{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T22:50:46Z","timestamp":1697064646401},"reference-count":18,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["PED"],"published-print":{"date-parts":[[2012,9]]},"abstract":"\nObject<\/jats:title>\nOutside of the patient population with achondroplasia, neurogenic claudication is rare in the pediatric age group. Neurogenic claudication associated with posterior vertebral rim fracture is even more uncommon but nonetheless causes pain and disability in affected children and adolescents. The purpose of this study was to describe the surgical results of 3 adolescents presenting with neurogenic claudication and posterior vertebral rim fracture when treated with laminectomy alone.<\/jats:p><\/jats:sec>\n\nMethods<\/jats:title>\nThe medical and operative records of the 3 pediatric patients were retrospectively reviewed. Presenting signs and symptoms and CT findings, such as the interpedicular distances between T-12 and L-5, were obtained. Perioperative results were assessed, including operative time, blood loss, length of hospital stay, and complications. Findings at latest follow-up were also recorded, including a patient satisfaction survey.<\/jats:p><\/jats:sec>\n\nResults<\/jats:title>\nThe 3 patients (1 girl and 2 boys) had a mean age of 14.7 years (range 14\u201315 years) and underwent follow-up for a mean of 11.3 months (range 5\u201318 months). Notable preoperative signs and symptoms included back pain (all patients), leg pain (all patients), leg numbness (1 patient), and leg weakness (1 patient). No patient presented with bowel and\/or bladder dysfunction. The mean blood loss during laminectomy was 123 ml (range 20\u2013300 ml), and the mean length of hospital stay was 4.3 days (range 3\u20136 days). On average, decompression was performed at 2.2 levels (range 2\u20132.5 levels). All 3 patients reported at most recent follow-up that they were \u201csatisfied\u201d with the surgery. There was 1 complication of instability from an iatrogenic pars fracture, which required reoperation and posterior instrumented fusion.<\/jats:p><\/jats:sec>\n\nConclusions<\/jats:title>\nTo the best of the authors' knowledge, this report represents the first surgical series of pediatric neurogenic claudication associated with posterior vertebral rim fractures. Pediatric neurosurgeons may infrequently encounter neurogenic claudication associated with a posterior vertebral rim fracture in children. To treat children with neurogenic claudication associated with posterior vertebral rim fractures, a simple laminectomy may be a safe and efficacious alternative to discectomy and removal of fracture fragments.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2012.5.peds1247","type":"journal-article","created":{"date-parts":[[2012,7,6]],"date-time":"2012-07-06T13:29:56Z","timestamp":1341581396000},"page":"241-245","source":"Crossref","is-referenced-by-count":5,"title":["Neurogenic claudication associated with posterior vertebral rim fractures in children"],"prefix":"10.3171","volume":"10","author":[{"given":"Jonathan G.","family":"Thomas","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jerome","family":"Boatey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison","family":"Brayton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Jea","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-peds1247","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"1285","DOI":"10.2106\/00004623-197052070-00001","article-title":"Orthopaedic aspects of achondroplasia","volume":"52","author":"Bailey","year":"1970"},{"key":"b2-peds1247","series-title":"Radiology","doi-asserted-by":"publisher","first-page":"763","DOI":"10.1148\/radiology.177.3.2243985","article-title":"Association of vertebral end plate fracture with pediatric lumbar intervertebral disk herniation: value of CT and MR imaging","volume":"177","author":"Banerian","year":"1990"},{"key":"b3-peds1247","series-title":"Br J Radiol","doi-asserted-by":"publisher","first-page":"567","DOI":"10.1259\/bjr.71.845.9691906","article-title":"Posterior vertebral rim fractures","volume":"71","author":"Beggs","year":"1998"},{"key":"b4-peds1247","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"1750","DOI":"10.1097\/BRS.0b013e31817d1d12","article-title":"Clinical significance of ring apophysis fracture in adolescent lumbar disc herniation","volume":"33","author":"Chang","year":"2008"},{"key":"b5-peds1247","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"1489","DOI":"10.1097\/00007632-199212000-00008","article-title":"Lumbar surgery for 56 limbus fractures emphasizing noncalcified type III lesions","volume":"17","author":"Epstein","year":"1992"},{"key":"b6-peds1247","series-title":"Clin Biomech (Bristol, Avon)","doi-asserted-by":"publisher","first-page":"1063","DOI":"10.1016\/j.clinbiomech.2007.04.012","article-title":"Biomechanical rationale of ossification of the secondary ossification center on apophyseal bony ring fracture: a biomechanical study","volume":"22","author":"Faizan","year":"2007"},{"key":"b7-peds1247","series-title":"J Bone Joint Surg Br","first-page":"951","article-title":"Lesions of the lumbar posterior end plate in children and adolescents. An MRI study","volume":"77","author":"Ikata","year":"1995"},{"key":"b8-peds1247","series-title":"AORN J","first-page":"96","article-title":"Surgery for achondroplasia. Perioperative challenges of dwarfism","volume":"46","author":"Katz","year":"1987"},{"key":"b9-peds1247","series-title":"Skeletal Radiol","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1007\/BF00354061","article-title":"Lumbar posterior marginal intra-osseous cartilaginous node","volume":"15","author":"Laredo","year":"1986"},{"key":"b10-peds1247","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"1505","DOI":"10.1097\/00007632-199212000-00011","article-title":"Lumbar posterior marginal node (LPMN) in adults. Report of fifteen cases","volume":"17","author":"Leroux","year":"1992"},{"key":"b11-peds1247","series-title":"Am J Med Genet","doi-asserted-by":"publisher","first-page":"433","DOI":"10.1002\/ajmg.1320280221","article-title":"Thoracolumbosacral laminectomy in achondroplasia: long-term results in 22 patients","volume":"28","author":"Pyeritz","year":"1987"},{"key":"b12-peds1247","series-title":"J Comput Assist Tomogr","doi-asserted-by":"publisher","first-page":"790","DOI":"10.1097\/00004728-199009000-00022","article-title":"MR recognition of posterior lumbar vertebral ring fracture","volume":"14","author":"Rothfus","year":"1990"},{"key":"b13-peds1247","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"923","DOI":"10.1007\/s00586-005-1026-z","article-title":"Three-dimensional finite element analysis of the pediatric lumbar spine. Part I: pathomechanism of apophyseal bony ring fracture","volume":"15","author":"Sairyo","year":"2006"},{"key":"b14-peds1247","series-title":"J Pediatr Orthop","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1097\/01.bpb.0000248570.50875.28","article-title":"Early presentation of spinal stenosis in achondroplasia","volume":"27","author":"Schkrohowsky","year":"2007"},{"key":"b15-peds1247","series-title":"Clin Orthop Relat Res","doi-asserted-by":"publisher","first-page":"120","DOI":"10.1097\/01.blo.0000150457.47232.fd","article-title":"Lumbar disc herniation associated with separation of the ring apophysis: is removal of the detached apophyses mandatory to achieve satisfactory results?","volume":"431","author":"Shirado","year":"2005"},{"key":"b16-peds1247","series-title":"Spine J","doi-asserted-by":"publisher","first-page":"380","DOI":"10.1016\/j.spinee.2005.10.015","article-title":"Mid- to long-term outcome of disc excision in adolescent disc herniation","volume":"6","author":"Smorgick","year":"2006"},{"key":"b17-peds1247","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"589","DOI":"10.2106\/00004623-198870040-00016","article-title":"Fracture of the posterior margin of a lumbar vertebral body","volume":"70","author":"Takata","year":"1988"},{"key":"b18-peds1247","series-title":"Orthop Surg","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1111\/j.1757-7861.2010.00122.x","article-title":"Posterior lumbar ring apophysis fracture","volume":"3","author":"Wu","year":"2011"}],"container-title":["Journal of Neurosurgery: Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-pediatr\/10\/3\/article-p241.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-pediatr\/10\/3\/article-p241.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-pediatr\/10\/3\/article-p241.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T14:37:38Z","timestamp":1681569458000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-pediatr\/10\/3\/article-p241.xml"}},"subtitle":["Clinical article"],"short-title":[],"issued":{"date-parts":[[2012,9]]},"references-count":18,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.3171\/2012.5.peds1247","relation":{},"ISSN":["1933-0707","1933-0715"],"issn-type":[{"value":"1933-0707","type":"print"},{"value":"1933-0715","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,9]]}}}