Long-Term Outcomes of Lumbar Posterior Apophyseal End-Plate Lesions in Children and Adolescents by Kosaku Higashino, Koichi Sairyo, Shinsuke Katoh, Shyoichiro.

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Presentation transcript:

Long-Term Outcomes of Lumbar Posterior Apophyseal End-Plate Lesions in Children and Adolescents by Kosaku Higashino, Koichi Sairyo, Shinsuke Katoh, Shyoichiro Takao, Hirofumi Kosaka, and Natsuo Yasui J Bone Joint Surg Am Volume 94(11):e74 June 6, 2012 ©2012 by The Journal of Bone and Joint Surgery, Inc.

Representative lateral radiographs and computed tomography (CT) scans of the posterior end- plate lesion in different stages (see text for details); see the posterior corner of each vertebral body (arrowheads). Kosaku Higashino et al. J Bone Joint Surg Am 2012;94:e74 ©2012 by The Journal of Bone and Joint Surgery, Inc.

The skeletal maturity at the initial presentation is demonstrated. “C” stage was seen in three patients (mean age, 11.0 years); “A” stage, in fourteen patients (mean age, 14.3 years); and “E” stage, in seven patients (mean age, 17.0 years). Kosaku Higashino et al. J Bone Joint Surg Am 2012;94:e74 ©2012 by The Journal of Bone and Joint Surgery, Inc.

This thirteen-year-old boy who played table tennis underwent surgical removal of the end plate of L4 (Fig. 3-A, arrow). Kosaku Higashino et al. J Bone Joint Surg Am 2012;94:e74 ©2012 by The Journal of Bone and Joint Surgery, Inc.

This fourteen year-old boy who played baseball was treated conservatively. Kosaku Higashino et al. J Bone Joint Surg Am 2012;94:e74 ©2012 by The Journal of Bone and Joint Surgery, Inc.

Histological examination of the surgical specimen from Case 2, taken when the patient was twenty-six years of age, showed the abnormal end plate with degeneration and some chondrocytes without a nucleus. Kosaku Higashino et al. J Bone Joint Surg Am 2012;94:e74 ©2012 by The Journal of Bone and Joint Surgery, Inc.