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Related Experiment Videos

Lumbar disc excision in the second decade

J C Giroux, T A Leclercq

    Spine
    |March 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Adolescent lumbar disc excision is uncommon but presents differently than in adults, often with delayed diagnosis. Early surgical intervention is recommended for better outcomes in young patients.

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    Area of Science:

    • Neurosurgery
    • Orthopedics
    • Pediatric Surgery

    Background:

    • Lumbar disc herniation is typically diagnosed in adults.
    • Adolescent cases represent a small but distinct patient subset.

    Observation:

    • A review of 1200 lumbar disc excisions identified 1% of patients aged 13-18 and 3.7% aged 13-21.
    • Adolescents presented with a higher male ratio, frequent radicular pain, and a history of trauma.
    • A striking absence of neurological deficit was noted in younger patients.

    Findings:

    • Delayed diagnosis and surgical treatment were common in adolescents.
    • This delay is attributed to under-recognition of lumbar disc herniation in this age group and lack of neurological deficits.
    • Surgical outcomes in adolescents were frequently excellent.

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    Implications:

    • Increased awareness of adolescent lumbar disc herniation is crucial.
    • Early diagnosis and surgical intervention can lead to optimal outcomes.
    • Consideration of disc pathology in young patients with back pain is warranted.