Treatment of lumbar disc herniation in the second decade of life

Kurth, Andreas; S., Rau,; Wang, C.; Schmitt, Elke

doi:10.1007/bf00301323

Cited by 31 publications

(27 citation statements)

References 31 publications

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“…In a recent study [8] similar results were obtained in conservative and operative treatment of disc herniation in young patients. The treatment groups, however, were not randomised and the mean follow-up time was 5.4 years.…”

Section: Discussionsupporting

confidence: 62%

Disc herniation in the lumbar spine during growth: Long-term results of operative treatment in 18 patients

et al. 1997

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We studied 18 patients who had undergone surgery for herniated lumbar discs between the ages of 11 and 17 years. The inclusion criteria for girls was an age of 15 years or below and for boys 17 or below at surgery. The mean followup time was 10 years and the clinical outcome was good. Age at surgery and length of the follow-up had no effect on the result. The radiological disc height at follow-up did not correlate with the follow-up time or age of the patient at operation. MRI scans at follow-up from ten patients operated at less than 15 years of age revealed multilevel disc degeneration but favourable clinical results.

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Section: Discussionsupporting

confidence: 62%

Disc herniation in the lumbar spine during growth: Long-term results of operative treatment in 18 patients

et al. 1997

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“…The short-to long-term success rates of conservative treatment for pediatric LDH without neurologic deficits in the literature vary from 25-50%. Kurth et al compared outcomes of conservative treatment with surgical treatment for 33 pediatric patients (18 conservatively and 15 surgically treated cases) with a follow-up of 5.4 years and found no significance between the two groups (19). Additionally, Ippolito et al emphasized the role of rehabilitation in juvenile lower back disorders (20).…”

Section: Discussionmentioning

confidence: 99%

Lumbar Disc Herniation in Fourteen Years Old Girl

Çapan

Esmaeilzadeh

Başoğlu

et al. 2016

ZKTB

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Lumbar disc herniation is a rare disease in children. Children INTRODUCTIONLumbar disc herniations (LDH) is a rare disease in the pediatric population in contrast to the adult population. The etiology and clinical features may be different in children than in adults. The aim of treatment should be an early return to daily living activities and longterm effectiveness. There are multiple factors as potential causes, of which trauma is the most common etiologic factor in children, mostly through sports injury, heavy lifting, extreme flexion, extension, fall, etc. (1). As many as 30-60% of children and adolescents with symptomatic LDH have a history of trauma before the onset of pain (2).However, there are reports in the literature that do not consider trauma the leading cause of lumbar pain in adolescents. Some studies have shown that one of the most likely factors that cause the early onset of lumbar disc herniation is vertebral deformities such as scoliosis, transitional defects (lumbarization and sacralization), spinal stenosis, and the presence of growth cartilage diseases such as Scheuermann's disease (3). The prevalence of symptomatic lumbar disc herniation in adolescents is between 0.5% and 3.8% (4). It is more common in adolescents but can also be diagnosed due to fall in children aged less than two years (5). There is no clear sex difference in the frequency of lumbar disc herniation in children despite some researchers reporting a slight predominance in either sex in different studies (6,8).The symptoms of lumbar disc herniation are, motor or sensorial deficit , rarely, the findings like cauda equina syndrome and radiculopathy can be seen in adult patients. Children with these symptoms are often referred to departments such as orthopedics and neurology because other causes are suspected (7). In 52% of children the segmental placement of lumbar disc herniation level is L5/S1, the level is L4/ L5 in 42.4%, and the L3/L4 level is affected in 6.1% (9). This clinical situation is similar to that seen in adults. The abnormalities that may be associated with lumbar disc herniation include

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“…Symp to m a tic low back pain and mo no ra di cu lar leg pain are ra rely seen in ad o le s cents (3,4,12,19). As a most com mon ca u se for such com pla ints the mul ti tude of the au t hors de fi ne LDH (4,22).…”

Section: Discussionmentioning

confidence: 99%

“…Symp to m a tic low back pain and mo no ra di cu lar leg pain are ra re in pa ti ents un der age of 20 years (2,3,4). The re are a num ber of dif fe r en tial di ag no ses to be con si d e red in pa ti ents with the men ti o ned com pla ints (5).…”

Section: Introductionmentioning

confidence: 99%

Surgical management of symptomatic low back pain and monoradicular leg pain in adolescent and young adult patients

Kalevski¹,

Haritonov²,

Peev³

et al. 2014

SANAMED

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Ab stract: Ob jec ti ves:The pur po se of the pre s ent re t ro spec ti ve study is to draw at ten tion to symp to m a tic low back pain in ad o le s cent pa ti ents, in or der to en co ur a ge ear li er di ag no sis and sur gi cal tre at ment. The study as ses sed the ra di o lo g i cal, cli n i cal fe a tu res and sur gi cal out co mes of 13of this kind of pa ti ent. Ma te ri als and Met h ods:Out of a se ri es of 983 con se c u ti ve ca ses (1999)(2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011) of lum bar disc ex ci sions from our ne u ro sur gi cal in sti tu tion, 13-1,32% of the pa ti ents we re be t we en the ages of 15 and 20 mean 17,84. Fif teen op e r a ti ons, in clu d ing two re o pe ra ti ons, we re per for med on this pa ti ent gro up, by a con ven ti onal mic ro sur gi cal pro ce du re. The in di ca ti ons for surgery we re fa i l u re of con ser va ti ve tre at ment, in trac ta ble pain and/or pro gres si ve ne u ro lo g i cal im pa ir ment.Re sults: Low back pain and mo no ra di cu lar sci a t ica we re the main com pla ints in 77%, but fin d ings of ne u ro lo g i cal de f i cits we re ra re -1 ca se. The sur gi cal fin d ings re ve a led a pro tru d ing disc in ele ven ca ses, one la t e ral re cess ste no sis and one lum bar syno vial cyst. Ini ti ally, all pa ti ents we re tre a ted con ser va ti vely by the ir phy si ci ans mo re than 3 months wit h o ut suc cess. On the day of dis char ge, Kir kaldy-Wil lis cri te ria results we re ex cel lent or good in 92% of pa ti ents. The fol low-up pe riod ran ged from 6 months to 2 years with an av e r a ge of 1 year and 2 months. The re sults we re excel lent in 10 pa ti ents and good in 3 pa ti ents.Di s cus sion: We de m on stra te that the ca u se of low back pain and mo no ra di cu lar leg pain in ad o le s cent pati ents may not only be a ca u se of her ni a ted lum bar disc or la t e ral re cess nar ro w ing. Very ra rely the se symptoms may be ca u sed by lum bar syno vial cysts.Con clu sion: Sur gi cal tre at ment of ad o le s cent pati ents is able to re li e ve the cli n i cal symp toms qu ickly.Cli n i cal symp toms such as low back pain and leg pain and the ne u ro lo gic de f i cit di s ap pe ar wit hin 3 months af ter sur gery.Key words: ad o le s cent, disk, her ni a tion, sur gery, tre at ment. IN TRO DUC TIONDe ge n e r a ti ve chan ges in the in ter ver te bral disc be gin at the la te te ens, af ter the com ple tion of the physi cal growth and de ve l op ment, du r ing which po s te ri or her ni a tion of the nu c le us pul po sus can ca u se sci a t i ca be ca u se of ner ve ro ot com pres sion (1). Symp to m a tic low back pain and mo no ra di cu lar leg pain are ra re in pa ti ents un der age of 20 years (2,3,4). The re are a num ber of dif fe r en tial di ag no ses to be con si d e red in pa ti ents with the men ti o ned com pla ints (5). Most of ten they are due to lum bar disc her ni a tion (LDH). An ot her ca u se of ra di cu lo pathy in ad o le s cents co uld be spi nal tu mors (5, 6). They are al s...

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Treatment of lumbar disc herniation in the second decade of life

Cited by 31 publications

References 31 publications

Disc herniation in the lumbar spine during growth: Long-term results of operative treatment in 18 patients

Disc herniation in the lumbar spine during growth: Long-term results of operative treatment in 18 patients

Lumbar Disc Herniation in Fourteen Years Old Girl

Surgical management of symptomatic low back pain and monoradicular leg pain in adolescent and young adult patients

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