Summary
Intervertebral disc protrusions are rare in children and adolescents, and we report our experience of 9 cases, all of whom were girls. Diagnostic problems are common and objective findings dominate the clinical picture at this age. Eight patients were treated by operation; no spinal fusions were carried out. Six patients with a follow up of from 6 to 15 years were reviewed. There were no recurrences, but episodes of low back did occur. Radiographs showed a variable diminution in the height of the disc in every case.
Résumé
La protrusion discale intervertèbrale est rare chez l'enfant et l'adolescent. Nous rapportons notre expérience de ce sujet qui porte sur 9 cas, tous concernant des filles. Les problèmes diagnostiques n'ont rien de particulier et, à cet âge, les signes objectifs dominent le tableau clinique. Huit malades ont été traités chirurgicalement sans qu'on pratique jamais d'arthrodèse. Six patients ont été revus avec un recul de 6 à 15 ans. Il n'y avait pas eu de récidive, seulement quelques épisodes de lombalgie. Les radiographies montraient dans tous les cas une diminution variable de la hauteur du disque.
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Miralles, R., Sanpera, I. & Fenoll-Brunet, M.R. Results of operation for lumbar disc protrusions in children. International Orthopaedics 14, 135–138 (1990). https://doi.org/10.1007/BF00180117
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DOI: https://doi.org/10.1007/BF00180117