| CASE REPORT |
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| Year : 2020 | Volume
: 18
| Issue : 1 | Page : 48-51 |
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Lumbar vertebral ring apophysis fracture with disc herniation in a young male
Raj Kumar Kollam1, Emmanuel Akanksh Bheri2, Samson Sujit Kumar Gaddam1
1 Unicorpus Polyclinic, A Unit of Unicorpus Health Foundation, Secunderabad, Telangana, India
2 Christian Medical College, Vellore, Tamil Nadu, India
Correspondence Address:
Dr. Samson Sujit Kumar Gaddam
Unicorpus Polyclinic, 20/B, Plot 10-3-163, St. Johns Road, Secunderabad - 500 025, Telangana
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/cmi.cmi_40_19
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Lumbar vertebral ring apophysis fracture is an uncommon cause of low back pain. It usually occurs in adolescents and young adults following a history of trauma. A high degree of suspicion and computed tomography of the spine is necessary to differentiate these injuries from the regular isolated lumbar disc herniations to enable appropriate further management. These fractures are usually associated with lumbar disc herniation in adolescents. Conservative management is the mainstay in patients without neurological deficits. Those with deficits may require surgical intervention – usually bilateral laminectomy or laminotomy and the removal of avulsed bone fragments and associated prolapsed disc. We report a case of a 24-year-old male with lumbar (L4) vertebral ring apophysis fracture with disc herniation who responded to conservative treatment.
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