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Ovine Lumbar Intervertebral Disc Degeneration Model Utilizing a Lateral Retroperitoneal Drill Bit Injury
Published on: May 25, 2017
Insights
Intervertebral disc calcification is a rare childhood condition often overlooked in back pain diagnoses. This study details two surgical cases, highlighting unique histologic findings and differentiating it from other spinal conditions.
Area of Science:
- Pediatric Orthopedics
- Spinal Pathology
- Medical Histology
Background:
- Intervertebral disc calcification (IDC) in children is infrequently reported.
- IDC is often not considered in the differential diagnosis for pediatric back pain.
- Over 75 cases of childhood IDC have been documented.
Purpose of the Study:
- To report two pediatric cases of IDC requiring surgical intervention.
- To describe the previously undocumented histologic changes associated with IDC.
- To differentiate IDC from other causes of spinal calcification and spondylarthritis.
Main Methods:
- Case report of two pediatric patients with IDC.
- Surgical intervention and subsequent histological analysis of affected intervertebral discs.
- Clinical and pathological comparison with other spinal conditions.
Main Results:
- Two children underwent surgery for symptomatic IDC.
- Histologic examination revealed amorphous calcification within the nucleus pulposus.
- No inflammatory reaction was observed in the affected discs.
- Distinct clinical and pathological features differentiate this condition from other calcified disc disorders.
Conclusions:
- IDC is a rare but significant cause of pediatric back pain.
- The histologic findings of amorphous calcification without inflammation are characteristic of IDC.
- IDC can be clinically and pathologically distinguished from other spinal pathologies, including spondylarthritis.
Abstract:
Over 75 cases of intervertebral disc calcification in childhood have been reported, but the illness is seldom considered in the differential diagnosis of back pain inchildren. This paper reports two children who required surgery for intervertebral disc calcification. The histologic changes, which have not been described previously, include an amorphous calcification within the nucleus pulposus without any inflammatory reaction. The etiology of disc calcification remains unknown, but it can be differentiated both clinically and pathologically from other causes of calcified intervertebral discs and from spondylarthritis.
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