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

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

Alternative title Fratura do anel apofisário associada à hérnia discal extrusa de dois níveis: relato de caso e revisão da literatura
Author Alvarenga, José Alexandre Lopes da Silva Google Scholar
Ueta, Fernando Tadashi Salvioni Google Scholar
Del Curto, David Autor UNIFESP Google Scholar
Ueta, Renato Hiroshi Salvioni Google Scholar
Martins, Delio Eulalio Google Scholar
Wajchenberg, Marcelo Autor UNIFESP Google Scholar
Puertas, Eduardo Barros Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract 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.

As fraturas do anel apofisário são lesões raras, que podem estar associadas à hérnia de disco lombar nos pacientes jovens. Apresentamos aqui um caso único na literatura de paciente de 15 anos, gênero masculino, praticante de futebol, com queixa de ciatalgia para o membro inferior esquerdo. Houve lesão do anel apofisário, nos planaltos superior e inferior do corpo vertebral de L5, ocasionando hérnias discais extrusas nos níveis adjacentes. O procedimento cirúrgico foi indicado após a falha do tratamento conservador.
Keywords 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
Language English
Date 2014-04-01
Published in Einstein (São Paulo). Instituto Israelita de Ensino e Pesquisa Albert Einstein, v. 12, n. 2, p. 230-231, 2014.
ISSN 1679-4508 (Sherpa/Romeo)
Publisher Instituto Israelita de Ensino e Pesquisa Albert Einstein
Extent 230-231
Origin http://dx.doi.org/10.1590/S1679-45082014RC2736
Access rights Open access Open Access
Type Article
SciELO ID S1679-45082014000200230 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/8303

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