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Published on: August 7, 2018
Pediatric lumbar disc herniation: A case series on diagnosis and management
Bader Obeidat1, Osama J Abu-Hamdiyah2, Mouness Obeidat3
1Alkindi Hospital, Amman, Jordan.
Insights
Pediatric disc herniation is rare but serious in children, causing severe back pain and leg radiation. Surgical intervention was necessary for four pediatric patients after conservative treatments failed.
Area of Science:
- Pediatric Orthopedics
- Neurosurgery
- Radiology
Background:
- Pediatric disc herniation is an uncommon condition causing significant morbidity in children.
- The exact prevalence of lumbar disc herniation in pediatric populations remains unknown.
- This study highlights the challenges in diagnosing and managing this condition in young patients.
Abstract:
Pediatric disc herniation is an uncommon but significant illness in children that can cause debilitating symptoms. The prevalence rate of lumbar disc herniation in this group is unknown. We present 4 rare cases of lumbar disc herniation in children. All patients complained from low back pain with radiation to the corresponding leg along with other neurological manifestations. Trauma and family history for all patients were negative. Magnetic Resonance Imaging (MRI) was performed for all patients and confirmed the diagnosis in all cases. All patients were treated conservatively without any improvement, thus surgical intervention (minimally invasive discectomy with foraminotomy) was performed. The importance of early identification and adequate care in pediatric patients with lumbar disc herniation cannot be overstated. More study is needed to better understand the risk factors, pathophysiology, and best treatments for this illness in children and adolescents.
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