Posterior limbus vertebral lesions causing lumbosacral radiculopathy and the cauda equina syndrome

Spinal Cord
H BabaK Tomita

Abstract

This report reviews our experience with spinal decompression for posterior limbus vertebral lesions or osteocartilaginous vertebral corner defects in the lumbar spine in 29 children and young adults. There were 19 male and 10 female patients with a mean age of 16.5 years (range, 9 to 24 years). Twenty-four patients were involved with various athletic activities. Clinical presentation included low back pain with a variable degree of radiculopathy in 25 patients and a cauda equina syndrome in four. The level of the affected spinal area was L1-2 in one patient, L2-3 in one, L3-4 in seven, L4-5 in 17, and L5-S1 in three. The preoperative imaging workup showed lateralised "non-calcified' or 'calcified' limbus vertebral defects in 13 patients and centrally displaced lesions in 16 patients. All patients underwent posterior spinal decompression with a slightly extended laminotomy, except for three patients who had a subsequent posterolateral fusion. All of the patients consequently returned to practice their favourite preoperative sport and lifestyle, but five discontinued their previous sports. We suggest that patients with posterior limbus vertebral lesions require careful diagnosis and therapy that are different from those with an o...Continue Reading

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Citations

Nov 6, 2009·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Lei Dang, Zhongjun Liu
Nov 28, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Xueyuan WuKiran Gurung
Mar 19, 2013·Revista Clínica Espanõla·A BedoyaP Martínez-Carpio
Mar 7, 2002·Neurological Research·Jorge S MendezPatricio M Tagle
Apr 2, 2008·Journal of Neurosurgery. Spine·W Bradford DeLongBlazej Neradilek
Oct 23, 2018·PM & R : the Journal of Injury, Function, and Rehabilitation·Erin M ConleeJoline E Brandenburg

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