The Characteristics and Incidence of Posterior Apophyseal Ring Fracture in Patients in Their Early Twenties With Herniated Lumbar Disc
Objective Posterior apophyseal ring fracture (PARF) is a common disorder that may be accompanied by herniated lumbar disc (HLD) in patients in their early twenties. However, there are very few reports on PARF in this clinical context. The objective of this study was to identify the incidence and cha...
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| Format: | Article |
| Language: | English |
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Korean Spinal Neurosurgery Society
2018-06-01
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| Series: | Neurospine |
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| Online Access: | http://www.e-neurospine.org/upload/pdf/ns-1836002-001.pdf |
| _version_ | 1797331133308862464 |
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| author | Yoon Nae Seo Young Jin Heo Sang-Min Lee |
| author_facet | Yoon Nae Seo Young Jin Heo Sang-Min Lee |
| author_sort | Yoon Nae Seo |
| collection | DOAJ |
| description | Objective Posterior apophyseal ring fracture (PARF) is a common disorder that may be accompanied by herniated lumbar disc (HLD) in patients in their early twenties. However, there are very few reports on PARF in this clinical context. The objective of this study was to identify the incidence and characteristics of PARF with HLD in this age group. Methods We surveyed patients who visited Armed Forces Busan Hospital between May 2017 and October 2017 and included those aged between 19 and 25 years who had HLD accompanied by PARF. We retrospectively collected their demographic characteristics, clinical manifestations, and radiological findings on computed tomography (CT) scans. We categorized the PARF lesions according to Takata’s classification. Results Of 140 HLD patients, 43 (30.7%) had PARF lesions with HLD. We found that the presence of a PARF lesion was significantly related to a severe pain score on the visual analogue scale for lower back pain and/or lower leg radiating pain (p=0.001). The most common level and location of PARF were L5/S1 (n=25, 56.8%) and the superior endplate of the S1 vertebra, respectively. Type 1, according to Takata’s classification, was the most common type of PARF in the patients (n=34, 77.2%). Conclusion We recommend that spinal surgeons perform CT scans to check for PARF lesions in all young patients in their 20s who present with severe radiating and lower back pain. |
| first_indexed | 2024-03-08T07:30:10Z |
| format | Article |
| id | doaj.art-700d205d1e174f558519aa7855fbb852 |
| institution | Directory Open Access Journal |
| issn | 2586-6583 2586-6591 |
| language | English |
| last_indexed | 2024-03-08T07:30:10Z |
| publishDate | 2018-06-01 |
| publisher | Korean Spinal Neurosurgery Society |
| record_format | Article |
| series | Neurospine |
| spelling | doaj.art-700d205d1e174f558519aa7855fbb8522024-02-02T20:45:21ZengKorean Spinal Neurosurgery SocietyNeurospine2586-65832586-65912018-06-0115213814310.14245/ns.1836002.001793The Characteristics and Incidence of Posterior Apophyseal Ring Fracture in Patients in Their Early Twenties With Herniated Lumbar DiscYoon Nae Seo0Young Jin Heo1Sang-Min Lee2 Department of Radiology, Hanyang University Hanmaeum Changwon Hospital, Changwon, Korea Department of Radiology, Inje University Busan Paik Hospital, Busan, Korea Department of Neurosurgery, Armed Force Busan Hospital, Busan, KoreaObjective Posterior apophyseal ring fracture (PARF) is a common disorder that may be accompanied by herniated lumbar disc (HLD) in patients in their early twenties. However, there are very few reports on PARF in this clinical context. The objective of this study was to identify the incidence and characteristics of PARF with HLD in this age group. Methods We surveyed patients who visited Armed Forces Busan Hospital between May 2017 and October 2017 and included those aged between 19 and 25 years who had HLD accompanied by PARF. We retrospectively collected their demographic characteristics, clinical manifestations, and radiological findings on computed tomography (CT) scans. We categorized the PARF lesions according to Takata’s classification. Results Of 140 HLD patients, 43 (30.7%) had PARF lesions with HLD. We found that the presence of a PARF lesion was significantly related to a severe pain score on the visual analogue scale for lower back pain and/or lower leg radiating pain (p=0.001). The most common level and location of PARF were L5/S1 (n=25, 56.8%) and the superior endplate of the S1 vertebra, respectively. Type 1, according to Takata’s classification, was the most common type of PARF in the patients (n=34, 77.2%). Conclusion We recommend that spinal surgeons perform CT scans to check for PARF lesions in all young patients in their 20s who present with severe radiating and lower back pain.http://www.e-neurospine.org/upload/pdf/ns-1836002-001.pdfEpiphyseal plateGrowth plateIntervertebral disk displacementLow back pain |
| spellingShingle | Yoon Nae Seo Young Jin Heo Sang-Min Lee The Characteristics and Incidence of Posterior Apophyseal Ring Fracture in Patients in Their Early Twenties With Herniated Lumbar Disc Neurospine Epiphyseal plate Growth plate Intervertebral disk displacement Low back pain |
| title | The Characteristics and Incidence of Posterior Apophyseal Ring Fracture in Patients in Their Early Twenties With Herniated Lumbar Disc |
| title_full | The Characteristics and Incidence of Posterior Apophyseal Ring Fracture in Patients in Their Early Twenties With Herniated Lumbar Disc |
| title_fullStr | The Characteristics and Incidence of Posterior Apophyseal Ring Fracture in Patients in Their Early Twenties With Herniated Lumbar Disc |
| title_full_unstemmed | The Characteristics and Incidence of Posterior Apophyseal Ring Fracture in Patients in Their Early Twenties With Herniated Lumbar Disc |
| title_short | The Characteristics and Incidence of Posterior Apophyseal Ring Fracture in Patients in Their Early Twenties With Herniated Lumbar Disc |
| title_sort | characteristics and incidence of posterior apophyseal ring fracture in patients in their early twenties with herniated lumbar disc |
| topic | Epiphyseal plate Growth plate Intervertebral disk displacement Low back pain |
| url | http://www.e-neurospine.org/upload/pdf/ns-1836002-001.pdf |
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