Diagnosis and treatment of lumbar disc herniation in teenagers: a clinical analysis of 40 cases
- VernacularTitle:青少年型腰椎间盘突出症的诊断及治疗(附40例临床分析)
- Author:
Jingfeng LI
;
Hongxing SHEN
;
Jie ZHAO
;
Tiesheng HOU
- Publication Type:Journal Article
- Keywords:
adolescent;
lumbar disc herniation;
diagnosis;
treatment
- From:
Academic Journal of Second Military Medical University
2001;0(09):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the pathogenesis, clinical feature and alternative approach of lumbar disc herniation in teenagers. Methods: The clinical data of 40 inpatients (age ≤21 years, admitted in Changhai Hospital from 1993 to 2001) with lumbar disc herniation were retrospectively reviewed. Of them, 7 patients received conservative treatment and the remaining underwent operation, including interlaminar partial laminotomy on one side (16 patients), hemilaminar laminotomy (14 patients) and interlaminar partial laminotomy on both sides (3 patients). All patients were followed up for 3 to 10 (4.2?0.6) years. Follow-up evalutions were performed via clinical visits. The Japanese Orthopaedic Association's evaluation system for lower back pain syndrome (JOA score) was used to evaluate the outcomes. Results: The lumbar and leg pain was released in all 40 patients after therapy. There was no deterioration of symptoms in the operative groups. During the follow-up, 8 patients had occasional low back pain but it did not affect their lives, 2 patients in the non-operative group had numbness, and no patients had lumbar degeneration in the operative groups. The improvement of JOA score was more significant in operative groups than in the non-operative group. There were significant differences in JOA scores before and after treatment in all groups (P
