AI Article Synopsis
- Common severe back pain from disc herniation in children under 18 is rare and differs from adult cases, requiring specific treatment approaches.
- Three cases of lumbar disc herniation were presented in patients aged 14 and 17, diagnosed through CT and MRI scans, leading to targeted treatments.
- Effective interventions included percutaneous discolysis for two patients with severe pain and epidural corticosteroid infiltration for one case, highlighting the need for prioritized invasive treatments in pediatric patients.
Article Abstract
Background: Common severe back pain due to disc herniation is rare in the paediatric population which involves children under eighteen years of age. Paediatric lumbar disc herniation (LDH) cannot be considered the same disease as in adults, as it has potentially different natural and clinical backgrounds. The treatment of pediatric LDH is the other particularity of this condition. Indeed, in children, delaying surgery for a conservative treatment is justified. We report 3 cases treated in 8 years.
Case Presentation: Three patients, two of whom were 14 years of age and one 17 years of age, were admitted for L5 or S1 lumbosciatica. A CT scan showed a lumbar disc herniation L5S1 associated with bi-isthmic lysis (and a transitional abnormality in 1 case or spina bifida occulta in 1 other case). The last patient had an magnetic resonance imaging (MRI) that showed a herniated L4L5 disc. The diagnosis of low back pain disc herniation was retained in two patients and that of disabling low back disc in one patient. Percutaneous discolysis in the two hyperalgesic cases and epidural corticosteroid infiltration in the disabling case were effective on lumbosciatica.
Conclusion: Paediatric common lomw back pain caused by a disc herniation with a hyperalgic or disabling character posed a therapeutic problem which were solved by the invasive approaches that must be given priority nowadays with children.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10759530 | PMC |
| http://dx.doi.org/10.1186/s12969-023-00942-4 | DOI Listing |
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