Posterior apophyseal ring fracture

Case contributed by Guilherme Silva
Diagnosis almost certain

Presentation

Low back pain in a patient practicing sport activities.

Patient Data

Age: 13 years
Gender: Male
Sagittal
non-contrast
Axial
non-contrast
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Info

Computed tomography showing fracture of posterior apophyseal ring with small bone fragment posteriorly to S1 endplate and posterior disc herniation.

Sagittal
T2
Sagittal
T1
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Info

MRI showing posterior corner defect of superior S1 endplate and posterior disc herniation.

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