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Related Experiment Videos

[Lumbar intervertebral disk prolapse in adolescents]

O Furnes1, A Bøe, E Sudmann

  • 1Kysthospitalet i Hagevik.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|October 20, 1996
PubMed
Summary

Adolescent lumbar disc herniation is rare but presents with back and radiating leg pain. Surgical outcomes are excellent, emphasizing prompt diagnosis and treatment similar to adults.

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Area of Science:

  • Orthopedics
  • Neurosurgery
  • Pediatric Spine Surgery

Context:

  • Lumbar intervertebral disc herniation (LIDH) is uncommon in adolescents.
  • Diagnosis is often delayed, impacting treatment timelines.
  • Adolescent LIDH shares clinical features with adult cases.

Purpose:

  • To determine the incidence, clinical presentation, and treatment outcomes of LIDH in adolescents.
  • To highlight the importance of considering LIDH in adolescent back pain.
  • To evaluate the efficacy of surgical intervention for adolescent LIDH.

Summary:

  • A study of 20 adolescents (15-19 years) operated for LIDH between 1992-1995 revealed a median delay of 1 year for diagnosis.
  • The primary symptoms were back pain with radiating pain, and a positive straight leg raise test.
  • Surgical treatment yielded excellent or good results in all patients, with herniation commonly at L4 or L5.

Impact:

  • Findings suggest adolescent LIDH requires prompt investigation and treatment following adult guidelines.
  • Early diagnosis and surgical intervention lead to favorable short-term outcomes.
  • This study underscores the need for increased awareness of LIDH in the adolescent population presenting with specific symptoms.

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