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Pediatric disk disease

Jonathan R Slotkin1, John M K Mislow, Arthur L Day

  • 1Department of Neurosurgery, The Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA.

Neurosurgery Clinics of North America
|November 10, 2007
PubMed

Insights

Pediatric intervertebral disk herniation is rare and challenging to diagnose. This review offers a straightforward strategy for evaluating and treating childhood disk herniation, highlighting key differences from adult cases.

Area of Science:

  • Pediatric Orthopedics
  • Neurosurgery
  • Radiology

Background:

  • Intervertebral disk herniation (IDH) in children is uncommon but can cause significant disability.
  • Diagnosis of pediatric IDH is often delayed due to its rarity and atypical presentations.
  • Understanding the unique aspects of pediatric IDH is crucial for effective management.

Purpose of the Study:

  • To review the fundamental aspects of pediatric intervertebral disk herniation.
  • To present a rational and simplified strategy for the evaluation and treatment of pediatric IDH.
  • To emphasize the distinctions between pediatric and adult disk disease.

Main Methods:

  • Literature review focusing on pediatric intervertebral disk herniation.
  • Analysis of diagnostic challenges and imaging findings in children.
  • Comparison of treatment modalities for pediatric versus adult disk herniation.

Main Results:

  • Pediatric IDH presents differently than in adults, often with subtle or non-specific symptoms.
  • Diagnostic delays are common, impacting treatment outcomes.
  • Treatment strategies must consider the unique anatomy and growth potential of pediatric patients.

Conclusions:

  • A systematic approach is needed for diagnosing and managing pediatric intervertebral disk herniation.
  • Recognizing the differences from adult disk disease is essential for optimal patient care.
  • Further research into pediatric-specific treatment protocols is warranted.

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