| Lumbar Disc Herniation in Adolescents: Clinical and Radiological Characteristics |
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Dong Yeob Lee, M.D., Yong Ahn, M.D. and Sang-Ho Lee, M.D. |
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Department of Neurosurgery, Wooridul Spine Hospital, Seoul, Korea |
| 청소년기 요추 추간판탈출증: 임상적, 방사선학적 특징 |
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이동엽, 안용, 이상호 |
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우리들병원 신경외과 |
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| Abstract |
Objective
To evaluate clinical and radiological characteristics of surgically treated lumbar disc herniation in adolescents.
Methods
The authors retrospectively analyzed 147 adolescents between 13 and 18 years who underwent decompressive surgery for lumbar disc herniation(open discectomy or endoscopic discectomy) from June 2000 to May 2002. Adult(40 to 49 years, 122 cases) and the elderly(60 to 69 years, 71 cases) with lumbar disc herniation who underwent same surgical treatment were used as control groups.
Results
Lumbar disc herniation was more common in late adolescent(mean age at surgery: 18.0 years, 13節15 years: 16.4%, 16節18 years: 83.6%). Ninety(60.9%) were male and 56(39.1%) were female. Sixty one percent of patients had low back and leg pain, and 39% complained leg pain only. Mean duration of symptom was 7 months(range 1 to 48 months). Most(95.2%) disc herniations were at either L4-5 or L5-S1. The location of disc was paracentral or central, whereas none of the patients showed foraminal or extraforaminal disc herniation. Compared with the adult and elderly groups, the incidence of upper lumbar disc herniation and foraminal/extraforaminal disc herniation increased with increasing age.
Conclusion
Topographical findings of lumbar disc herniation in adolescents differ from those of the adult and elderly.
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| Keywords:
Lumbar, Disc herniation, Adolescent |
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