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Intervertebral disc calcification with neurological symptoms in children: report of conservative treatment in two
Xavier Bajard1, Francis Renault, Taieb Benharrats
1Department of Paediatric Orthopaedics, Université Pierre et Marie Curie-Paris 6, Armand Trousseau Hospital, avenue du Docteur Arnold Netter, Paris Cedex 12, France.
Insights
Symptomatic intervertebral calcifications in children are rare but can cause spinal cord compression. Conservative treatment, including pain relievers and bracing, effectively resolved symptoms in two pediatric cases.
Area of Science:
- Pediatric Orthopedics
- Neurosurgery
- Radiology
Background:
- Intervertebral calcifications are uncommon in children.
- Spinal cord compression can result from these calcifications, leading to neurological deficits.
Observation:
- Two pediatric cases of symptomatic intervertebral calcifications causing spinal cord compression were reviewed.
- Conservative management, including analgesics and bracing, was employed.
Findings:
- Radiographs were sufficient for diagnosis and extent evaluation.
- Both patients achieved complete symptom resolution within 4 weeks.
- Magnetic resonance imaging confirmed complete vertebral canal clearance post-treatment.
Implications:
- Conservative treatment may be a viable option for pediatric patients with moderate neurological compromise due to calcified disc protrusions.
- Further research with larger cohorts is warranted to establish statistical significance.
Purpose:
Intervertebral calcifications are rare in the paediatric population. Two cases of children with symptomatic intervertebral calcifications responsible for spinal cord compression and neurological compromise are presented.
Methods:
The data of two children treated conservatively for a symptomatic intervertebral calcification responsible for spinal cord compression and neurological compromise were retrospectively reviewed.
Results:
Frontal and lateral radiographs are usually sufficient to determine the presence and extent of the calcified cervical disc protrusion. Conservative treatment with antalgics and bracing was applied in both cases. The two patients were completely free of symptoms 4 weeks after initial treatment. Magnetic resonance imaging screening showed a complete vertebral canal clearance at final follow-up.
Conclusion:
Despite the lack of significance due to the small number of patients, conservative treatment should be considered in children with moderate neurological symptoms due to calcified disc protrusion.
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