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Related Experiment Videos

Lumbar disc herniation in children.

K Hashimoto1, K Fujita, H Kojimoto

  • 1Department of Orthopaedic Surgery, Kansai Rosai Hospital, Hyogo, Japan.

Journal of Pediatric Orthopedics
|May 1, 1990
PubMed
Summary

Lumbar disc herniation with apophyseal fracture presents distinct radiographic signs like central herniation and end plate irregularity, differing from herniation without fracture. These findings aid in differentiating fracture-associated disc herniation.

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Area of Science:

  • Orthopedics
  • Radiology
  • Spinal Surgery

Background:

  • Lumbar disc herniation is a common spinal condition.
  • Distinguishing between disc herniation with and without apophyseal fracture is crucial for accurate diagnosis and treatment planning.

Observation:

  • This study compared the clinical symptoms, physical signs, and radiographic features of lumbar disc herniation with apophyseal fracture against those without fracture.
  • Radiographic analysis focused on identifying characteristic patterns associated with the presence of a fracture.

Findings:

  • Lumbar disc herniation accompanied by apophyseal fracture characteristically showed central disc herniation.
  • Postoperative bony ridge formation and end plate irregularities were also characteristic findings in cases with apophyseal fracture.

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Implications:

  • The identified radiographic features can help clinicians differentiate lumbar disc herniation with apophyseal fracture.
  • Accurate differentiation may lead to more tailored surgical approaches and improved patient outcomes.
  • Further research could explore the long-term clinical impact of these specific radiographic findings.