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Updated: Aug 18, 2026

Intraoperative Ultrasound in Spinal Surgery
Published on: August 17, 2022
Multilevel lumbar disc herniation in 12-year-old twins
S K Obukhov1, L Hankenson, M Manka
1Department of Neurosurgery, Emanuel Children's Hospital, Portland, OR 97227, USA.
Abstract:
Herniation of a lumbar disc in the pediatric age group is rare. A 12-year-old female twin developed backache and left sciatica after a mild lifting injury. Magnetic resonance imaging of the spine showed multilevel lumbar disc herniation. The patient was managed conservatively and her symptoms subsided within 6 weeks. Magnetic resonance imaging of her asymptomatic twin sister revealed a similar pattern of disc degeneration and multilevel herniation. This report emphasizes the hereditary nature of juvenile lumbar disc degeneration.
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