Percutaneous endoscopic interlaminar discectomy for posterior ring apophyseal fracture accompanied with lumbar disc herniation in a 12-year pediatric diver: a case report

Childs Nerv Syst. 2023 Jan;39(1):275-278. doi: 10.1007/s00381-022-05605-5. Epub 2022 Jul 7.

Abstract

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.

Keywords: Pediatric; Posterior ring apophysis fracture.

Publication types

  • Case Reports

MeSH terms

  • Child
  • Diskectomy
  • Diskectomy, Percutaneous* / methods
  • Endoscopy / methods
  • Humans
  • Intervertebral Disc Displacement* / surgery
  • Lumbar Vertebrae / surgery
  • Retrospective Studies
  • Treatment Outcome