Posterior Lumbar Apophyseal Ring Fractures in Adolescents: A Report of Four Cases

Yen, CH; Chan, Samuel; Ho, Yuen-Fong; Mak, Koon Hou

doi:10.1177/230949900901700119

Cited by 26 publications

(23 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Surgery is done via a posterior approach to remove the offending fragments with or without an interlaminal laminectomy. 13,35 Typically these are not unstable injuries, and thus fusion is not necessary and outcomes are usually favorable.…”

Section: Treatment Optionsmentioning

confidence: 99%

“…33 Yen et al reported 4 adolescent cases and noted a strong association of adolescent apophyseal ring fractures with a slipped capital femoral epiphysis and overweight/obesity. 35 The patient in Case 4 was a 13-year-old girl who fell on her tailbone while playing volleyball and developed acute onset of back pain with radicular pain down her left posterior extremity to the dorsum of her left foot. A CT scan was done, which demonstrated a posterior detached fragment at the superior S-1 endplate and a defect in the bone adjoining the fracture site ( Fig.…”

Section: Apophyseal Ring Fracturesmentioning

confidence: 99%

See 1 more Smart Citation

A review of pediatric lumbar spine trauma

Sayama

Chen

Trost

et al. 2014

FOC

View full text Add to dashboard Cite

Pediatric spine fractures constitute 1%–3% of all pediatric fractures. Anywhere from 20% to 60% of these fractures occur in the thoracic or lumbar spine, with the lumbar region being more affected in older children. Younger children tend to have a higher proportion of cervical injuries. The pediatric spine differs in many ways from the adult spine, which can lead to increased ligamentous injuries without bone fractures. The authors discuss and review pediatric lumbar trauma, specifically focusing on epidemiology, radiographic findings, types and mechanisms of lumbar spine injury, treatment, and outcomes.

show abstract

Section: Treatment Optionsmentioning

confidence: 99%

Section: Apophyseal Ring Fracturesmentioning

confidence: 99%

A review of pediatric lumbar spine trauma

Sayama

Chen

Trost

et al. 2014

FOC

View full text Add to dashboard Cite

show abstract

“…49 Surgical intervention depends on clinical symptoms. [48][49][50] Scheuermann Kyphosis (Juvenile Kyphosis) Scheuermann kyphosis is an osteochondrosis presenting as an abnormality of the vertebral epiphyseal growth plates. 18 This condition presents as a form of adolescent thoracic or thoracolumbar kyphosis characterized by anterior wedging of 3 or more contiguous vertebrae of 5°or greater resulting in a thoracic kyphosis greater than 35°, with the apex more commonly seen between T7 and T9.…”

Section: Disk Degeneration and Herniationmentioning

confidence: 99%

Imaging of Back Pain in Children

Rodriguez¹,

Poussaint²

2009

AJNR Am J Neuroradiol

View full text Add to dashboard Cite

SUMMARY:While back pain presents less frequently in children than in adults, it still poses a significant clinical challenge with respect to making a firm diagnosis and developing an effective treatment plan. When children have back pain and medical attention is sought, an underlying pathology is usually suspected. Pediatric patients are evaluated, first, with a complete clinical history and examination and, second, by an imaging work-up that is based on initial findings, including the child's age and size, signs and symptoms, and suspected etiology. This article describes 1) the epidemiology of back pain in children, 2) the imaging work-up used, and 3) the correlation of imaging findings with disease entities that may cause back pain in the pediatric patient. The list of diseases giving rise to back pain is not meant to be exhaustive but rather reflective of the most commonly identified pathologies and disorders among young children and adolescents, from athletic injuries to lethal cancers.ABBREVIATIONS: ALARA ϭ as low as reasonably achievable; ESR ϭ erythrocyte sedimentation rate; FSE ϭ fast spin-echo; 18 F ϭ fluorine 18; LCH ϭ Langerhans cell histiocytosis; LDH ϭ lactate dehydrogenase; MBP ϭ mechanical back pain; PET ϭ positron-emission tomography; RFA ϭ radio-frequency ablation, SPECT ϭ single-photon emission computed tomography; STIR ϭ short tau inversion recovery; 99m Tc-MDP ϭ technetium 99m methylene diphosphonate; WHO ϭ World Health Organization B ack pain in children presents less frequently than in adults. The incidence of back pain in adults has been estimated to be as high as 60%-80% 1 ; the actual incidence of back pain in children, however, is unknown. Back pain in children presenting to the emergency department was originally thought to be an uncommon complaint, 2 reflecting significant underlying pathology compared with adults. Although recent studies have shown an increased prevalence of back pain in children, [3][4][5][6][7] relatively few patients receive medical attention.

show abstract

“…Thoracolumbar SCIWORA has an occurrence up to 50% in such patients, matched to less than 1% in adults (45,46).…”

Section: Injury Based Of Child Agementioning

confidence: 99%

“…Children above 4 years old have expanded child care seats; however, do not have established iliac crests to attend as anchor points for lap belts (46,47).…”

Section: Less Than 12 Years Oldmentioning

confidence: 99%

An Update Review of Epidemiology, Anatomy, Classification, Management and Outcome of pediatric Thoracolumbar Spine Trauma

et al. 2017

View full text Add to dashboard Cite

Context: The incidence of vertebral column and spinal cord damage in children in the current century is greater than ever. Thoracolumbar fractures are extra numerous in teenagers, the most common reasons are falling from a height and motorcycle accidents. The current study aimed at designing a straightforward assessment of the epidemiology, anatomy, biomechanics, and clinical detection and managing plans for children with thoracolumbar traumas. Evidence Acquisition: Totally, 85 articles conducted from 1970 to 2016 were studied. A total of 63 articles were included in the current pediatric evaluation. But, based on the philosophy of the current study, just newly published studies from 2000 on spinal trauma epidemiology, classification, and management were included. Results: Spinal fractures in pediatrics characterize 1% or 2% of all pediatric fractures, and most of the damage comprise the cervical spinal column. The mainstream of thoracolumbar spinal column fractures in the children happen at the age of 14 to 16 years. The most common damaged zone of the spine is T4 to T12, followed by T12 to L2 based on the patients' age and type of radiologic classification of trauma, and conservative or surgery treatments may be used for the fractures. Conclusions: Forceful use of computed tomography (CT) scan and magnetic resonance imaging (MRI) can classify delicate thoracolumbar damages and involvement of neural components and offer prognostic data in children with possible neurologic recovery, especially in SCIWORA (spinal cord injury without radiographic abnormality) type of injury. Currently, classification of the thoracolumbar injury and severity scales (TLISS) is generally useful in the adults by means of trauma to define non-operative vs. operative management of spine fractures. This classification is newly considered in the pediatric population, and there are reports on the outstanding validity of this system, similar to adults. Usually, various stable fractures can be cured conservatively, while unstable fractures need surgical stabilization.

show abstract

Posterior Lumbar Apophyseal Ring Fractures in Adolescents: A Report of Four Cases

Cited by 26 publications

References 13 publications

A review of pediatric lumbar spine trauma

A review of pediatric lumbar spine trauma

Imaging of Back Pain in Children

An Update Review of Epidemiology, Anatomy, Classification, Management and Outcome of pediatric Thoracolumbar Spine Trauma

Contact Info

Product

Resources

About