Apophyseal ring fracture associated with two levels extruded disc herniation: case report and review of the literature

• Main Author: Alvarenga, José Alexandre Lopes da Silva
• Publication Date: 2014
• Other Authors: Ueta, Fernando Tadashi Salvioni, Del Curto, David [UNIFESP], Ueta, Renato Hiroshi Salvioni, Martins, Delio Eulalio, Wajchenberg, Marcelo [UNIFESP], Puertas, Eduardo Barros [UNIFESP]
• Format: Article
• Language: eng
• Source: Repositório Institucional da UNIFESP
• Download full: http://dx.doi.org/10.1590/S1679-45082014RC2736; http://repositorio.unifesp.br/handle/11600/8303
• topic: Spinal fractures/diagnosis; Spinal fractures/surgery; Intervertebral disc displacement/diagnosis; Intervertebral disc displacement/surgery; Case reports; Fraturas da coluna vertebral/diagnóstico; Fraturas da coluna vertebral/cirurgia; Deslocamento do disco intervertebral/diagnóstico; Deslocamento do disco intervertebral/cirurgia; Relatos de casos

Apophyseal ring fractures are rare injuries that may be associated with lumbar disc herniation in young patients. We report a unique case in the literature of a 15-year-old male patient who played football and was admitted at our service complaining of sciatica radiating into the left leg. An apophysial ring injury of L5 vertebral body was observed. This injury caused two extruded disc herniation in adjacent levels. Surgical procedure was indicated after failure of conservative treatment.