Albeck M J, Madsen F F, Wagner A, Gjerris F
University Clinic of Neurosurgery, Copenhagen, Denmark.
Acta Neurochir (Wien). 1991;113(1-2):52-6. doi: 10.1007/BF01402115.
Three cases of fracture of the lumbar ring apophysis representing type I, II, and III are described in detail and the natural history of these fractures is discussed. The symptoms of apophyseal fractures are usually low back pain, sciatica, tension signs, and neurological deficits, thus imitating the symptoms of lumbar disc herniation. Plain radiography and magnetic resonance are often inconclusive and computed tomography is essential for the true diagnosis. An explanation of the different types of fractures, based on the osteogenesis of the human vertebra, is proposed. Recognition of these fractures is essential for proper planing of surgery, and apophyseal ring fractures must be suspected when children and young adults show signs of lumbar disc herniation.
详细描述了三例分别代表I型、II型和III型的腰椎环突骨折病例，并讨论了这些骨折的自然病程。突骨折的症状通常为腰痛、坐骨神经痛、张力征和神经功能缺损，因此与腰椎间盘突出症的症状相似。普通X线摄影和磁共振成像往往难以确诊，而计算机断层扫描对于明确诊断至关重要。基于人类椎体的成骨过程，对不同类型的骨折进行了解释。认识到这些骨折对于正确的手术规划至关重要，当儿童和年轻人出现腰椎间盘突出症的体征时，必须怀疑有突环骨折。
