Lumbar disc herniation in a 15-year-old girl: A case report

Balafif, Fachriy; Faris, Muhammad; Subagio, Eko Agus; Bajamal, Abdul Hafid

doi:10.1016/j.ijscr.2022.107560

Cited by 2 publications

(2 citation statements)

References 16 publications

(23 reference statements)

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“…Low back pain due to a disc herniation is a rare condition in pediatrics. The first Indonesian case was described in 2022 in a 15-year-old patient who had been experiencing deteriorating back pain and left leg pain for more than 4 years [ 5 ]. Also in 2022, two Chinese cases were published [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Pediatrics severe low back pain by disc herniation: an uncommon entity

Tiendrebeogo/Zabsonre,

Zabsonre,

Kabore

et al. 2024

Pediatr Rheumatol

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Background Common severe back pain due to disc herniation is rare in the paediatric population which involves children under eighteen years of age. Paediatric lumbar disc herniation (LDH) cannot be considered the same disease as in adults, as it has potentially different natural and clinical backgrounds. The treatment of pediatric LDH is the other particularity of this condition. Indeed, in children, delaying surgery for a conservative treatment is justified. We report 3 cases treated in 8 years. Case presentation Three patients, two of whom were 14 years of age and one 17 years of age, were admitted for L5 or S1 lumbosciatica. A CT scan showed a lumbar disc herniation L5S1 associated with bi-isthmic lysis (and a transitional abnormality in 1 case or spina bifida occulta in 1 other case). The last patient had an magnetic resonance imaging (MRI) that showed a herniated L4L5 disc. The diagnosis of low back pain disc herniation was retained in two patients and that of disabling low back disc in one patient. Percutaneous discolysis in the two hyperalgesic cases and epidural corticosteroid infiltration in the disabling case were effective on lumbosciatica. Conclusion Paediatric common lomw back pain caused by a disc herniation with a hyperalgic or disabling character posed a therapeutic problem which were solved by the invasive approaches that must be given priority nowadays with children.

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Section: Discussionmentioning

confidence: 99%

Pediatrics severe low back pain by disc herniation: an uncommon entity

Tiendrebeogo/Zabsonre,

Zabsonre,

Kabore

et al. 2024

Pediatr Rheumatol

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“…This condition stems from the annulus fibrosus' deterioration, nucleus pulposus extrusion, and nerve fiber stimulation, leading to symptoms such as low back pain and numbness in the lower limbs [3,4]. Pathologically, LDH is associated with lumbar disc degeneration and the cumulative damage from prolonged sedentary lifestyles, bending, and head bowing [5][6][7]. According to statistics, LDH predominantly affects males and is most commonly located between the fourth and fifth lumbar vertebrae (L4-L5) and between the fifth lumbar and first sacral vertebrae (L5-S1), severely impacting patients' quality of life as it progresses [8].…”

Section: Introductionmentioning

confidence: 99%

Percutaneous transforaminal endoscopic discectomy for lumbar disc herniation: an efficacy analysis

Dai

2024

Am J Transl Res

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Objective: This retrospective study evaluated the clinical efficacy of percutaneous transforaminal endoscopic discectomy (PTED) in the treatment of lumbar disc herniation (LDH). Methods: Data of 107 LDH patients admitted to the People's Hospital of Pingyang between July 2019 and May 2023 were analyzed retrospectively, including 51 cases treated with conventional open discectomy (control group) and 56 cases undergoing PTED (research group). We compared curative effects, operation time, intraoperative blood loss (IBL), incision length, time until ambulation, hospital stay, pre-and post-treatment pain intensity, lumbar function, and complications. Pain intensity was measured using the the Visual Analogue Scale (VAS), and the lumbar function was assessed by the Oswestry Disability Index (ODI). In addition, the factors influencing the efficacy in LDH patients were analyzed. Results: The research group showed a statistically higher overall efficacy (P=0.034, χ 2 =4.479), longer operation time (P=0.002, t=3.114), less IBL (P<0.001, t=29.725), earlier ambulation (P<0.001, t=8.628), shorter hospital stay (P<0.001, t=8.628), and smaller incision length (P<0.001, t=15.948) than the control group. In addition, the postoperative VAS score (P<0.001, t=5.621) and ODI score (P<0.001, t=4.909) were reduced significantly after treatment and were lower in the research group than in the control group. The research group was also associated with a significantly lower overall complication rate (7.14% vs. 21.57%; P=0.032, χ 2 =4.608), including reduced incidence of lumbar spinal mobility limitation, incontinence, postoperative infection, and cauda equina syndrome. Furthermore, age, course of disease, and treatment method were strongly associated with the treatment efficacy in LDH patients. Conclusions: PTED is more effective than conventional open discectomy for LDH treatment. It reduces IBL, shortens incision length, facilitates patient recovery, alleviates postoperative pain, improves lumbar function, and minimizes the risk of postoperative complications.

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Lumbar disc herniation in a 15-year-old girl: A case report

Cited by 2 publications

References 16 publications

Pediatrics severe low back pain by disc herniation: an uncommon entity

Pediatrics severe low back pain by disc herniation: an uncommon entity

Percutaneous transforaminal endoscopic discectomy for lumbar disc herniation: an efficacy analysis

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