Fisher R G, Saunders R L
J Neurosurg. 1981 Apr;54(4):480-3. doi: 10.3171/jns.1981.54.4.0480.
Forty-three cases of surgically treated lumbar disc protrusion in patients 21 years or younger are analyzed. The results were generally good. Ten percent of the patients required reoperation within 3 years. No major complications were experienced. Follow-up observation ranged from 4 to 30 years. Disc protrusion should be considered in the differential diagnosis of children with back and sciatic pain, and early myelography should be carried out in the refractory case. The symptoms, signs, myelograms, and surgical findings are usually similar to those of the adult patient with a disc protrusion.
对43例21岁及以下接受手术治疗的腰椎间盘突出症患者进行了分析。结果总体良好。10%的患者在3年内需要再次手术。未出现重大并发症。随访观察时间为4至30年。对于有背痛和坐骨神经痛的儿童进行鉴别诊断时应考虑椎间盘突出症，对于难治性病例应尽早进行脊髓造影。其症状、体征、脊髓造影结果及手术所见通常与成年椎间盘突出症患者相似。
