Calcified intervertebral disc herniation in a child with myelopathy treated with laminoplasty

Sato, Kengo; Nagata, Kensei; Park, J S

doi:10.1038/sj.sc.3101755

Cited by 12 publications

(10 citation statements)

References 19 publications

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“…These symptoms have been observed in most cases. 5,10,18 This may be supporting evidence for the hypothesis that the blood and nutrition supply to the intervertebral disk or vertebral body complex is disrupted in some cases, which induces vasculitis. 18 Computed tomography or MRI can detect an associated disk herniation.…”

Section: A 4b 4c 4dmentioning

confidence: 52%

“…Surgical interventions have been reported in a few cases with a progressive neurologic deficit. [3][4][5][6] However, other studies have stressed that the remission of symptoms occurred with conservative treatments in several cases. [7][8][9][10] This article describes a case of a girl with a single-level calcified cervical disk that had herniated into the spinal canal and caused nerve root compression.…”

Section: Single-level Calcified Cervical Disk Herniation In a 13-yearmentioning

confidence: 99%

“…3,7 Dysphagia during spinal cord compression associated with an anterior protrusion has rarely been described. 5,6,20 With conservative treatment, the prognosis is excellent, and symptom resolution can be expected within 3 weeks in 66% of patients and within 6 months in 95% of patients. 20 With this approach, the current case was completely free of symptoms 3 weeks after the initial treatment.…”

Section: A 4b 4c 4dmentioning

confidence: 99%

“…The main surgical procedures include anterior cervical diskectomy with an anterior fusion, laminectomy, or semilaminectomy. [3][4][5][6] The main objective of surgical treatment is decompression of the spinal cord, nerve root, or both rather than resection of the calcified lesion. The short-term effects of these surgical treatments are beneficial, but long-term follow-up reports are lacking.…”

Section: A 4b 4c 4dmentioning

confidence: 99%

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Single-level Calcified Cervical Disk Herniation in a 13-year-old Girl

Li¹,

Rong²,

Xianming³

et al. 2012

Orthopedics

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This article describes a case of a 13-year-old girl with single-level calcified cervical disk herniation. The patient was treated conservatively for a symptomatic intervertebral calcification that caused neurological compression, and the data were reviewed retrospectively. Previous reports have shown that the natural history of the disease is self-limiting with a benign course and an excellent prognosis. However, on rare occasions when the calcified nucleus pulposus herniates into the spinal canal and compresses the spinal cord or its roots, neurological abnormalities can occur, such as radiculopathy and myelopathy. This also raises the question of whether operative therapy will eventually be necessary. In the current case, conservative treatment was applied. Plain radiographs are usually sufficient to determine the presence and extent of a calcified cervical disk, and computed tomography or magnetic resonance imaging can detect an associated disk herniation. Conservative treatment with antalgics, muscle relaxants, neurotrophic drugs, and a cervical collar were applied. The patient was completely free of symptoms 3 weeks after the initial treatment. Magnetic resonance imaging indicated complete vertebral canal clearance at final follow-up. Cervical intervertebral disk calcification and herniation is a rare disorder in children with an obscure etiology but a good prognosis. Conservative therapy produces satisfactory results, even if clinical symptoms due to nerve root or spinal cord compression are present. Surgical treatments are only suitable in rare cases with severe progressive radicular pain or neurological deficit.

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Section: A 4b 4c 4dmentioning

confidence: 52%

Section: Single-level Calcified Cervical Disk Herniation In a 13-yearmentioning

confidence: 99%

Section: A 4b 4c 4dmentioning

confidence: 99%

Section: A 4b 4c 4dmentioning

confidence: 99%

See 2 more Smart Citations

Single-level Calcified Cervical Disk Herniation in a 13-year-old Girl

Li¹,

Rong²,

Xianming³

et al. 2012

Orthopedics

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“…Methods of operative treatment for thoracic disk herniation in children include decompressive laminectomy, [1][2][3][4] posterior diskectomy, 5,6 and laminoplasty. 7 In the current study, a 14-year-old girl presented with an intervertebral disk herniation at T5-T6 that was causing paraparesis. To the authors' knowledge, this is the first report on this disease that was treated by transthoracic microdiskectomy without fusion.…”

mentioning

confidence: 78%

Thoracic Disk Herniation With Paraparesis Treated With Transthoracic Microdiskectomy in a 14-year-old Girl

Ueda¹,

Kawahara²,

Murakami³

et al. 2012

Orthopedics

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Herniated thoracic intervertebral disk causing spinal cord compression with paraparesis is uncommon in adults and rare in children. This article describes a case of pediatric thoracic disk herniation with paraparesis treated surgically.A 14-year-old girl presented with a 4-month history of diffuse back pain and sudden onset paraparesis. Motor strength was 4/5 in both legs, and she had lost the ability to ambulate. Magnetic resonance imaging revealed spinal cord compression due to a herniated intervertebral disk at T5-T6. Computed tomography scan after myelogram demonstrated anterior dural sac compression at T5-T6 but no intervertebral disk calcification. She underwent transthoracic microdiskectomy. The herniated disk was removed, and the thoracic spinal cord was decompressed. No fusion was performed after microdiskectomy. The postoperative course was uncomplicated, and neurologic deficit resolved within 2 weeks postoperatively. The patient was pain free with no neurologic deficit at 24-month follow-up, and computed tomography scan showed remodeling of the T5 and T6 vertebral bodies.Most cases of thoracic disk herniation are asymptomatic. If no compression of the spinal cord exists, the natural history of the disease justifies conservative management. Although the treatment of choice is conservative, surgery is required in patients who develop progressive neurologic deficit or severe radicular pain. Transthoracic microdiskectomy without fusion is considered a treatment in similar cases.

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Diagnostic Imaging of Cervical Ossification of the Posterior Longitudinal Ligament

Nagata

Sato

Opll

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Calcified intervertebral disc herniation in a child with myelopathy treated with laminoplasty

Cited by 12 publications

References 19 publications

Single-level Calcified Cervical Disk Herniation in a 13-year-old Girl

Single-level Calcified Cervical Disk Herniation in a 13-year-old Girl

Thoracic Disk Herniation With Paraparesis Treated With Transthoracic Microdiskectomy in a 14-year-old Girl

Diagnostic Imaging of Cervical Ossification of the Posterior Longitudinal Ligament

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