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Updated: Jan 2, 2026

Transtubular Endoscopic Posterolateral Decompression for L5-S1 Lumbar Lateral Disc Herniation
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Pediatric herniated lumbar disc: a population-based risk factor analysis.

Jacob R Lepard, Kathrin D Zimmerman, Anastasia A Arynchyna

    Journal of Neurosurgery. Pediatrics
    |November 30, 2019
    PubMed
    Summary
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    Childhood obesity is a significant risk factor for herniated lumbar disc (HLD) requiring surgery. Microdiscectomy is a safe option for pediatric HLD when conservative treatments fail, highlighting obesity as a public health concern.

    Area of Science:

    • Pediatric Orthopedics
    • Public Health
    • Epidemiology

    Background:

    • Surgical treatment for pediatric herniated lumbar disc (HLD) is uncommon.
    • Identifying risk factors for surgical intervention is crucial for understanding disease etiology and prevention.

    Purpose of the Study:

    • To evaluate potential disease risk factors associated with surgical treatment of HLD in children.
    • To analyze a large single-center pediatric experience to identify these risk factors.

    Main Methods:

    • A retrospective analysis of pediatric patients who underwent surgical treatment for HLD (December 2008-December 2016).
    • Comparison of HLD surgical cohort data with a healthy control population from the Youth Risk Behavior Surveillance System (YRBSS).
    • Univariate and multivariate logistic regression analyses were employed to determine the impact of potential risk factors.
    Keywords:
    lumbar discmicrodiscectomyobesityrisk factorsciaticaspine

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    Main Results:

    • The study included 27 pediatric patients with HLD and 5212 healthy controls.
    • Patients undergoing surgery for HLD had a significantly higher mean body mass index (30.2 kg/m2) compared to controls (24.0 kg/m2).
    • Obesity was strongly associated with undergoing microdiscectomy for HLD (OR 7.4), while sports participation showed no association.

    Conclusions:

    • Microdiscectomy is a safe and effective treatment for pediatric HLD when conservative management fails.
    • Childhood obesity is identified as a significant risk factor for pediatric HLD, underscoring its importance as a public health issue.