TITLE:
Lumbar Disc Herniation in Pediatric
AUTHORS:
Mostafa Abd Elsamea, Mohamed Shaban, Ahmed Taha, Samer Elshora
KEYWORDS:
Children, Lumbar Disc Herniation, Outcome
JOURNAL NAME:
Open Journal of Modern Neurosurgery,
Vol.8 No.2,
April
26,
2018
ABSTRACT: Lumbar disc herniation is a common complaint among adults
with degenerated lumbar intervertebral discs, however its incidence in childhood
and adolescence is abundant. Findings recommended that pediatric lumbar disc herniation
is dissimilar in numerous way from that in adults. It was confirmed that pediatric
patients respond to conventional management less than adults, also the consequence
of the operation continued to be acceptable for at least 10 years after the first
surgery even though it seems to decline somewhat. This retrospective study was undertaken
to determine the clinical outcome and the feature of lumbar disc prolapse in pediatric
patients. 12 patients younger than 18 years were operated for lumbar disc prolapse
in the period from 2012-2016. Patients preoperative data and radiological imaging,
operative and postoperative follow up were reviewed. 12 patients were included in
this study, 10 were male and 2 females, the average age was 15 years (ranging between
12 - 18 years). The average duration of the symptoms was 11 months. The average
follow up was 14 months. All patients had a sciatica prior to surgery, 35% had motor
deficit, and 60% had parasthesia. Conservative treatment failed in all patients.
After surgery and follow up, improvement occurs in about 80% of patients, ranging
from excellent to good, and 20% of patients with fair outcome. According to Pain
Visual Analogue Scale, leg pain reduced from 90 - 30 and back pain from 80 - 35. Conclusion: Pediatric lumbar disc herniation is an uncommon object leading
to hospitalization. About 0.1% - 0.2% of children and adolescence surgery for lumbar
disc herniation in pediatric does not lead to chronic back pain or interfere with
physical activity and is related to the excellent short consequence.