Benifla Mony, Melamed Igor, Barrelly Revital, Aloushin Andrey, Shelef Ilan
Department of Neurosurgery, Soroka University Medical Center, Beer Sheva, Israel.
J Neurosurg Pediatr. 2008 Aug;2(2):133-5. doi: 10.3171/PED/2008/2/8/133.
Intravertebral disc herniation is common in adults, often due to degenerative processes. The occurrence of disc herniation is rare in children and is usually related to traumatic injury. The authors present an unusual case of a 13-month-old boy with L5-S1 lumbar disc herniation. The disc was removed via a unilateral partial hemilaminectomy approach, sparing the spinal midline structural elements. Although rare, lumbar disc herniation should be in the differential diagnosis for children presenting with low-back pain and/or neurological deficit of the lower limbs.
椎间盘突出在成年人中很常见,通常是由于退变过程所致。椎间盘突出在儿童中很少见,通常与外伤有关。作者报告了一例罕见的13个月大男孩L5-S1腰椎间盘突出病例。通过单侧部分半椎板切除术入路摘除椎间盘,保留脊柱中线结构。虽然罕见,但对于出现腰痛和/或下肢神经功能缺损的儿童,腰椎间盘突出应列入鉴别诊断。