دوره 11، شماره 1 - ( 1-1402 )
جلد 11 شماره 1 صفحات 48-45 |
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Pothiawala S, Charles R. Incidental diagnosis of limbus vertebra in a patient with sciatica. J Surg Trauma 2023; 11 (1) :45-48
URL: http://jsurgery.bums.ac.ir/article-1-339-fa.html
URL: http://jsurgery.bums.ac.ir/article-1-339-fa.html
Incidental diagnosis of limbus vertebra in a patient with sciatica. نشریه جراحی و تروما. 1402; 11 (1) :45-48
چکیده: (819 مشاهده)
- The limbus vertebra is formed due to anterior herniation of the nucleus pulposus between the ring apophysis and the adjacent vertebral body, resulting in the formation of a triangular, smooth bony fragment that ossifies separately. It is commonly located in the mid-lumbar spine, usually at the antero-superior margin of a single vertebral body. We present the case of a 31-year-old male who presented to the Emergency Department with complaints of sciatica after bending forwards. The plain radiograph of the lumbosacral spine was suspicious for a L5 chip fracture but was diagnosed to have limbus vertebra and discharged. Limbus vertebra is generally identified incidentally, and most patients with anterior limbus vertebra are asymptomatic. Some patients with posterior limbus vertebra can present with symptoms of nerve compression. It can be mistaken for vertebral fracture, infection, degenerative disease of the spine or tumour, resulting in further diagnostic evaluation. Most patients are management conservatively, while those patients with symptoms of nerve compression requiring total laminectomy. Emergency physicians should consider the limbus vertebra as a differential diagnosis in patients presenting with lumbar pain, particular in young patients.
نوع مطالعه: گزارش مورد |
موضوع مقاله:
تروما
دریافت: 1401/4/15 | پذیرش: 1401/10/22 | انتشار الکترونیک پیش از انتشار نهایی: 1401/10/22 | انتشار: 1402/2/5 | انتشار الکترونیک: 1402/2/5
دریافت: 1401/4/15 | پذیرش: 1401/10/22 | انتشار الکترونیک پیش از انتشار نهایی: 1401/10/22 | انتشار: 1402/2/5 | انتشار الکترونیک: 1402/2/5
فهرست منابع
1. Shim MR. Limbus vertebra and low back pain: A case report and review of literature. Int J Sports Exerc Med. 2019; 5(10):148. doi:10.23937/2469-5718/1510148 [DOI:10.23937/2469-5718/1510148]
2. Edelson JG, Nathan H. Stages in the natural history of the vertebral end-plates. Spine. 1988; 13(1):21-26. doi: 10.1097/00007632-198801000-00006. [DOI:10.1097/00007632-198801000-00006] [PMID]
3. Swischuk LE, John SD, Allbery S. Disk degenerative disease in childhood: Scheuermann's disease, Schmorl's nodes, and the limbus vertebra: MRI findings in 12 patients. Pediatr Radiol. 1998;28(5):334-338. doi: 10.1007/s002470050368. [DOI:10.1007/s002470050368] [PMID]
4. Koyama K, Nakazato K, Min S, GushikenK, Hatakeda Y, Seo K, et al. COL11A1 gene isassociated with limbus vertebra in gymnasts. Int JSports Med. 2012; 33(7):586-590. doi: 10.1055/s-0031-1299752. [DOI:10.1055/s-0031-1299752] [PMID]
5. Restrepo JP, Molina MP. Limbus vertebra as a rarecause of lumbar pain in young people. Rev ColombReumatol. 2020; 27(2):120-122 [DOI:10.1016/j.rcreue.2019.03.006]
6. Schmorl G. Über die an der Wirbelfandscheibenvorkommenden Ausdehnungs undZerreissungvorgänge und die dadurch an ihnenund der Wirbelspongiosa hervorgeruferenVeränderungen. Verth Dtsch Ges. 1927; 22:250-262.
7. Mutlu V, Ogul H. Cervical limbus vertebra presenting as a hypopharyngeal mass. SpineJ. 2014; 14(6):1079-1080. doi: 10.1016/j.spinee.2014.02.021. [DOI:10.1016/j.spinee.2014.02.021] [PMID]
8. Huang PY, Yeh LR, Tzeng WS, Tsai MY, Shih TT,Pan HB, et al. Imaging features of posterior limbusvertebrae. Clin Imaging. 2012; 36(6):797-802. doi:10.1016/j.clinimag.2012.01.031. [DOI:10.1016/j.clinimag.2012.01.031] [PMID]
9. Sas S. Limbus vertebra mimicking avulsion fracture. Med Bull Haseki. 2019; 57:102-104. doi:10.4274/haseki.galenos.2018.4143 [DOI:10.4274/haseki.galenos.2018.4143]
10. Wang Y, Videman T, Battié MC. Lumbarvertebral endplate lesions: prevalence, classification,and association with age. Spine. 2012; 37(17):1432-1439. doi: 10.1097/BRS.0b013e31824dd20a. [DOI:10.1097/BRS.0b013e31824dd20a] [PMID]
11. Espino-Rodríguez César A, García-BallesterosAlejandra I, Castro-Prado Fernando C. Incidentaldiagnosis of limbus vertebra associated with dischernia in patient with low back pain: Case Report.Interdisciplinary Neurosurg 2019: 100617. doi:10.1016/j.inat.2019.100617 [DOI:10.1016/j.inat.2019.100617]
12. Gaillard F, El-Feky M. Limbus vertebra.Reference article, Radiopaedia.org. doi:10.53347/ rID-1584. (Accessed 05 Jul 2022)
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