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Updated: Jul 3, 2026
Full Endoscopic Interlaminar Approach for Paracentral L5-S1 Disc Herniation
Published on: April 14, 2023
Unilateral partial hemilaminectomy for disc removal in a 1-year-old child
Mony Benifla1, Igor Melamed, Revital Barrelly
1Department of Neurosurgery, Soroka University Medical Center, Beer Sheva, Israel. moni@bgu.ac.il
Insights
Lumbar disc herniation is rare in infants, typically linked to trauma. This case highlights an unusual L5-S1 disc herniation in a 13-month-old, successfully treated surgically.
Area of Science:
- Pediatric Neurosurgery
- Spinal Surgery
- Pediatric Orthopedics
Background:
- Intravertebral disc herniation is a prevalent condition in adults, primarily associated with degenerative changes.
- In pediatric populations, disc herniation is uncommon and frequently attributed to traumatic events.
Observation:
- The authors report a rare instance of lumbar disc herniation (L5-S1) in a 13-month-old male infant.
- The condition presented without a clear history of significant trauma.
Findings:
- Surgical intervention involved a unilateral partial hemilaminectomy, effectively removing the herniated disc.
- This approach preserved the integrity of the spinal midline structures.
Implications:
- This case underscores the importance of considering lumbar disc herniation in the differential diagnosis for pediatric patients presenting with low back pain or lower limb neurological deficits.
- Early recognition and appropriate management are crucial for favorable outcomes in pediatric spinal conditions.
Abstract:
Intravertebral disc herniation is common in adults, often due to degenerative processes. The occurrence of disc herniation is rare in children and is usually related to traumatic injury. The authors present an unusual case of a 13-month-old boy with L5-S1 lumbar disc herniation. The disc was removed via a unilateral partial hemilaminectomy approach, sparing the spinal midline structural elements. Although rare, lumbar disc herniation should be in the differential diagnosis for children presenting with low-back pain and/or neurological deficit of the lower limbs.
