J Korean Orthop Assoc.  1994 Feb;29(1):256-260. 10.4055/jkoa.1994.29.1.256.

Fracture of the Cartilagenous End Plate of the Lower Lumbar Vertebral body: 3 Case Report

Abstract

Fracture of the vertebral end plate in the lumbar spine has been reported as a rare lesion occurring in the adolescent period. It is characterized by variable degrees of sign and symtom related to the degree of block on myelogram and the level of end plate fracture. Trauma or strenuous sport activity seems to play an improtant role in the production of fracture of vertebral body in the adolescent period. We experienced three cases of fracture of lower lumbar vertebral end plate in teenaged patients, two males and one female. Two patients showed upper end plate fracture with severe neurologic deficit on the involved root level and a strong positive on straight leg raising test, and one patient showed lower end plate fracture with slight neurologic deficit. Two patients with upper end plate fracture were treated with partial laminectomy with removal of fracture fragment and one patient with lower end plate fracture was treated with bilateral laminectomy and posterolateral fusion. The method of treatment will depend upon the type of fracture and the degree of neurologic symptoms. We obtained satisfactory results with posterior decompressive laminectomy and removal of fracture fragment with or without fusion.

Keyword

Vertebral body; Lumbar; End plate fracture

MeSH Terms

Adolescent
Female
Humans
Laminectomy
Leg
Male
Methods
Neurologic Manifestations
Spine
Sports
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