Lumbar disc excision in children and adolescents.
Spine (Phila Pa 1976)
; 26(18): 1997-2000, 2001 Sep 15.
Article
em En
| MEDLINE
| ID: mdl-11547199
ABSTRACT
STUDY DESIGN:
The authors examined a case series of patients under the age of 18 years treated for lumbar intervertebral disc herniation.OBJECTIVES:
To evaluate postoperative and long-term results of surgery in patients younger than 18 years. SUMMARY OF BACKGROUND DATA There are only a few series, with controversial results, available on the surgical treatment of disc herniation in growing patients.METHODS:
Between 1975 and 1991, a consecutive series of 129 patients 9-18 years of age (average age, 16.2 years) underwent surgery for lumbar intervertebral disc herniation. Low back pain associated with leg pain was the main clinical symptom in 106 subjects (82%), back pain in 17 (13%), and leg pain in 6 (5%).RESULTS:
Short-term results were excellent or good for 123 cases (95%), with complete pain relief in 97 (75%) and moderate but incomplete relief in 26 (20%). A total of 98 (76%) long-term responses obtained at a mean follow-up of 12.4 years revealed excellent outcomes in 40% of the cases, good in 47%, and poor in 13%. Ten patients (10%) underwent reintervention after 9 years on average (2 fusions and 8 re-explorations for herniated disc).CONCLUSIONS:
Results have confirmed a tendency for outcomes to deteriorate between the short-term and long-term follow-up in young patients treated by discectomy this tendency and the rate of reintervention (10%) confirmed the need for long-term follow-up of children and adolescents treated for disc herniation.
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Base de dados:
MEDLINE
Assunto principal:
Discotomia
/
Deslocamento do Disco Intervertebral
Idioma:
En
Ano de publicação:
2001
Tipo de documento:
Article