Akhaddar Ali, Belabyad Sara
Department of Neurosurgery, Avicenne Military Hospital, Marrakech, Morocco; Mohammed V University, Rabat, Morocco.
Department of Neurosurgery, Avicenne Military Hospital, Marrakech, Morocco; Mohammed V University, Rabat, Morocco.
World Neurosurg. 2018 Nov;119:304-305. doi: 10.1016/j.wneu.2018.08.062. Epub 2018 Aug 21.
The pathogenesis of spinal posterior ring apophysis separation (PRAS) remains controversial, and spontaneous regression of PRAS has not been established previously. This is a case report about a 33-year-old man with a PRAS of the posterior superior end plate of S1 who presented with spontaneous low back pain followed by right leg pain. The patient was managed conservatively. A control lumbar spinal computed tomography scan performed 3 years later revealed complete spontaneous regression of the detached bony fragment.
脊柱后环骨骺分离(PRAS)的发病机制仍存在争议,且此前尚未证实PRAS会自发消退。本文报告一例33岁男性,其S1后上终板发生PRAS,最初表现为自发性腰痛,随后出现右腿疼痛。该患者接受了保守治疗。3年后进行的对照腰椎计算机断层扫描显示,分离的骨块完全自发消退。