Fakouri Bahram, Nnadi Colin, Boszczyk Bronek, Kunsky Alexander, Cacciola Francesco
Centre for Spinal Studies and Surgery, Queen's Medical Centre, University of Nottingham, Derby Road, Nottingham NG7 2UH, UK.
J Clin Neurosci. 2009 Sep;16(9):1153-6. doi: 10.1016/j.jocn.2009.01.023. Epub 2009 Jul 9.
Symptomatic lumbar disc herniation in the adolescent is uncommon. The appropriate treatment in this particular age group is not clear. We conducted a retrospective review of the medical, surgical, and radiological records of six adolescents with symptomatic lumbar disc herniation who underwent microdiscectomy after failed conservative therapy. The mean follow-up was 13 months. All patients improved quickly and returned to their normal activity levels. We suggest that severe pain resulting from a herniated lumbar disc, even without any neurological deficit, is an indication for microdiscectomy in adolescents so that these patients return to full-time education and normal activities as soon as possible.
青少年症状性腰椎间盘突出症并不常见。对于这个特定年龄组的适当治疗方法尚不清楚。我们对6例症状性腰椎间盘突出症青少年患者的医疗、手术和放射学记录进行了回顾性研究，这些患者在保守治疗失败后接受了显微椎间盘切除术。平均随访时间为13个月。所有患者恢复迅速并恢复到正常活动水平。我们建议，即使没有任何神经功能缺损，腰椎间盘突出导致的严重疼痛也是青少年进行显微椎间盘切除术的指征，以便这些患者尽快重返全日制教育和正常活动。
