Ozgen Serdar, Konya Deniz, Toktas O Zafer, Dagcinar Adnan, Ozek M Memet
Department of Neurosurgery, Marmara University Faculty of Medicine, Istanbul, Turkey.
Pediatr Neurosurg. 2007;43(2):77-81. doi: 10.1159/000098377.
Lumbar disc herniation very rarely occurs in adolescence. The aim of this study was to assess the radiological, clinical and surgical features and case outcomes for adolescents with lumbar disc herniation, and to compare with adult cases. The cases of 17 adolescents (7 girls and 10 boys, age range 13-17 years) who were surgically treated for lumbar disc herniation in our clinic between 1998 and 2003 were retrospectively reviewed. The mean follow-up time for these cases was 60 months. The collected histories revealed that 14 (82%) of the 17 cases involved trauma or intense sports activity. Low back pain was the most common complaint (15 cases, 88%). None of the 17 patients had major symptoms during follow-up, and most were engaged in intense sports or heavy work-related activities during this period. The main features of lumbar disc herniation in adolescents are different from those seen in adults. Careful assessment is vital to avoid misdiagnosis and prevent undesirable results from inappropriate surgery. When surgery is indicated and patients are carefully selected, the results of lumbar discectomy in adolescence can be satisfactory.
腰椎间盘突出症在青少年中极为罕见。本研究旨在评估青少年腰椎间盘突出症的影像学、临床和手术特征及病例结果，并与成人病例进行比较。回顾性分析了1998年至2003年间在我院接受手术治疗的17例青少年（7名女孩和10名男孩，年龄范围13 - 17岁）腰椎间盘突出症病例。这些病例的平均随访时间为60个月。收集的病史显示，17例病例中有14例（82%）与外伤或剧烈体育活动有关。腰痛是最常见的主诉（15例，88%）。17例患者在随访期间均无严重症状，且在此期间大多数人都参与了剧烈运动或繁重的工作相关活动。青少年腰椎间盘突出症的主要特征与成人不同。仔细评估对于避免误诊和防止不适当手术导致不良后果至关重要。当需要手术且患者经过精心挑选时，青少年腰椎间盘切除术的结果可能会令人满意。
