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The Journal of Bone and Joint Surgery, Vol 70, Issue 4 589-594, Copyright © 1988 by Journal of Bone and Joint Surgery, Inc


JOURNAL CONTENTS

Fracture of the posterior margin of a lumbar vertebral body

K Takata, S Inoue, K Takahashi and Y Ohtsuka
Department of Orthopaedic Surgery, School of Medicine, Chiba University, Japan.

Using computed tomography, we studied twenty-nine patients who had thirty-one fractures of the posterior margin of a vertebra in the lumbar spine. Based on our findings, these fractures were classified morphologically into three types: a simple separation of the entire margin; an avulsion fracture of some of the substance of the vertebral body, including the margin; and a more localized fracture. In this series, twenty-two of the thirty-one fractures were associated with a defect involving the affected end-plate. This fact suggests that the pathogenesis of these fractures may be the fragility of the end-plate.
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