Abstract
Introduction
Discal calcification in childhood is rare. Calcifications are occasionally discovered during routine examinations, especially in the cervical spine. Generally, the calcification process is confined to the nucleus pulposus of the intervertebral disc.
Case report
In this report, we describe the case of a 16-year-old girl who presented with acute low back pain, right S1 radiculopathy and a history of increasing paresthesia. The patient underwent a CT scan, which demonstrated a postero-lateral calcified disc hernia at the L5–S1 level. The surgical decompression of the lumbar nerve root was carried out; at the operation it was observed that the nerve root was "walled" into the calcified hernia.
Discussion
Only a few cases with evidence of calcification of the herniated portion of the disc have been previously described. In none of them was the phenomenon was so pronounced that it sealed the nerve root completely.
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References
Borgersen SE, Vang PS (1974) Herniation of the lumbar intervertebral disk in children and adolescents. Acta Orthop Scand 45:540–549
DeOrio JK, Bianco AJ (1982) Lumbar disk excision in children and adolescents. J Bone Joint Surg Br 55:273–278
Dias MS, Pang D (1991) Juvenile intervertebral disk calcification: recognition, management, and pathogenesis. Neurosurgery 28:130–134
Eyring EJ, Peterson CA, Bjornson DR (1964) Intervertebral-disc calcification in childhood. A distinct clinical syndrome. J Bone Joint Surg Am 46:1421–1441
Fisher RG, Saunders RL (1981) Lumbar disk protrusion in children. J Neurosurg 54:480–483
Garrido E, Humphreys RP, Hendrick EB, Hoffman HJ (1978) Lumbar disk disease in children. Neurosurgery 2:22–25
Hahn YS, McLone DG, Uden D (1987) Cervical intervertebral disc calcification in children. Childs Nerv Syst 3:274–277
Mainzer F (1973) Herniation of the nucleus pulposus. A rare complication of intervertebral-disk calcification in children. Radiology 107:167–170
McGregor JC, Butler P (1986) Disc calcification in childhood: computed tomographic and magnetic resonance imaging appearances. Br J Radiol 59:180–182
Mellio BT, Laurent JP, Watters WC (1993) Childhood intervertebral disk calcification. Childs Nerv Syst 9:233–238
Melnick JC, Silverman FN (1963) Intervertebral disk calcification in childhood. Radiology 80:399–408
Morris J, Niebauer J (1963) Calcification of the cervical intervertebral disc. Am J Dis Child 106:95–100
Mougenot JF, Pernin J, Herve J (1979) Un cas de calcification d'un disque intervertebral avec hernie. Semin Hop Paris 55:1445–1448
Nelson CL, Janecki CJ, Gildenberg PL, Sava G (1972) Disk protrusion in the young. Clin Orthop 88:142–150
Reale F, Gambacorta D (1985) Calcified lumbar disk protrusion in an adolescent. Surg Neurol 24:661–662
Schechter LS, Smith A, Pearl M (1972) Intervertebral disc calcification in childhood. Am J Dis Child 123:608–611
Sonnabend DH, Taylor TKF, Chapman GK (1982) Intervertebral disk calcification syndromes in children. J Bone Joint Surg Br 64:25–31
Stewart PE, Silbiger ML, Wolfson SL (1974) Intervertebral disc calcification in childhood. Clin Pediatr 13:363–366
Swick HM (1975) Calcification of intervertebral discs in childhood. J Pediatr 86:364–369
Urso S, Colajacomo M, Migliorini A, Fassari FM (1987) Calcifying discopathy in infancy in the cervical spine: evaluation of vertebral alterations over a period of time. Pediatr Radiol 17:387
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Aulisa, L., Pitta, L., Aulisa, A.G. et al. Lumbar nerve root "walled" by a calcified herniated mass in a young patient. Childs Nerv Syst 19, 384–386 (2003). https://doi.org/10.1007/s00381-002-0708-7
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DOI: https://doi.org/10.1007/s00381-002-0708-7