Mayer H M, Brock M
Department of Neurosurgery, University Clinic Steglitz, Free University of Berlin, Federal Republic of Germany.
Surg Neurol. 1988 Apr;29(4):311-4. doi: 10.1016/0090-3019(88)90163-2.
Intervertebral lumbar disk herniation in children and adolescents is rare. The incidence varies between 0.8% and 3.8% of all disks treated surgically. The uncertainty concerning operative or conservative treatment of this rare clinical entity has led to considering the use of atraumatic techniques, such as chemonucleolysis or percutaneous diskectomy. We report the unusual case of an 11-year-old girl with herniated disk at the L4-5 level treated by percutaneous diskectomy. This is, to our knowledge, the first case of a child treated by this technique. The technical simplicity, the minimal trauma it causes, and the excellent clinical result show that percutaneous diskectomy is a reasonable therapeutic alternative in the treatment of juvenile disks.
儿童和青少年的腰椎间盘突出症较为罕见。在所有接受手术治疗的椎间盘病例中，其发病率在0.8%至3.8%之间。对于这种罕见临床病症，手术治疗还是保守治疗存在不确定性，这促使人们考虑采用诸如化学髓核溶解术或经皮椎间盘切除术等无创技术。我们报告了一例11岁女孩L4 - 5节段椎间盘突出经皮椎间盘切除术治疗的罕见病例。据我们所知，这是首例采用该技术治疗的儿童病例。该技术操作简单，造成的创伤极小，且临床效果极佳，表明经皮椎间盘切除术是治疗青少年椎间盘疾病的一种合理的治疗选择。
