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Updated: Nov 22, 2025

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Adolescent Disc Disease: Risk Factors and Treatment Success-Related Factors.

Nir Shimony1, Christopher Louie2, David Barrow3

  • 1Institute for Brain Protection Sciences, All Children's Hospital, Johns Hopkins University and Medicine, St. Petersburg, Florida, USA; Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA; Division of Pediatric Neurosurgery, Institute of Neuroscience, Geisinger Medical Center, Danville, Pennsylvania, USA; Department of Neurosurgery, Geisinger Commonwealth School of Medicine, Scranton, Pennsylvania, USA.

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Summary
This summary is machine-generated.

Pediatric lumbar disc herniation (LDH) shares risk factors with adults, including obesity, but also includes trauma. Minimally invasive surgery offers effective treatment with good outcomes for children with LDH.

Keywords:
BMIDiscHerniatedPediatricSpineSurgeryTrauma

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Area of Science:

  • Pediatric Orthopedics
  • Neurosurgery
  • Spinal Surgery

Background:

  • Literature on pediatric lumbar disc herniation (LDH) is limited, particularly regarding risk factors, treatment, and outcomes.
  • Understanding these factors is crucial for effective pediatric spine care.

Purpose of the Study:

  • To identify risk factors associated with LDH in children.
  • To evaluate the efficacy and outcomes of minimally invasive surgery for pediatric LDH.
  • To compare minimally invasive techniques with open surgery.

Main Methods:

  • Retrospective review of pediatric patients (2005-2016) who underwent microdiscectomy for LDH.
  • Analysis of preoperative presentation, hospital course, and long-term follow-up (≥3 years).
  • Comparison of outcomes between minimally invasive spine microdiscectomy and open microdiscectomy approaches.

Main Results:

  • 61 lumbar disc surgeries performed on 52 pediatric patients (average age 16.65 years).
  • Minimally invasive approach used in 78.7% of cases.
  • Complete symptom resolution at 1-year follow-up: 79.2% for minimally invasive vs. 61.5% for open surgery.
  • Identified risk factors include elevated BMI and trauma.

Conclusions:

  • Pediatric LDH shares risk factors like elevated BMI with adult cases.
  • Unique pediatric risk factors, such as post-traumatic LDH, were observed.
  • Minimally invasive spine surgery is a safe and effective treatment option for pediatric lumbar disc herniation.