Kozlowski K
Pediatr Radiol. 1977 Jul 25;6(1):32-5. doi: 10.1007/BF00973812.
Four boys with anterior lumbar disc herniations probably secondary to chronic trauma are reported. Anterior disc herniations may appear as separate lesions-as in our patients-or coexist with Scheuermann's disease. Although Scheuermann's disease, discitis and tuberculosis are regarded as the most common causes of intervertebral disc lesions in childhood, trauma should be excluded as a possible cause in all children with chronic back pain who show localised radiographic signs of narrowed disc spaces with erosive and sclerotic changes in the adjacent vertebrae. Localised mild platyspondly may be the result of abnormal, prolonged stress and early osteoarthritic changes are to be expected.
本文报告了4例可能继发于慢性创伤的腰椎间盘前突男孩。椎间盘前突可能表现为独立病变——如我们的患者——或与休门氏病共存。尽管休门氏病、椎间盘炎和结核病被认为是儿童椎间盘病变的最常见原因，但对于所有有慢性背痛且影像学显示椎间盘间隙变窄并伴有相邻椎体侵蚀和硬化改变的局部体征的儿童，都应排除创伤作为可能病因。局部轻度椎体扁平可能是异常、长期应力的结果，早期骨关节炎改变也在意料之中。
