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患者,男,14岁,学生。运动摔伤后间断腰痛3个月余于2014年6月29日入院。3个月前,患者踢足球时不慎摔伤,臀部着地,当时即感腰骶部疼痛,病程中下反复出现腰痛,弯腰活动时加重。体格检查:腰骶部棘突轻微压痛,双下肢肌力、感觉正常。X线检查提示L5椎体向前滑移,并峡部骨质不连续(图1 A)。MRI检查提示L5/S1椎间盘后缘受损(图1 B)。综合患者病史、症状、体征及
Patient, male, 14 years old, student. 3 months after breaking the broken back pain after exercise fell to the hospital on June 29, 2014. 3 months ago, the patient accidentally injured when playing football, buttocks, then feeling lumbosacral pain, lower back pain in the course of the disease appears repeatedly, bending aggravate activity. Physical examination: lumbosacral spinous process mild tenderness, lower extremity muscle strength, feeling normal. X-ray examination prompted the L5 vertebral body glide forward, and the isthmus bone discontinuity (Figure 1 A). MRI examination revealed impaired trailing edge of L5 / S1 disc (Figure 1 B). Comprehensive patient history, symptoms, signs and