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

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

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

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