Lumbar Disc Herniation in Fourteen Years Old Girl

Year 2016, , 0 - 0, 20.03.2016

Nalan Capan , Sina Esmaeılzadeh Ceyhun Basoglu Mustafa Corum Resa Aydın

https://doi.org/10.16948/zktb.24296

Abstract

Lumbar disc herniation is a rare disease in children. Children and adolescents with symptomatic lumbar disc herniation have a history of trauma or sports injury before pain begins. There is no difference in the frequency of disc herniation between the sexes in children. The segmental placement of disc herniation in children is similar to that seen in adults. A girl aged 14 years presented to our clinic complaining of a one-year low back pain and pain was radiating to the right leg. There was a significant posterocentral disc protrusion at the L5-S1 level on magnetic resonance imaging (MRI). Complete symptomatic relief was achieved at the end of a course of conservative treatment.

Keywords

Low back pain, children, disc herniation

Ondört Yaşındaki Kız Hastada Lumbar Disk Herniasyonu

Abstract

Lomber disk hernisi çocuklarda nadir görülen bir hastalıktır. Çocuk ve adolesanlarda genellikle hikayelerinde ağrı başlangıcından önce travma ya da spor yaralanmaları öyküsü mevcuttur. Çocuklarda her iki cinsiyet arasında lomber disk hernisi sıklığı açısından fark saptanmamıştır. Segmental olarak disk herniasyonunun yeri açısından erişkin ve çocuklarda fark yoktur. Vakamızda 14 yaşında kız hasta bir yıldır olan bel ağrısı ve bacak ağrısı şikayetiyle kliniğimize başvurdu. Manyetik rezonans görüntülemede L5-S1 düzeyinde belirgin posterosantral disk protrüzyonu mevcuttu. Uygulanan konservatif tedavi sonrası ağrılarında belirgin azalma elde edilmiştir.

Keywords

sırt ağrısı, çocuk, disk herniasyonu

References

• Kazemi M. Adolescent lumbar disc herniation in a Tae Kwon Do martial artist: a case report. J Can Chiropr Assoc 1999;43(4):236-242.
• Dang L, Liu Z. A review of current treatment for lumbar disc herniation in children and adolescents. Eur Spine J 2010;19(2):205-14.
• -
• Parisini P, Di Silvestre M, Greggi T, Miglietta A, Paderni S. Lumbar disc
• excision in children and adolescents. Spine (Phila Pa 1976) 2001;26(18):1997-2000.
• Cahill J, Frost G, Solanki GA. Paediatric lumbar disc herniation in the very
• young: a case-based update. Childs Nerv Syst 2011;27(5):687-91.
• Lavelle WF, Bianco A, Mason R, Betz RR, Albanese SA. Pediatric disk
• herniation. J Am Acad Orthop Surg 2011;19(11):649-56.
• Martínez-Lage JF, Fernández Cornejo V, López F, Poza M. Lumbar disc herniation in early childhood: case report and literature review. Childs Nerv Syst 2003;19(4):258-60.
• Revuelta R, De Juambelz PP, Fernandez B, Flores JA. Lumbar disc herniation in a 27-month-old child. Case report. J Neurosurg 2000;92(1 Suppl):98-100.
• Slotkin JR, Mislow JM, Day AL, Proctor MR. Pediatric disk disease. Neurosurg Clin N Am 2007;18(4):659-67.
• Frino J, McCarthy RE, Sparks CY, McCullough FL. Trends in adolescent lumbar disk herniation. J Pediatr Orthop 2006;26(5):579-81.
• Haidar R, Ghanem I, Saad S, Uthman I. Lumbar disc herniation in young
• children. Acta Paediatr 2010;99(1):19-23.
• Kuh SU, Kim YS, Cho YE, Yoon YS, Jin BH, Kim KS, Chin DK. Surgical treatments for lumbar disc disease in adolescent patients; chemonucleolysis / microsurgical discectomy/ PLIF with cages. Yonsei Med J 2005;46(1):125-32.
• Matsui H, Kitagawa H, Kawaguchi Y, Tsuji H. Physiologic changes of nerve root during posterior lumbar discectomy. Spine 1995;20(6):654-9.
• Wang H, Cheng J, Xiao H, Li C, Zhou Y. Adolescent lumbar disc herniation: experience from a large minimally invasive treatment centre for lumbar degenerative disease in Chongqing, China. Clin Neurol Neurosurg 2013;115(8):1415-9.
• Zhang YG, Sun Z, Zhang Z, Liu J, Guo X. Risk factors for lumbar intervertebral disc herniation in Chinese population: a case-control study. Spine 2009;34(25):E918-22.
• Davis PJ, Williams HJ. The investigation and management of back pain in children. Arch Dis Child Educ Pract Ed 2008;93(3):73-83.
• Benifla M, Melamed I, Barrelly R, Aloushin A, Shelef I. Unilateral partial
• hemilaminectomy for disc removal in a 1-year-old child. J Neurosurg Pediatr 2008;2(2):133-5.
• Davis PJ, Williams HJ. The investigation and management of back pain in children. Arch Dis Child Educ Pract Ed 2008;93(3):73-83
• Barr K. Electrodiagnosis of lumbar radiculopathy. Phys Med Rehabil Clin N Am 2013;24(1):79-91.
• Kurth AA, Rau S, Wang C, Schmitt E. Treatment of lumbar disc herniation in the second decade of life. Eur Spine J 1996;5(4):220-4.
• Ippolito E, Versari P, Lezzerini S. The role of rehabilitation in juvenile low back disorders. Pediatr Rehabil 2006;9(3):174-84.
• DeLuca PF, Mason DE, Weiand R, Howard R, Bassett GS. Excision of herniated nucleus pulposus in children and adolescents. J Pediatr Orthop 1994;14(3):318-22.
• Kumar R, Kumar V, Das NK, Behari S, Mahapatra AK. Adolescent lumbar disc disease: findings and outcome. Childs Nerv Syst 2007;23(11):1295-9.
• Kotil K, Akçetin M, Bilge T. Cauda equina compression syndrome in a child due to lumbar disc herniation. Childs Nerv Syst 2004;20(6):443-4.
• Jiang SD, Jiang LS, Dai LY. Extreme lateral lumbar disc herniation in a
• -year child: case report and review of the literature. Eur Spine J 2010;19
• Suppl 2:S197-9.
• Ozgen S, Konya D, Toktas OZ, Dagcinar A, Ozek MM. Lumbar disc herniation in adolescence. Pediatr Neurosurg 2007;43(2):77-81.
• Kuh SU, Kim YS, Cho YE, Yoon YS, Jin BH, Kim KS, Chin DK. Surgical treatments for lumbar disc disease in adolescent patients; chemonucleolysis / microsurgical discectomy/ PLIF with cages. Yonsei Med J 2005;46(1):125-32.
• Çelik S, Göksu K, Çelik SE, Emir CB. Benign neurological recovery with low recurrence and low peridural fibrosis rate in pediatric disc herniations after
• lumbar microdiscectomy. Pediatr Neurosurg 2011;47(6):417-22.