Posterior Ring Apophysis Fracture Associated with Lumbar Disc Herniation Treated by Immobile Bony Fragment Excision: A Case Report

ABSTRACT

STUDY DESIGN: A case report. OBJECTIVES: We report a case of posterior ring apophysis fracture (PRAF) with lumbar disc herniation treated by immobile bony fragment excision. SUMMARY OF LITERATURE REVIEW PRAF causes severe radiculopathy, so treating with surgery is common. MATERIALS AND METHODS: A 30-year-old male diagnosed with PRAF with lumbar disc herniation was treated with discectomy, but his clinical symptoms were not relieved. Consequently, bony fragment excision, extended laminectomy and interbody fusion were also done. RESULTS: Radicular pain was relieved and showed good clinical outcome. CONCLUSIONS: When treating PRAF, bony fragment excision and extended laminectomy should be considered even if an immobile bony fragment exists.