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Adolescent prolapsed lumbar intervertebral disc: Management strategies and outcome.

Sarma P, Thirupathi RT, Srinivas D, Somanna S - J Pediatr Neurosci (2016 Jan-Mar)

Bottom Line: At follow-up, the physical functioning scale of SF-36 was significantly lower in patients with gross motor deficit prior to surgery.Early diagnosis and adequate management contribute to a good outcome.In our study, trauma and presence of preexisting vertebral anomalies were significant factors in the etiogenesis of ALIVDH.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.

ABSTRACT

Objective: Lumbar intervertebral disc herniation (LIVDH) is rare in children and adolescents when compared to adults. In literature, children generally constitute around 0.5-3% of surgically treated LIVDH. Though much rarer, they are less likely to respond to conservative treatment than adults. In this study, we analyze our experience in the management of adolescent LIVDH (ALIVDH) (age group 12-18 years) including the demographic, clinico-radiological features; surgical management strategies and outcome.

Materials and methods: This retrospective analysis constituted all patients between 12 and 18 years, who underwent surgery for LIVDH at our institute over a period of 15 years from January 1999 to June 2014. The records of these patients were retrieved, and demographic features, clinical picture, radiological features, operative findings, and postoperative events were evaluated. Follow-up data were obtained either through direct clinical evaluation or mailed self-report questionnaire and telephone conversations. The long-term outcome was analyzed by using standardized and condition specific outcome scales in addition to routine clinical follow-up evaluation. The long-term outcome was analyzed by using the short form-36 (SF-36).

Results: There were a total of 32 patients (26 males, eight females) with an average age of 15.64 years. Trauma was a significant etiological factor 57.14% (n = 16/28). Vertebral anomalies were present in 35.7% (n = 10/28) cases. Majority had a neurological deficit at presentation (n = 20/28). The most commonly involved level was the L4-L5 level (n = 18/128) in this series. Multiple level disc degeneration was present in eight patients (28.6%). Immediate postoperative relief was achieved in all but one patient. At long-term follow-up twenty patients were pain-free (71.4%). At follow-up, the physical functioning scale of SF-36 was significantly lower in patients with gross motor deficit prior to surgery.

Conclusions: Early diagnosis and adequate management contribute to a good outcome. In our study, trauma and presence of preexisting vertebral anomalies were significant factors in the etiogenesis of ALIVDH.

No MeSH data available.


Related in: MedlinePlus

Dermatome wise distribution of radicular pain
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Figure 1: Dermatome wise distribution of radicular pain

Mentions: Of a total of 3107 patients, who underwent surgery for LIVDH during the study period, there were a total number of 32 adolescent patients (1.03%). Among them, there were 26 males and six females. The age of patients ranged from 14 years and 2 months to 17 years and 8 months (mean 15.64 years). Four patients were excluded from analysis due to nonavailability of follow-up. Pain was the predominant presenting complaint in all patients in our series; radicular type alone was seen in 26 patients, while 22 patients had both radicular and local back pain. The back pain duration ranged from 7 days to 180 days (mean 77.3 days). Sixteen (57.14%) patients at the time of presentation had a motor deficit, ten had mild weakness while six presented with foot drop. The duration of weakness in these ranged from 3 days to 30 days (Mean 9.46 days). Twenty (71.4%) patients had sensory disturbance at presentation, 14 had hypoesthesia, and six had paresthesia. Only two patients had bladder disturbance at presentation both were catheterized outside before referral to our institute. The clinical presentation is summarized in Figures 1 and 2.


Adolescent prolapsed lumbar intervertebral disc: Management strategies and outcome.

Sarma P, Thirupathi RT, Srinivas D, Somanna S - J Pediatr Neurosci (2016 Jan-Mar)

Dermatome wise distribution of radicular pain
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4862283&req=5

Figure 1: Dermatome wise distribution of radicular pain
Mentions: Of a total of 3107 patients, who underwent surgery for LIVDH during the study period, there were a total number of 32 adolescent patients (1.03%). Among them, there were 26 males and six females. The age of patients ranged from 14 years and 2 months to 17 years and 8 months (mean 15.64 years). Four patients were excluded from analysis due to nonavailability of follow-up. Pain was the predominant presenting complaint in all patients in our series; radicular type alone was seen in 26 patients, while 22 patients had both radicular and local back pain. The back pain duration ranged from 7 days to 180 days (mean 77.3 days). Sixteen (57.14%) patients at the time of presentation had a motor deficit, ten had mild weakness while six presented with foot drop. The duration of weakness in these ranged from 3 days to 30 days (Mean 9.46 days). Twenty (71.4%) patients had sensory disturbance at presentation, 14 had hypoesthesia, and six had paresthesia. Only two patients had bladder disturbance at presentation both were catheterized outside before referral to our institute. The clinical presentation is summarized in Figures 1 and 2.

Bottom Line: At follow-up, the physical functioning scale of SF-36 was significantly lower in patients with gross motor deficit prior to surgery.Early diagnosis and adequate management contribute to a good outcome.In our study, trauma and presence of preexisting vertebral anomalies were significant factors in the etiogenesis of ALIVDH.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.

ABSTRACT

Objective: Lumbar intervertebral disc herniation (LIVDH) is rare in children and adolescents when compared to adults. In literature, children generally constitute around 0.5-3% of surgically treated LIVDH. Though much rarer, they are less likely to respond to conservative treatment than adults. In this study, we analyze our experience in the management of adolescent LIVDH (ALIVDH) (age group 12-18 years) including the demographic, clinico-radiological features; surgical management strategies and outcome.

Materials and methods: This retrospective analysis constituted all patients between 12 and 18 years, who underwent surgery for LIVDH at our institute over a period of 15 years from January 1999 to June 2014. The records of these patients were retrieved, and demographic features, clinical picture, radiological features, operative findings, and postoperative events were evaluated. Follow-up data were obtained either through direct clinical evaluation or mailed self-report questionnaire and telephone conversations. The long-term outcome was analyzed by using standardized and condition specific outcome scales in addition to routine clinical follow-up evaluation. The long-term outcome was analyzed by using the short form-36 (SF-36).

Results: There were a total of 32 patients (26 males, eight females) with an average age of 15.64 years. Trauma was a significant etiological factor 57.14% (n = 16/28). Vertebral anomalies were present in 35.7% (n = 10/28) cases. Majority had a neurological deficit at presentation (n = 20/28). The most commonly involved level was the L4-L5 level (n = 18/128) in this series. Multiple level disc degeneration was present in eight patients (28.6%). Immediate postoperative relief was achieved in all but one patient. At long-term follow-up twenty patients were pain-free (71.4%). At follow-up, the physical functioning scale of SF-36 was significantly lower in patients with gross motor deficit prior to surgery.

Conclusions: Early diagnosis and adequate management contribute to a good outcome. In our study, trauma and presence of preexisting vertebral anomalies were significant factors in the etiogenesis of ALIVDH.

No MeSH data available.


Related in: MedlinePlus