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.
This is a preview of subscription content, log in to check access.
We’re sorry, something doesn't seem to be working properly.
Please try refreshing the page. If that doesn't work, please contact support so we can address the problem.
Albeck MJ, Madsen IF, Wagner A, Gjerris F (1991) Fracture of the lumbar vertebral ring apophysis imitating disc herniation. Acta Neurochir 113: 52–56
Browne TD, Yost RP, McCarron RF (1990) Lumbar ring apophyseal fracture in an adolescent weight lifter. A case report. Am J Sports Med 18: 533–535
Clark JE (1991) Apophyseal fracture of the lumbar spine in adolescence. Orthop Rev 20: 512–516
Denis F (1983) The three column spine and its significance in the classification of acute thoracolumbar spinal injuries. Spine 8: 817–831
Dietemann JL, Runge M, Badoz A, Dosch JC, Beaujeux R, Bonneville JF, Wackenheim A (1988) Radiology of posterior lumbar apophyseal ring fractures: report of 13 cases. Neuroradiology 30: 337–344
Epstein NE, Epstein JA, Mauri T (1989) Treatment of fractures of the vertebral limbus and spinal stenosis in five adolescents and five adults. Neurosurgery 24:595–604
Kolin J, Kolar J (1989) Posterior lumbar apophyseal ring fracture simulating a mass lesion in computed tomograms. Röfo 1: 114–115
Magerl F, Aebi M, Gertzbein SD, Harms J, Nazarian S (1994) A comprehensive classification of thoracic and lumbar injuries. Eur Spine J 3: 184–201
Savini R, Di Silvestre M, Gargiulo G, Picei P (1991) Posterior lumbar apophyseal fractures. Spine 16: 1118–1123
Soper J (1988) Lumbar posterior vertebral spur. Australas Radiol 32: 343–347
Takata K, Inoue S, Takahashi K, Ohtsuka Y (1988) Fracture of the posterior margin of a lumbar vertebral body. J Bone Joint Surg Am 70: 589–594
Thiel HW, Clements DS, Cassidy JD (1992) Lumbar apophyseal ring fractures in adolescents. J Manip Physiol Ther 15: 250–254
Wagner A, Albeck MJ, Madsen FF (1992) Diagnostic imaging in fracture of lumbar vertebral ring apophyses. Acta Radiol 33: 72–75
About this article
Cite this article
Talha, A., Cronier, P., Toulemonde, J.L. et al. Fracture of the vertebral limbus. Eur Spine J 6, 347–350 (1997). https://doi.org/10.1007/BF01142684
- Lumbar fracture
- Vertebral limbus
- Apophyseal ring fracture