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Lumbar microdiscectomy for sciatica in adolescents: a multicentre observational registry-based study.

Sasha Gulati1,2,3, Mattis A Madsbu1, Tore K Solberg4,5

  • 1Department of Neurosurgery, St. Olavs University Hospital, Trondheim, Norway.

Acta Neurochirurgica
|January 17, 2017
PubMed
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Single-level lumbar microdiscectomy shows similar effectiveness and safety in adolescents and adults one year after surgery. This study compared outcomes for patients aged 13-19 and 20-50 with lumbar disc herniation.

Area of Science:

  • Spine surgery
  • Adolescent orthopedics
  • Neurosurgery

Background:

  • Lumbar disc herniation (LDH) is uncommon in adolescents, with different predisposing factors than adults.
  • Limited data exist on patient-reported outcomes for adolescents undergoing lumbar microdiscectomy.
  • This study addresses the need for comparative outcome data in this population.

Purpose of the Study:

  • To compare clinical outcomes at 1 year following single-level lumbar microdiscectomy in adolescents (13-19 years) versus younger adults (20-50 years) with LDH.
  • To evaluate patient-reported outcomes including disability, quality of life, and pain.
  • To assess complication rates between the two age groups.

Main Methods:

  • Retrospective analysis of data from the Norwegian Registry for Spine Surgery.
Keywords:
AdolescentDisc herniationMicrodiscectomySpine

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  • Inclusion criteria: radiculopathy due to LDH, single-level lumbar microdiscectomy, age 13-50.
  • Primary endpoint: change in Oswestry Disability Index (ODI) at 1 year. Secondary endpoints: EQ-5D, pain NRS, complications.

    • Main Results:

    • 3,245 patients included (97 adolescents, 3,148 adults).
    • No significant difference in ODI improvement between adolescents and adults (p=0.811).
    • Similar outcomes for EQ-5D, back/leg pain NRS, and a trend towards fewer complications in adolescents (p=0.072).

    Conclusions:

    • Single-level lumbar microdiscectomy demonstrates comparable effectiveness and safety in adolescents and adults at the 1-year follow-up.
    • Patient-reported outcomes and complication rates are similar between the age groups.
    • The findings support microdiscectomy as a viable treatment option for LDH in adolescents.