Fracture of posterior vertebral endplate mimicking lumbar disc herniation: Case report Lomber disk herniasyonunu taklit eden posterior vertebral son plak kırığı: Olgu sunumu


Guclu B., Kazancİ B., Kazancİ A., Tehlİ O.

Journal of Neurological Sciences, vol.32, no.3, pp.593-597, 2015 (SCI-Expanded, Scopus, TRDizin) identifier

  • Publication Type: Article / Article
  • Volume: 32 Issue: 3
  • Publication Date: 2015
  • Journal Name: Journal of Neurological Sciences
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.593-597
  • Keywords: Computed tomography scan, Endplate fracture, Lumbar disc herniation, Magnetic resonance imaging, X-ray
  • Ankara Yıldırım Beyazıt University Affiliated: No

Abstract

© 2015, Ege University Press. All rights reserved.We report a 21-year-old man who was admitted to physical therapy clinic and had low back and left leg pain for 6 months. Magnetic resonance imaging (MRI) showed L5-S1 central disc herniation and the patient underwent physical therapy for 2 weeks. However patient's symptoms were worsened, and before surgical intervention, more radiologic investigations were planned. X-ray and computed tomography (CT) scan showed an L5 posterior endplate fracture. MRI is the standard modality for diagnosing lumbar disc herniation, but other diseases mimicking lumbar disc herniation may be overlooked in an MRI. As there are many different diseases that might be misdiagnosed as lumbar disc herniation, for accurate diagnosis, other diagnostic modalities besides MRI should be used to provide the appropriate surgical strategy.