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Rehabilitation Practice and Science

Translated Title

脊椎邊緣骨折合併椎間盤突出：病例報告

Abstract

Limbus vertebral fracture results from the herniation of disc material into a vertebral body, and in the formation of one or more isolated bony fragments. It is mostly found in adolescents and young adults. Clinically it resembles an acute disc prolapse with low back pain and radiculopathy. Trauma plays a significant etiologic role in up to one half of cases reported in the literature. The diagnosis of limbus vertebral fracture can rarely be based on conventional radiographs. CT scan shows the fracture fragments in most cases and should be considered the most accurate procedure. Complete discectomy with removal of bony fragments assures cure.Here we report a case in a 39-year-old man who complained of low back pain radiating to the right buttock. Over the past one week, he developed progressive neurological deficit. Spine MRI identified L5-S1 disc herniation associated with L5 limbus vertebral fracture. After disectomy and laminectomy, a piece of non-ossified fragment measuring 3 cm was removed. Post-operatively, the patient's symptoms resolved and the patient had an excellent outcome. In conclusion, limbus vertebral fracture resulting in low back pain or radiculopathy is not common. Appropriate examination and treatment offer the chance for cure.

Language

Traditional Chinese

First Page

245

Last Page

250

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