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Herniation of a calcified nucleus pulposus in a child: case report
R Bradford1, M Rice-Edwards, H Shawden
1Department of Neurosurgery and Neuroradiology, Charing Cross Hospital, London, United Kingdom.
British Journal of Neurosurgery
|January 1, 1989
Insights
Herniation of the nucleus pulposus is a rare complication of intervertebral disc calcification in children. Conservative treatment is recommended, as calcified lesions often resolve spontaneously in pediatric cases.
Area of Science:
- Pediatric Orthopedics
- Radiology
- Spinal Surgery
Background:
- Intervertebral disc calcification is uncommon in children.
- Herniation of the nucleus pulposus (HNP) is a rare complication associated with disc calcification.
Observation:
- This report details a case of HNP secondary to intervertebral disc calcification in an 11-year-old girl.
- The patient presented with symptoms related to the herniated disc.
Findings:
- The case highlights the potential for HNP in pediatric patients with calcified intervertebral discs.
- Conservative management strategies were considered for the patient.
Implications:
- Conservative treatment should be the primary approach for pediatric HNP due to disc calcification.
- Spontaneous resorption of the calcified lesion is a likely outcome, supporting non-operative management.
Abstract:
Herniation of the nucleus pulposus is a very rare complication of intervertebral disc calcification in children. We report a case in an 11-year-old girl. The majority of such cases should be treated conservatively as spontaneous resorption of the calcified lesion will occur.