{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:31:16Z","timestamp":1787754676162,"version":"build-2784847793"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"published-print":{"date-parts":[[2016,8,10]]},"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>Lumbar posterior apophyseal ring fracture is an uncommon finding in children, but lumbar spondylolysis is a common disorder. Both disorders are prevalent in young athletes. We describe 3 adolescent athletes who showed both lumbar spondylolysis and lumbar posterior apophyseal ring fracture. Because lumbar spondylolysis is comparatively easy to diagnose, a concurrent posterior lumbar apophyseal ring fracture is likely to be overlooked.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In patients with severe low back and radicular pain in whom spondylolysis is suspected, it is important to perform not only magnetic resonance imaging and radiography but also computed tomography for identifying posterior apophyseal ring fractures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.15.00245","type":"journal-article","created":{"date-parts":[[2016,8,10]],"date-time":"2016-08-10T23:23:57Z","timestamp":1470871437000},"page":"e64","source":"Crossref","is-referenced-by-count":1,"title":["Lumbar Posterior Apophyseal Ring Fracture Combined with Spondylolysis in Pediatric Athletes"],"prefix":"10.2106","volume":"6","author":[{"given":"Shunsuke","family":"Tamaki","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Institute of Health Biosciences, University of Tokushima Graduate School, Tokushima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuta","family":"Yamashita","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Institute of Health Biosciences, University of Tokushima Graduate School, Tokushima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kosaku","family":"Higashino","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Institute of Health Biosciences, University of Tokushima Graduate School, Tokushima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshinori","family":"Sakai","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Institute of Health Biosciences, University of Tokushima Graduate School, Tokushima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoichiro","family":"Takata","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Institute of Health Biosciences, University of Tokushima Graduate School, Tokushima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koichi","family":"Sairyo","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Institute of Health Biosciences, University of Tokushima Graduate School, Tokushima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"6","key":"bib1-20230712","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1302\/0301-620X.77B6.7593113","article-title":"Lesions of the lumbar posterior end plate in children and adolescents. An MRI study","volume":"77","author":"Ikata","year":"1995","journal-title":"J Bone Joint Surg Br."},{"issue":"2","key":"bib2-20230712","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1302\/0301-620X.91B2.21256","article-title":"Conservative treatment of lumbar spondylolysis in childhood and adolescence: the radiological signs which predict healing","volume":"91","author":"Sairyo","year":"2009","journal-title":"J Bone Joint Surg Br."},{"issue":"4","key":"bib3-20230712","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1302\/0301-620X.77B4.7615609","article-title":"Lumbar spondylolysis in children and adolescents","volume":"77","author":"Morita","year":"1995","journal-title":"J Bone Joint Surg Br."},{"issue":"2","key":"bib4-20230712","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1097\/01.brs.0000195161.60549.67","article-title":"MRI signal changes of the pedicle as an indicator for early diagnosis of spondylolysis in children and adolescents: a clinical and biomechanical study","volume":"31","author":"Sairyo","year":"2006","journal-title":"Spine (Phila Pa 1976)."},{"issue":"2","key":"bib5-20230712","doi-asserted-by":"crossref","first-page":"115","DOI":"10.4184\/asj.2013.7.2.115","article-title":"V-rod technique for direct repair surgery of pediatric lumbar spondylolysis combined with posterior apophyseal ring fracture","volume":"7","author":"Sumita","year":"2013","journal-title":"Asian Spine J."},{"issue":"2","key":"bib6-20230712","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1177\/0363546509348054","article-title":"Causes of radiculopathy in young athletes with spondylolysis","volume":"38","author":"Sairyo","year":"2010","journal-title":"Am J Sports Med."},{"issue":"16","key":"bib7-20230712","doi-asserted-by":"crossref","first-page":"1750","DOI":"10.1097\/BRS.0b013e31817d1d12","article-title":"Clinical significance of ring apophysis fracture in adolescent lumbar disc herniation","volume":"33","author":"Chang","year":"2008","journal-title":"Spine (Phila Pa 1976)."},{"issue":"3","key":"bib8-20230712","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1007\/s003810050195","article-title":"Avulsed lumbar vertebral rim plate in an adolescent: trauma or malformation?","volume":"14","author":"Mart\u00ednez-Lage","year":"1998","journal-title":"Childs Nerv Syst."},{"issue":"3","key":"bib9-20230712","doi-asserted-by":"crossref","first-page":"783","DOI":"10.2106\/00004623-195133030-00025","article-title":"The ring apophysis of the human vertebra; contribution to human osteogeny","volume":"33","author":"Bick","year":"1951","journal-title":"II. 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