2025, Number 3
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Cir Columna 2025; 3 (3)
Lumbar disc herniation in adolescents: results and clinical-epidemiological behavior of surgical management in the period 2010-2020
Ruiz ZGA, Isáis GA, León RJ, Domínguez DJ, Rodríguez MA, Aviles GA, Arriaga CHE, Pérez PN, Charles LS
Language: Spanish
References: 13
Page: 181-186
PDF size: 267.61 Kb.
ABSTRACT
Introduction: disc herniation is the displacement of intervertebral disc material, located outside the normal intervertebral margin. Lumbar disc herniation is rare in adolescence.
Objective: the purpose of this study is to determine the outcome and clinical-epidemiological behavior of surgical management of lumbar disc herniation in adolescents.
Material and methods: descriptive, longitudinal, retrospective study, which analyzed 29 patients between 12 and 21 years of age diagnosed with lumbar hernia between 2010 and 2020 at the High Specialty Medical Unit No. 21, measuring pre- and post-surgical functional results with the Oswestry index.
Results: the mean age at diagnosis was 17 years, and the mean time from diagnosis to surgery was one year. Patients had a preoperative score of 41.64 points, and postoperative follow-up of six months averaged 10.85 points, with a p-value < 0.001.
Conclusions: lumbar disc herniation is rare in adolescence; pediatric patients with radiculopathy and symptoms suggestive of a disc process should be thoroughly investigated to rule out this disease.
REFERENCES
Kreiner DS, Hwang SW, Easa JE, Resnick DK, Baisden JL, Bess S, et al. An evidence-based clinical guideline for the diagnosis and treatment of lumbar disc herniation with radiculopathy. Spine J. 2014; 14: 180-191.
Ozgen S, Konya D, Toktas OZ, Dagcinar A, Ozek MM. Lumbar Disc Herniation in Adolescence. Pediatr Neurosurg. 2007; 43: 77-81.
Cahill KS, Dunn I, Gunnarsson T, Proctor MR. Lumbar microdiscectomy in pediatric patients: a large single-institution series. J Neurosurg Spine. 2010; 12: 165-170.
Laverdiére C, Corban J, Khoury J, Ge SM, Schupbach J, Harvey EJ, et al. Augmented reality in orthopaedics: a systematic review and a window on future possibilities. Bone Jt J. 2019; 101-B: 1479-1488.
Raghu ALB, Wiggins A, Kandasamy J. Surgical management of lumbar disc herniation in children and adolescents. Clin Neurol Neurosurg. 2019; 185: 105486.
Shimony N, Louie C, Barrow D, Osburn B, Noureldine MHA, Tuite GF, et al. Adolescent disc disease: risk factors and treatment success-related factors. World Neurosurg. 2021; 148: e314-e320.
Fairbank JCT, Pynsent PB. The Oswestry disability index. Spine. 2000; 25: 2940-2953.
Papagelopoulos PJ, Shaughnessy WJ, Ebersold MJ, Bianco AJ, Quast LM. Long-term outcome of lumbar discectomy in children and adolescents sixteen years of age or younger. J Bone Joint Surg Am. 1998; 80: 689-698.
Zhong W, Wang J, Zhang W, Liu P, Visocchi M, Li S-T. Combination of magnetic resonance imaging and electrophysiological studies in lumbar disc herniation. Acta Neurochir Suppl. 2017; 124: 271-275.
Schroeder GD, LaBella CR, Mendoza M, Daley EL, Savage JW, Patel AA, et al. The role of intense athletic activity on structural lumbar abnormalities in adolescent patients with symptomatic low back pain. Eur Spine J. 2016; 25: 2842-2848.
Janka M, Merkel A, Schuh A. Clinical examination of the lumbar spine. MMW Fortschr Med. 2019; 161: 55-58.
Yoon WW, Koch J. Herniated discs: when is surgery necessary? EFORT Open Rev. 2021; 6: 526-530.
Sarma P, Thirupathi R, Srinivas D, Somanna S. Adolescent prolapsed lumbar intervertebral disc: management strategies and outcome. J Pediatr Neurosci. 2016; 11: 20.