What is vertebral apophysis?

What is vertebral apophysis?

The ring apophysis is a secondary ossification center of the vertebral endplate connected to the intervertebral disc. It is firmly attached to disc fibrous annulus through Sharpey fibers and its ossification occurs at 4-6 years old.

What do they do for a fractured L4?

The majority of fractures heal with pain medication, reduction in activity, medications to stabilize bone density, and a good back brace to minimize motion during the healing process. Most people return to their everyday activities. Some may need further treatment, such as surgery.

Is limbus vertebra painful?

It comes from a defect under the ring apophysis or in vertebral endplate during the skeletal development stage [1]. Limbus vertebra causes non spesific symptoms like low back pain, back pain, muscle spasms and radiculopathy. It is frequently confused with vertebral fracture, infection, schmorl nodule or tumour [2,3].

What is the Apophyseal ring?

Posterior ring apophyseal fracture or separation, also called limbus fracture, occur in the immature skeleton, most commonly in the lumbar spine. They represent bony fractures of the vertebral body rim at the site of attachment of the Sharpey fibres of the intervertebral disc.

What happens when you break your L4 vertebrae?

If the entire vertebral column breaks, it results in a burst fracture. If the compression is mild, you will experience only mild pain and minimal deformity. If the compression is severe, affecting the spinal cord or nerve roots, you will experience severe pain and a hunched forward deformity (kyphosis).

How serious is a lumbar fracture?

A fracture of the thoracic or lumbar spine causes moderate to severe back pain that is worsened with movement. If the spinal cord or nerves are involved, the patient may experience bowel/bladder dysfunction along with numbness, tingling, or weakness in the limbs.

What is Schmorl node?

Schmorl nodes represent a herniation or an extrusion of the intervertebral disc nuclear material through the vertebral body endplate, with displacement of this material into the adjacent vertebral body [2]. The herniated tissue may form a defect in the upper or lower surface of the involved vertebra.

What is limbus vertebra c5?

A limbus vertebra is a bone tubercle formed by bone trauma on a vertebral body, bearing a radiographic similarity to a vertebral fracture. The anterior-superior corner of a single vertebra is the common site for this defect although it can also be seen at the inferior corner as well as the posterior or anterior margin.

Is limbus vertebra rare?

The limbus vertebra is a rare condition poorly described in the medical literature. Marginal intrabody herniation of the nucleus pulposus resulting in the separation of a triangular bone fragment.

Where is an apophysis found?

An apophysis is found where major tendons and ligaments attach to bone. The tibial tubercle apophysis, for example is an insertion for the patellar tendon.

What is lumbar posterior ring apophysis fracture?

Lumbar posterior ring apophysis fracture (PRAF) is an uncommon disease typically found in adolescents and young adults, especially in young active athletes. It has been increasingly recognized as an important contribution of low back pain and neural symptom [ 1 ].

What is slipslip vertebral apophysis?

Slip vertebral apophysis is a condition that occurs in children. Children will complain of back pain, usually occurring in the lower lumbar spine. The condition acts like an acute herniated disk. In children, rule out limbus vertebral fracture and this condition usually requires surgery.

What is an apophysis of the ilium?

An apophysis is found where major tendons and ligaments attach to bone. The tibial tubercle apophysis, for example is an insertion for the patellar tendon. An apophysis can also be the site of muscle attachment to the margin of the ilium. Occassionally, the apophysis can persist and if injured, it can become symptomatic.