Disk Protrusions in the Young

Nelson, Carl L.; Janecki, Chet J.; Gildenberg, Philip L.; Sava, Gerard

doi:10.1097/00003086-197210000-00025

Cited by 51 publications

(17 citation statements)

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“…Salminen et al [47,50] and Nelson et al [36] found no correlation between these parameters and the prevalence of back pain. Conversely, Fairbank et al [18] reported an association between the increase in the length of a child's trunk (P < 0.05), as well as the increase in a child's weight (P < 0.05), and the presence of back pain, compared to a control group.…”

Section: Anthropometric Parametersmentioning

confidence: 94%

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Non-specific low back pain in children and adolescents: risk factors

Balagué¹,

Troussier

Salminen

1999

European Spine Journal

342

291

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IntroductionBackache in children and adolescents has traditionally been considered a rare and serious condition, causing one to suspect an organic, infectious, inflammatory or neoplastic origin. Several surveys, however, have revealed a high prevalence of backache, and particularly of lumbar pain, in these age groups, indeed sometimes similar to that reported for adults. The purpose of this article is to review the recent literature, published since 1992 [6], on this topic. Epidemiological dataThe prevalence of back pain in children varies according to the age of the population studied and, particularly, according to the methodology of the studies themselves, viz.:1. Cross-sectional studies by means of a questionnaire, with or without the participation of an investigator, looking at subjective morbidity [4,5,8,9,13,18,26,35,41,48,50,59,62,64,69]. 2. Cross-sectional studies based on physical examination of the subjects, to evaluate the measurable morbidity [4,13,35,48,50,69]. 3. Longitudinal studies (cohort studies) to measure the yearly incidence of spinal pain [12,15].Moreover, studies differ in terms of the definition of backache selected (any localisation of spinal pain versus pain limited to the lumbar area, radicular pain), and also according to the type of prevalence studied (lifetime prevalence or point prevalence of back pain). Several approaches are used in evaluating the intensity of pain: relapsing or permanent pain, need for medical care, or disability due to pain. Furthermore, in studying risk factors, it is important from a methodological point of view to distinguish cross-sectional studies without either a control group or multiple analysis of variance [2, 9, 13, 18, 22, Abstract Low back pain (LBP) among children and adolescents has become the subject of an increasing amount of literature over the last 15 years. This topic, which was considered almost insignificant less than two decades ago, was the focus of a recent international meeting organised in Grenoble (France) in March 1999. This review paper is the result of an literature update search performed by members of three groups which have been active in this field for many years. Current epidemiological data on LBP is summarized as well as the role of the major risk factors according to studies published in the principal peer reviewed journals interested in the topic.Key words Non-specific low back pain · Schoolchildren · Risk factors · Epidemiology Eur Spine J (1999) 8 : 429-438 REVIEW

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Section: Anthropometric Parametersmentioning

confidence: 94%

“…A familial incidence has been described for disc herniation [20,34,36,66], spondylolysis [2] and non-specific low back pain. Salminen [50] showed that children with at least one parent complaining of back pain reported pain twice as often as other children (P < 0.05).…”

Section: Gendermentioning

confidence: 99%

Non-specific low back pain in children and adolescents: risk factors

Balagué¹,

Troussier

Salminen

1999

European Spine Journal

342

291

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“…4,7,18) No differences have been found in the course of lumbar disc herniation between adult and young patients, 6,9,12) although age-related differences in clinical manifestations were identified. 2,10,19,21,24) There is general agreement that there is a rather long delay between the onset of symptoms and surgical treatment in young patients as compared to older ones. 2,6,9,10,12,19,21,24) Traumatic events appear to be a crucial factor in the occurrence of lumbar disc herniation in younger patients in contrast to adults, 2,6,8,12) whereas the involvement of a familial predisposition is controversial.…”

Section: Introductionmentioning

confidence: 99%

“…2,6,9,10,12,19,21,24) Traumatic events appear to be a crucial factor in the occurrence of lumbar disc herniation in younger patients in contrast to adults, 2,6,8,12) whereas the involvement of a familial predisposition is controversial. 1,2,4,5,14,[17][18][19] The current study tried to identify shared features and peculiarities of lumbar disc herniation in young patients by analyzing 165 cases in a total population of 6933 surgically treated patients.…”

Section: Introductionmentioning

confidence: 99%

Lumbar Disc Herniation in Patients Up to 25 Years of Age.

Pietilä

Stendel

Kombos

et al. 2001

Neurol. Med. Chir.(Tokyo)

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Retrospective analysis of 165 patients (105 males, 60 females) with a mean age of 21.2 years (range 14 to 25 years) of 6933 surgically treated patients from January 1987 to May 1999 focused on age and sex distribution, body mass, familial predisposition, trauma, histology, and clinical course. The incidence of herniated lumbar discs was 2.3% in patients aged up to 25 years. A valid family history was obtained in 121 patients and a positive history was found in 82 of these patients (67.8%). The patients had a higher body mass index compared to a group of individuals with a similar age structure. Radiography demonstrated bony changes in 124 patients (75.2%), primarily attributable to postural deformities such as scoliosis. The condition of the bony structures seems to be more important than the condition of the disc tissue in the occurrence of this disease in young patients.

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“…Most authors have made the same observation. Nelson et al (1972) found no significant difference in the occurrence of trauma as a precipitating factor in disc disease among young people and adults. Trauma is probably not the only cause of intervertebral disc herniation, as the disc is not the weakest part of the spine (Brown et al 1969), and disc degeneration may start early in life.…”

Section: Discussionmentioning

confidence: 58%