kim YS, Cho YE, Yoon YS, Jin BH, Kim KS, Chin DK (2005) Surgical treatments for lumbar disc disease in adolescent patients; chemonucleolysis/microsurgical discectomy/PLIF with cages. Yonsei Med J 46:125鈥?32 CrossRef
  9. Smorgick Y, Floman Y, Millgram MA, Anekstein Y, Pekarsky I, Mirovsky Y (2006) Mid- to long-term outcome of disc excision in adolescent disc herniation. Spine J 6:380鈥?84 CrossRef
  10. Epstein NE (1992) Lumbar surgery for 56 limbus fractures emphasizing noncalcified type III lesions. Spine (Phila Pa 1976) 17(12):1489鈥?496 CrossRef
  11. Epstein NE, Epstein JA, Mauri T (1989) Treatment of fractures of the vertebral limbus and spinal stenosis in five adolescents and five adults. Neurosurgery 24:595鈥?04 CrossRef
  12. Akhaddar A, Belfquih H, Oukabli M, Boucetta M (2011) Posterior ring apophysis separation combined with lumbar disc herniation in adults: a 10-year experience in the surgical management of 87 cases. J Neurosurg Spine 14:475鈥?83. doi:10.3171/2010.11.SPINE10392 CrossRef
  13. Chang CH, Lee ZL, Chen WJ, Tan CF, Chen LH (2008) Clinical significance of ring apophysis fracture in adolescent lumbar disc herniation. Spine (Phila Pa 1976) 33(16):1750鈥?754. doi:10.1097/BRS.0b013e31817d1d12 CrossRef
  14. DeOrio JK, Bianco AJ (1982) Lumbar disc excision in children and adolescents. J Bone Joint Surg Am 64:991鈥?96
  15. Matsumoto M, Watanabe K, Tuji T, Ishii K, Takaishi H, Nakamura M, Chiba K, Toyama Y (2007) Microendoscopic discectomy for lumbar disc herniation with bony fragment due to apophyseal separation. Minim Invasive Neurosurg 50:335鈥?39. doi:10.1055/s-2007-993202 CrossRef
  16. Shirado O, Yamazaki Y, Takeda N, Minami A (2005) Lumbar disc herniation associated with separation of the ring apophysis: is removal of the detached apophyses mandatory to achieve satisfactory results? Clin Orthop Relat Res 431:120鈥?28 CrossRef
  17. Grevitt MP, Gardner AD, Spilsbury J, Shackleford IM, Baskerville R, Pursell LM, Hassaan A, Mulholland RC (1995) The Graf stabilisation system: early results in 50 patients. Eur Spine J 4(3):169鈥?75 (discussion 135) CrossRef
  18. Molina V, Court C, Dagher G, Pourjamasb B, Nordin JY (2004) Fracture of the posterior margin of the lumbar spine: case report after an acute, unique, and severe trauma. Spine (Phila Pa 1976) 29(24):E565鈥揈567 CrossRef
  19. Asazuma T, Nobuta M, Sato M, Yamagishi M, Fujikawa K (2003) Lumbar disc herniation associated with separation of the posterior ring apophysis: analysis of five surgical cases and review of the literature. Acta Neurochir (Wien) 145(461鈥?66):466. doi:10.1007/s00701-003-0044-z
  20. Mendez JS, Huete IL, Tagle PM (2002) Limbus lumbar and sacral vertebral fractures. Neurol Res 24:139鈥?44 CrossRef
  21. Martinez-Lage JF, Poza M, Arcas P (1998) Avulsed lumbar vertebral rim plate in an adolescent: trauma or malformation? Childs Nerv Syst 14:131鈥?34 CrossRef
  22. Talha A, Cronier P, Toulemonde JL, Namour A (1997) Fracture of the vertebral limbus. Eur Spine J 6:347鈥?50 CrossRef
  23. Baba H, Uchida K, Furusawa N, Maezawa Y, Azuchi M, Kamitani K, Annen S, Imura S, Tomita K (1996) Posterior limbus vertebral lesions causing lumbosacral radiculopathy and the cauda equina syndrome. Spinal Cord 34:427鈥?32 CrossRef
  24. Scarfo GB, Muzii VF, Mariottini A, Bolognini A, Cartolari R (1996) Posterior retroextramarginal disc hernia (PREMDH): definition, diagnosis, and treatment. Surg Neurol 46:205鈥?11 CrossRef
  25. Savini R, Di Silvestre M, Gargiulo G, Picci P (1991) Posterior lumbar apophyseal fractures. Spine (Phila Pa 1976) 16(9):1118鈥?123 CrossRef
  26. Takata K, Inoue S, Takahashi K, Ohtsuka Y (1988) Fracture of the posterior margin of a lumbar vertebral body. J Bone Joint Surg Am 70:589鈥?94
  27. Fujita K, Shinmei M, Hashimoto K, Shimomura Y (1986) Posterior dislocation of the sacral apophyseal ring. A case report. Am J Sports Med 14:243鈥?45 CrossRef
  28. Laredo JD, Bard M, Chretien J, Kahn MF (1986) Lumbar posterior marginal intra-osseous cartilaginous node. Skeletal Radiol 15:201鈥?08 CrossRef
  29. Techakapuch S (1981) Rupture of the lumbar cartilage plate into the spinal canal in an adolescent. A case report. J Bone Joint Surg Am 63:481鈥?82
  30. Yang IK, Bahk YW, Choi KH, Paik MW, Shinn KS (1994) Posterior lumbar apophyseal ring fractures: a report of 20 cases. Neuroradiology 36:453鈥?55 CrossRef
  31. Peh WC, Griffith JF, Yip DK, Leong JC (1998) Magnetic resonance imaging of lumbar vertebral apophyseal ring fractures. Australas Radiol 42:34鈥?7 CrossRef
  32. Ehni G, Schneider SJ (1988) Posterior lumbar vertebral rim fracture and associated disc protrusion in adolescence. J Neurosurg 68:912鈥?16. doi:10.3171/jns.1988.68.6.0912 CrossRef
  33. Faizan A, Sairyo K, Goel VK, Biyani A, Ebraheim N (2007) Biomechanical rationale of ossification of the secondary ossification center on apophyseal bony ring fracture: a biomechanical study. Clin Biomech (Bristol, Avon) 22(10):1063鈥?067. doi:10.1016/j.clinbiomech.2007.04.012 CrossRef
  34. Sairyo K, Goel VK, Masuda A, Vishnubhotla S, Faizan A, Biyani A, Ebraheim N, Yonekura D, Murakami R, Terai T (2006) Three-dimensional finite element analysis of the pediatric lumbar spine. Part I: pathomechanism of apophyseal bony ring fracture. Eur Spine J 15:923鈥?29. doi:10.1007/s00586-005-1026-z CrossRef
  35. Mupparapu M, Vuppalapati A, Mozaffari E (2002) Radiographic diagnosis of limbus vertebra on a lateral cephalometric film: report of a case. Dentomaxillofac Radiol 31:328鈥?30. doi:10.1038/sj.dmfr.4600698 CrossRef
  36. Dietemann JL, Runge M, Badoz A, Dosch JC, Beaujeux R, Bonneville JF, Wackenheim A (1988) Radiology of posterior lumbar apophyseal ring fractures: report of 13 cases. Neuroradiology 30:337鈥?44 CrossRef
  37. Ikata T, Morita T, Katoh S, Tachibana K, Maoka H (1995) Lesions of the lumbar posterior end plate in children and adolescents. An MRI study. J Bone Joint Surg Br 77:951鈥?55
  38. Banerian KG, Wang AM, Samberg LC, Kerr HH, Wesolowski DP (1990) Association of vertebral end plate fracture with pediatric lumbar intervertebral disk herniation: value of CT and MR imaging. Radiology 177:763鈥?65
  39. Liquois F, Demay P, Filipe G (1997) Sciatica caused by avulsion of the vertebral limbus in children. Rev Chir Orthop Reparatrice Appar Mot 83:210鈥?16
  40. Dang L, Liu Z (2010) A review of current treatment for lumbar disc herniation in children and adolescents. Eur Spine J 19:205鈥?14. doi:10.1007/s00586-009-1202-7 CrossRef
  
• 作者单位：Xueyuan Wu (1)
  Wei Ma (1)
  Heng Du (1)
  Kiran Gurung (1)
  
  1. Department of Orthopaedics, The First Affiliated Hospital, Medical School of Xi鈥檃n JiaoTong University, Yan Ta Western Road No 227, Shanxi, 710061, Xi鈥檃n, China
  
• ISSN：1432-0932

文摘

Purpose Lumbar posterior ring apophysis fracture (PRAF) is an uncommon disorder frequently accompanied by lumbar disc herniation (LDH). Over the years, there have constantly been published studies concerning this disorder. Due to its rarity, there is lack of an agreed treatment strategy, and lots of different opinions exist, including the choice of decompressive modalities, whether removal of apophyseal fragments or/and disc material, and the necessity of additional spinal fusion. The purpose of this review is to provide a collective opinion on the treatment of PRAF with LDH. Methods A MEDLINE search in the English language literature was performed from 1980 to 2012. To be included in the study, it was strictly necessary for each clinical article to provide information about the description of apophyseal fracture such as location, treatment methods and clinical outcome. The studies were mainly analyzed for general features, the related classifications and treatments. Results The literature searching yielded 19 articles reporting 366 patients experiencing 380 sites of fractures. All of them were case reports or case series. The classification systems of PRAF were various based on the morphology, mobilization, size or localization, and relationship between disc and fragment. The most used surgical options were posterior discectomy simultaneous excision of apophyseal fragments without spine fusion. Surgical treatment for PRAF with LDH had equally excellent clinical outcome compared with LDH alone. Conclusions The diverse features of apophyseal fracture lead to various modalities of classifications and operation options. Prior to operation, the surgeons should carefully make a plan to consider decompressive scope, removal of apophyseal fragment or/and disc and fusion or not. Because of methodological shortcomings in publications, it is not possible to definitively conclude what treatment modality is the best for the treatment of PRAF. More high-quality clinical studies are needed to draw more confirmable conclusions.