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Fracture of the vertebral limbus

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An 18-year-old young man suffering from fracture of the limbus of L4 was admitted to the emergency ward after a car collision. Radiological evidence of the lesion was visible on plain film radiographs and CT scans. On surgery the posterior column was found to be intact. Treatment included a wide laminectomy, excision of the fragment, and osteosynthesis with Cotrel-Dubousset instrumentation. The characteristics of these lesions are reviewed on the basis of the latest reports. The possibility of misreading these fractures is emphasized, especially in traumatic adult spine surgery.

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Correspondence to A. Talha.

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Talha, A., Cronier, P., Toulemonde, J.L. et al. Fracture of the vertebral limbus. Eur Spine J 6, 347–350 (1997).

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Key words

  • Lumbar fracture
  • Vertebral limbus
  • Apophyseal ring fracture