einstein (São Paulo). 01/Apr/2014;12(2):230-1.

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

José Alexandre Lopes da Silva , Fernando Tadashi Salvioni , David Del , Renato Hiroshi Salvioni , Delio Eulalio , Marcelo , Eduardo Barros

DOI: 10.1590/S1679-45082014RC2736

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.

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