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Herniated disk in adolescents

R Conforti1, A Scuotto, I Muras

  • 1Chair of Neuroradiology, I Faculty of Medicine, University of Naples, Italy.

Journal of Neuroradiology = Journal De Neuroradiologie
|March 1, 1993
PubMed
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Adolescent discopathy can cause lumbago and lumbo-sciatica, even without trauma. This study highlights discopathy as a potential cause of back pain in young patients, differing from adult presentations.

Area of Science:

  • Orthopedics
  • Adolescent Medicine
  • Radiology

Background:

  • Discopathy, commonly associated with adults, presents diagnostic challenges in adolescents.
  • Young patients with lumbago and lumbo-sciatica symptoms often prompt consideration of infections, tumors, or malformations.

Purpose of the Study:

  • To investigate discopathy as a cause of lumbago and lumbo-sciatica in adolescents.
  • To compare symptomatology between adolescent and adult discopathy.
  • To explore potential pathogenetic factors for adolescent discopathy.

Main Methods:

  • Observation of 21 patients (aged 13-22 years) presenting with lumbago/lumbo-sciatica.
  • Radiological confirmation of discopathy.
  • Surgical verification of discopathy.

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Main Results:

  • Discopathy was confirmed in 21 adolescent patients with no history of trauma.
  • Observed differences in symptomatology between adolescents and adults.
  • Identified discopathy as a cause of back pain in a young demographic previously thought unaffected.

Conclusions:

  • Discopathy should be considered in the differential diagnosis of lumbago and lumbo-sciatica in adolescents, even in the absence of trauma.
  • Adolescent discopathy exhibits distinct clinical features compared to adults.
  • Further research into the pathogenesis of discopathy in adolescents is warranted.