Original Paper Pediatr Neurosurg 2013;49:16–20 DOI: 10.1159/000355127

Received: April 4, 2013 Accepted after revision: August 18, 2013 Published online: October 30, 2013

Ring Apophysis Fracture in Pediatric Lumbar Disc Herniation: A Common Entity Ash Singhal Anish Mitra Doug Cochrane Paul Steinbok Division of Pediatric Neurosurgery, Department of Surgery, University of British Columbia and B.C. Children’s Hospital, Vancouver, B.C., Canada

Key Words Lumbar disc herniation · Ring apophysis fracture · Outcome · Pediatric

Abstract Background/Aims: Lumbar disc herniation (LDH) can be associated with ring apophysis fracture (RAF), which is found in 6% of adult cases. However, the incidence and management of RAF in pediatric LDH is not well documented. The purpose of this study is to determine the prevalence of RAF in pediatric LDH, identify risk factors and explore the influence of RAF on the surgical management and outcome of LDH patients. Methods: Hospital records and images were retrospectively reviewed for all pediatric patients (

Ring apophysis fracture in pediatric lumbar disc herniation: a common entity.

Lumbar disc herniation (LDH) can be associated with ring apophysis fracture (RAF), which is found in 6% of adult cases. However, the incidence and man...
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