Skip to main content

Advertisement

Log in

Results of operation for lumbar disc protrusions in children

  • Published:
International Orthopaedics Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Beks JWF, ter Weeme CA (1975) Herniated lumbar discs in teenagers. Acta Neurochirurgica (Wien) 31:195–199

    Google Scholar 

  2. Berney J (1983) Hernies discales et activités sportives. Schweiz Z Sportmed 4:128–132

    Google Scholar 

  3. Bernick S, Cailliet R (1982) Vertebral end-plate changes with aging of human vertebrae. Spine 7 (2):97–102

    Google Scholar 

  4. Børgesen SE, Vang PS (1974) Herniation of the lumbar intervertebral disk in children and adolescents. Acta Orthop Scand 45:540–549

    Google Scholar 

  5. Bradford DS, Garcia A (1969) Herniations of the lumbar intervertebral disk in children and adolescents. A review of 30 surgically treated cases. J Am Med Ass 210:2045–2051

    Google Scholar 

  6. Buckwalter JA, Kuettner KE, Thonar EJ-M (1985) Age related changes in articular cartilage proteoglycans: electron microscopic studies. J Orthop Res 3 (3):251–257

    Google Scholar 

  7. Buckwalter JA, Pedrini-Mille A, Pedrini V, Tudisco C (1985) Proteoglycans of human infant intervertebral disc. J Bone Joint Surg 67-A:284–294

    Google Scholar 

  8. Bulos S (1973) Herniated intervertebral lumbar disc in the teenager. J Bone Joint Surg 55-B:273–278

    Google Scholar 

  9. Bussiere JL (1981) Sciatica caused by disk herniation in children. A propos of 4 cases. Rev Rhum Mal Osteoartic 48 (7–9):543–548

    Google Scholar 

  10. Daschner F, Förster C, Leheta F (1971) Bandscheibenprolaps im Kindesalter. Dtsch Med Wochenschr 96:544–545

    Google Scholar 

  11. De Orio JK, Bianco AJ Jr (1982) Lumbar disc excision in children and adolescents. J Bone Joint Surg 64-A:991–996

    Google Scholar 

  12. Epstein JA, Epstein NE, Marc J, Rosenthal AD, Lavine LS (1984) Lumbar intervertebral disk herniation in teen-age children: recognition and management of associated anomalies. Spine 9 (4):427–432

    Google Scholar 

  13. Epstein JA, Lavine LS (1964) Herniated lumbar intervertebral discs in teen-age children. J Neurol Surg 21:1070–1075

    Google Scholar 

  14. Fernström U (1956) Protruded lumbar intervertebral disc in children. Report of a case and review of the literature. Acta Chir Scand 111:71–79

    Google Scholar 

  15. Garrido E, Humphreys RP, Hendrick EB, Hoffman HJ (1978) Lumbar disc disease in children. Neurosurgery 2:22–26

    Google Scholar 

  16. Gascon S (1983) Columna vertebral en crecimiento. Algunos aspectos sobre su estructura, desarrollo y vascularización. Rev Ortop Traum 27-IB:43–62

    Google Scholar 

  17. Giroux JC, Leclercqu TA (1982) Lumbar disc excision in the second decade. Spine 7:168–170

    Google Scholar 

  18. Graf R, Reinhardt H, Gratzl O (1984) Lumbale Bandscheibenvorfälle beim Jugendlichen. 1. Klinische Beobachtungen. Neurochirurgia 27:12–15

    Google Scholar 

  19. Gröbler LJ, Simmons EH, Barrington TW (1979) Intervertebral disc herniation in the adolescent. Spine 4:267–278

    Google Scholar 

  20. Hoffmann M, Hagenah R (1983) Lumbale Bandscheibenvorfälle bei Jugendlichen. Monatsschr Kinderheilkde 131:862–863

    Google Scholar 

  21. Kamel M, Rosman M (1984) Disc Protrussion in the growing child. Clin Orthop 185:46–52

    Google Scholar 

  22. Key JA (1950) Intervertebral disc lesions in children and adolescents. J Bone Joint Surg 32-A:97–102

    Google Scholar 

  23. King AB (1959) Surgical removal of a ruptured intervertebral disc in early childhood. J Pediatrics 55:57–62

    Google Scholar 

  24. King HA (1984) Back pain in children. Pediatr Clin North Am 31:1083–1095

    Google Scholar 

  25. Kornberg M, Rechtine GR, Dupuy TE (1984) The treatment of a herniated lumbar disc in a young adult with developmental spinal stenosis. Spine 9:541–545

    Google Scholar 

  26. Kurihara A, Kataoka O (1980) Lumbar disc herniation in children and Adolescents. A review of 70 operated cases and their minimum 5-year follow-up studies. Spine 5:443–451

    Google Scholar 

  27. Leong JCY, Hooper G, Fang D, Chun SY (1982) Disc excision and anterior spinal fusion for lumbar disc protrusion in the adolescent. Spine 7 (6):623–626

    Google Scholar 

  28. Lorenz M, McCulloch J (1985) Chemonucleolysis for herniated nucleus pulposus in adolescents. J Bone Joint Surg 67-A:1402–1404

    Google Scholar 

  29. Lyons H, Jones E, Quinn FE, Sprunt DH (1966) Changes in the protein-polysaccharide fractions of nucleus pulposus from human intervertebral disc with age and disc herniation. J Lab Clin Med 68:930–939

    Google Scholar 

  30. MacGee EE (1968) Protruded lumbar disc in a nine-year-old-boy. J Pediatr 73:418–419

    Google Scholar 

  31. Mainzer F (1973) Herniation of nucleus pulposus. A rare complication of intervertebral-disk calcification in children. Radiology 107:167–170

    Google Scholar 

  32. Nelson CL, Janecki CJ, Gildenberg PL, Sava G (1972) Disk protrusions in the young. Clin Orthop 88:142–150

    Google Scholar 

  33. O'Connell JEA (1960) Intervertebral disk protrusions in childhood and adolescense. Br J Surg 47:611–616

    Google Scholar 

  34. Plangger C, Twerdy K, Fischer J, Mohsenipour I (1982) Der kindliche Diskusprolaps anhand von vier eigenen Beobachtungen. Neurochirurgia 25:129–131

    Google Scholar 

  35. Rugtveit A (1966) Juvenile lumbar disc herniations. Acta Orthop Scand 37:348–356

    Google Scholar 

  36. Russwurm H, Bjerkreim I, Ronglan E (1978) Lumbar intervertebral disc herniation in the young. Acta Orthop Scand 49:158–163

    Google Scholar 

  37. Schmit P, Chambon T, Damsin JP, Faure C (1984) Avulsion du listel vertébral postérieur et hernie discale lombaire chez l'adolescent. Arch Fr Pediatr 41:205–207

    Google Scholar 

  38. Taylor TKF (1971) Intervertebral disc prolapse in children and adolescents. J Bone Joint Surg 52-B:357

    Google Scholar 

  39. Techakapuch S (1981) Rupture of the lumbar cartilage plate into the spinal canal in an adolescent. J Bone Joint Surg 63A:481–482

    Google Scholar 

  40. Verger P, Pouyanne H, Riemens V, Guillard JM, Sandler B, Cixous P (1969) Sciatique par hernie discale chez deux filles de 14 et 12 ans. Arch Franc Pédiatr 27:554

    Google Scholar 

  41. Webb JH, Svien HJ, Kennedy RLJ (1954) Protruded lumbar intervertebral disks in children. J Am Med Assn 154:1153–1154

    Google Scholar 

  42. Weiss SR, Raskind R (1968) The teen-age lumbar disk syndrome. Int Surg 49:528–533

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

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

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00180117

Keywords

Navigation