Department of Orthopaedic Surgery, The Second Affiliated Hospital of Nanchang University, Nanchang, 330006, Jiangxi, China.
Childs Nerv Syst. 2023 Jan;39(1):275-278. doi: 10.1007/s00381-022-05605-5. Epub 2022 Jul 7.
Posterior ring apophysis fracture (PRAF), accompanied with lumbar disc herniation (LDH), is a rare occurrence. Owing to its rarity, there is no consensus on the treatment strategy for this condition. Differences mainly encompass the type of decompression method, the need for additional spinal fusion, the need for apophysis fragments or/and disc materials removal, and long-term efficacy, particularly, compared to LDH alone. Hence, the aim of this study was to describe a rare instance of PRAF with LDH in a 12-year-old professional diver, who was successfully treated with percutaneous endoscopic interlaminar discectomy (PEID), and to initiate a discussion involving several meaningful and related factors.
后环椎弓根骨折（PRAF）伴腰椎间盘突出症（LDH）较为罕见。由于其罕见性，对于这种情况的治疗策略尚无共识。主要差异包括减压方法的类型、是否需要额外的脊柱融合、是否需要去除椎弓根骨折碎片和/或椎间盘材料，以及长期疗效，特别是与单纯 LDH 相比。因此，本研究旨在描述 1 例 12 岁专业潜水员合并 PRAF 和 LDH 的罕见病例，该患者成功接受了经皮内镜椎间孔入路椎间盘切除术（PEID）治疗，并对几个有意义的相关因素进行讨论。
