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Intervertebral disc calcification in childhood

N Ventura1, R Huguet, A Salvador

  • 1Department of Paediatric Orthopaedics, Hospital Sant Joan de Deu, Barcelona, Spain.

International Orthopaedics
|January 1, 1995
PubMed
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Calcified intervertebral discs in children, particularly in the cervical spine, often present with acute pain but are self-limiting. Thoracic and lumbar calcifications are typically asymptomatic and do not change over time.

Area of Science:

  • Pediatric Orthopedics
  • Radiology
  • Spinal Imaging

Background:

  • Calcified intervertebral discs are uncommon findings in pediatric patients.
  • The clinical presentation and natural history of this condition require further elucidation.

Purpose of the Study:

  • To describe the clinical characteristics and imaging findings of calcified intervertebral discs in a cohort of children.
  • To evaluate the natural history and prognosis of this condition based on spinal region.

Main Methods:

  • Retrospective case series of nine children diagnosed with calcified intervertebral discs.
  • Review of clinical data, including age, sex, trauma history, and follow-up duration.
  • Analysis of imaging findings, noting the location and extent of disc calcification.

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Main Results:

  • Seven boys and two girls, with an average age of 8.6 years, were included.
  • Twelve discs were affected across cervical (7), thoracic (4), and lumbar (1) regions.
  • Cervical calcifications presented acutely with pain and limited motion, resolving within months.
  • Thoracic and lumbar calcifications were asymptomatic and radiographically stable.

Conclusions:

  • Cervical disc calcification in children is a self-limiting condition with an excellent prognosis.
  • Thoracic and lumbar disc calcifications are generally asymptomatic and do not require intervention.
  • This study highlights the varied clinical course of disc calcification depending on spinal location in pediatric patients.