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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Synonyms
- Vertebral apophyseal fracture (Fx), limbus vertebra (LV), endplate avulsion Fx, corner Fx, slipped vertebral apophysis, lumbar posterior marginal node
Definitions
- Fx or avulsion of vertebral ring apophysis (RA) following injury in immature skeleton
- Fx of anterior ring termed LV
- Fx of posterior ring termed posterior apophyseal ring Fx (PAR-Fx)
- Fx or avulsion of vertebral ring apophysis (RA) following injury in immature skeleton
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Nonvascular Interventions
Nuclear Medicine Findings
Other Modality Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Selected References
- Conlee EM et al: Posterior vertebral endplate fractures: a retrospective study on a rare etiology of back pain in youth and young adults. PM R. 11(6):619-30, 2019
- Zheng ZZ et al: Full-endoscopic lumbar discectomy for lumbar disc herniation with posterior ring apophysis fracture: a retrospective study. World Neurosurg. ePub, 2018
- Singhal A et al: Ring apophysis fracture in pediatric lumbar disc herniation: a common entity. Pediatr Neurosurg. 49(1):16-20, 2013
- Wu X et al: A review of current treatment of lumbar posterior ring apophysis fracture with lumbar disc herniation. Eur Spine J. 22(3):475-88, 2013
- Wu XY et al: Posterior lumbar ring apophysis fracture. Orthop Surg. 3(1):72-7, 2011
- Chang CH et al: Clinical significance of ring apophysis fracture in adolescent lumbar disc herniation. Spine (Phila Pa 1976). 33(16):1750-4, 2008
- Sairyo K et al: Three-dimensional finite element analysis of the pediatric lumbar spine. Part I: pathomechanism of apophyseal bony ring fracture. Eur Spine J. 15(6):923-9, 2006
- Asazuma T et al: Lumbar disc herniation associated with separation of the posterior ring apophysis: analysis of five surgical cases and review of the literature. Acta Neurochir (Wien). 145(6):461-6; discussion 466, 2003
- Mendez JS et al: Limbus lumbar and sacral vertebral fractures. Neurol Res. 24(2):139-44, 2002
- Bonic EE et al: Posterior limbus fractures: five case reports and a review of selected published cases. J Manipulative Physiol Ther. 21(4):281-7, 1998
- Martinez-Lage JF et al: Avulsed lumbar vertebral rim plate in an adolescent: trauma or malformation? Childs Nerv Syst. 14(3):131-4, 1998
- Swischuk LE et al: Disk degenerative disease in childhood: Scheuermann's disease, Schmorl's nodes, and the limbus vertebra: MRI findings in 12 patients. Pediatr Radiol. 28(5):334-8, 1998
- Talha A et al: Fracture of the vertebral limbus. Eur Spine J. 6(5):347-50, 1997
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Synonyms
- Vertebral apophyseal fracture (Fx), limbus vertebra (LV), endplate avulsion Fx, corner Fx, slipped vertebral apophysis, lumbar posterior marginal node
Definitions
- Fx or avulsion of vertebral ring apophysis (RA) following injury in immature skeleton
- Fx of anterior ring termed LV
- Fx of posterior ring termed posterior apophyseal ring Fx (PAR-Fx)
- Fx or avulsion of vertebral ring apophysis (RA) following injury in immature skeleton
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Nonvascular Interventions
Nuclear Medicine Findings
Other Modality Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Selected References
- Conlee EM et al: Posterior vertebral endplate fractures: a retrospective study on a rare etiology of back pain in youth and young adults. PM R. 11(6):619-30, 2019
- Zheng ZZ et al: Full-endoscopic lumbar discectomy for lumbar disc herniation with posterior ring apophysis fracture: a retrospective study. World Neurosurg. ePub, 2018
- Singhal A et al: Ring apophysis fracture in pediatric lumbar disc herniation: a common entity. Pediatr Neurosurg. 49(1):16-20, 2013
- Wu X et al: A review of current treatment of lumbar posterior ring apophysis fracture with lumbar disc herniation. Eur Spine J. 22(3):475-88, 2013
- Wu XY et al: Posterior lumbar ring apophysis fracture. Orthop Surg. 3(1):72-7, 2011
- Chang CH et al: Clinical significance of ring apophysis fracture in adolescent lumbar disc herniation. Spine (Phila Pa 1976). 33(16):1750-4, 2008
- Sairyo K et al: Three-dimensional finite element analysis of the pediatric lumbar spine. Part I: pathomechanism of apophyseal bony ring fracture. Eur Spine J. 15(6):923-9, 2006
- Asazuma T et al: Lumbar disc herniation associated with separation of the posterior ring apophysis: analysis of five surgical cases and review of the literature. Acta Neurochir (Wien). 145(6):461-6; discussion 466, 2003
- Mendez JS et al: Limbus lumbar and sacral vertebral fractures. Neurol Res. 24(2):139-44, 2002
- Bonic EE et al: Posterior limbus fractures: five case reports and a review of selected published cases. J Manipulative Physiol Ther. 21(4):281-7, 1998
- Martinez-Lage JF et al: Avulsed lumbar vertebral rim plate in an adolescent: trauma or malformation? Childs Nerv Syst. 14(3):131-4, 1998
- Swischuk LE et al: Disk degenerative disease in childhood: Scheuermann's disease, Schmorl's nodes, and the limbus vertebra: MRI findings in 12 patients. Pediatr Radiol. 28(5):334-8, 1998
- Talha A et al: Fracture of the vertebral limbus. Eur Spine J. 6(5):347-50, 1997
