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Intervertebral disc herniation in the adolescent.

L J Grobler, E H Simmons, T W Barrington

    Spine
    |May 1, 1979
    PubMed
    Summary
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    Surgical treatment for adolescent intervertebral disc herniation yielded excellent results in 89% of cases, with trauma being a significant factor. Early diagnosis and appropriate surgical techniques, like lumbosacral fusion, are crucial for favorable outcomes.

    Area of Science:

    • Orthopedics
    • Neurosurgery
    • Spinal Surgery

    Background:

    • Intervertebral disc herniation (IDH) is uncommon in adolescents but can cause significant morbidity.
    • Trauma is a frequent precipitating factor in pediatric and adolescent IDH.
    • Surgical intervention is often necessary for persistent or severe symptoms.

    Purpose of the Study:

    • To evaluate the surgical outcomes of adolescent patients with IDH.
    • To identify factors influencing treatment success in this age group.
    • To assess the efficacy of specific surgical procedures, including lumbosacral fusion.

    Main Methods:

    • Retrospective review of 29 patients (14-20 years) undergoing surgical treatment for IDH over 10 years.
    • Clinical assessment including pain, sciatic distress, and neurological signs.

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  • Diagnostic imaging: Myelography in all cases, discography in 22 patients.
  • Surgical procedures varied, with a focus on L5-S1 level interventions.
  • Main Results:

    • Back pain and sciatic distress were predominant symptoms.
    • Trauma was a significant factor in 59% of cases.
    • Overall, 89% of 23 followed patients achieved excellent or good surgical outcomes.
    • All 12 patients undergoing L5-S1 fusion with discectomy showed excellent results.

    Conclusions:

    • Surgical treatment for adolescent IDH can achieve high success rates.
    • Prompt diagnosis and tailored surgical approaches are vital for optimal outcomes.
    • Lumbosacral fusion combined with discectomy is highly effective for L5-S1 disc herniations.