Abstract
This report concerns 12 patients, eight young adults and four adolescents, presenting with lumbar or sciatic pain. This was associated with an unusual defect of the inferior and posterior edges of the vertebral bodies of L4 or L5, together with a small bony ridge protruding into the spinal canal. We found 11 similar cases in the literature all involving adolescents except for one young adult.
It has been considered to be the result of a fracture of the posterior ring apophysis in association with a herniated disc. In our cases, in the absence of any known previous trauma, the radiological features and surgical results and the similarity and frequent association with typical lesions of Scheuermann disease, all suggest a posterior marginal cartilaginous node. The inferior lumbar location and frequent association with herniated disc and sciatic nerve root compression in young patients are discussed.
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Alexander CJ (1977) Scheuermann's disease. A traumatic spondylodystrophy? Skeletal Radiol 1:209
Handel SF, Twiford TW, Reigel DH, Kaufmann HH (1979) Posterior lumbar apophyseal fractures Radiology 130:629
Hellstadius A (1948) A contribution to the question of the origin of anterior paradiscal defects and so-called persisting apophyses in the vertebral bodies. Acta Orthop Scand 18:377
Keller RH (1974) Traumatic displacement of the cartilaginous vertebral rim. A sign of intervertebral disc prolapse. Radiology 110:21
Lippitt AB (1976) Fracture of the vertebral body endplate and disk protrusion causing subarachnoid block in an adolescent. Clin Orthop 116:112
Lowrey JJ (1973) Dislocated lumbar vertebral epiphysis in adolescent children. Report of three cases. J Neurosurg 38:232
Serre H, Barjon MC, Simon L (1964) Les séquelles de dystrophies rachidiennes de croissance chez l'adulte. Aspects radiologiques. Rev Rhum Mal Osteoartic 8:392
Resnick D, Niwayama G (1981) Scheuermann's disease. In: Resnick D, Niwayama G (eds) Diagnosis of bone and joint disorders. Saunders, Philadelphia, p 2902
Techakapuch S (1981) Rupture of the lumbar cartilage plate into the spinal canal in an adolescent. J Bone Joint Surg [Am] 63:481
Twersky J, Kassner G, Tenner MS, Camera A (1975) Vertebral and costal osteochondromas causing spinal cord compression. Radiology 214:124
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Laredo, JD., Bard, M., Chretien, J. et al. Lumbar posterior marginal intra-osseous cartilaginous node. Skeletal Radiol 15, 201–208 (1986). https://doi.org/10.1007/BF00354061
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DOI: https://doi.org/10.1007/BF00354061