Lumbar microdiscectomy in pediatric patients: a large single-institution series

Journal of Neurosurgery. Spine
Kevin S CahillMark R Proctor

Abstract

Lumbar disc herniation is a rare but significant cause of pain and disability in the pediatric population. Lumbar microdiscectomy, although routinely performed in adults, has not been described in the pediatric population. The objective of this study was to determine the surgical results of lumbar microdiscectomy in the pediatric population by analyzing the experiences at Children's Hospital Boston over the past decade. A series of 87 consecutive cases of lumbar microdiscectomy performed by the senior author (M.R.P.) from 1999 to 2008 were reviewed. Presenting symptoms, physical examination findings, and preoperative MR imaging findings were obtained from medical records. Immediate operative results were assessed including operative duration, blood loss, length of stay, and complications, along with long-term outcome and need for repeat surgery. This series represents the first surgical series of pediatric microdiscectomies. The mean patient age was 16.6 years (range 12-18 years) and 60% were female. The preoperative physical examination results were notable for motor deficits in 26% of patients, sensory changes in 41%, loss of deep tendon reflex in 22%, and a positive straight leg raise in 95%. Conservative management was the ...Continue Reading

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Citations

Jun 3, 2011·Journal of Neurosurgery. Pediatrics·Jonathan G ThomasAndrew Jea
Dec 19, 2012·Journal of Pediatric Neurosciences·Manish K Kasliwal, Harel Deutsch
Feb 2, 2012·The Physician and Sportsmedicine·Warren K Young, Pierre A d'Hemecourt
Jun 5, 2012·Clinics in Sports Medicine·Ying Li, M Timothy Hresko
Feb 8, 2011·The Spine Journal : Official Journal of the North American Spine Society·Bing WangIvan Cheng
Oct 2, 2015·Neurosurgical Focus·Michael F ShriverThomas E Mroz
Feb 24, 2015·The Spine Journal : Official Journal of the North American Spine Society·Tobias LagerbäckPaul Gerdhem
Aug 21, 2016·Clinics in Sports Medicine·Ralph W Cook, Wellington K Hsu
Feb 28, 2016·Sports Health·Tyler Christman, Ying Li
Feb 24, 2018·Journal of Neurosurgery. Pediatrics·Julio D MontejoMichael L DiLuna
Jun 24, 2017·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Tridu R HuynhDoniel Drazin
Nov 5, 2011·The Journal of the American Academy of Orthopaedic Surgeons·William F LavelleStephen A Albanese
Aug 25, 2019·Clinical Neurology and Neurosurgery·Ashley Laurence Bharat RaghuJothy Kandasamy
Jan 8, 2021·World Neurosurgery·Nir ShimonyLuis Rodriguez

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