Extreme lateral lumbar disc herniation in a 12-year child: case report and review of the literature

被引:1
作者
Sheng-Dan Jiang
Lei-Sheng Jiang
Li-Yang Dai
机构
[1] Shanghai Jiaotong University School of Medicine,Department of Orthopedic Surgery, Xinhua Hospital
来源
European Spine Journal | 2010年 / 19卷
关键词
Extreme lateral lumbar disc herniation; Child; Surgery;
D O I
暂无
中图分类号
学科分类号
摘要
Extreme lateral lumbar disc herniations (ELLDHs) occur more frequently among elderly patients, with a peak incidence in the sixth decade, and are rarely found in children. The patient presented is a 12-year-old boy with a 3-month history of right-sided leg pain. Computerized tomography and magnetic resonance imaging demonstrated an extreme lateral disc herniation on the right at L4–L5 with compression of the L4 nerve root. He subsequently underwent removal of extreme lateral herniated disc through an intertransverse approach under general anesthesia. At 11-month follow-up, the patient maintained resolution of preoperative symptoms and a neurological examination revealed no sensory or motor deficit. Surgical intervention may be indicated for patients with ELLDHs that fail with conservative treatment.
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页码:197 / 199
页数:2
相关论文
共 59 条
[1]  
Abdullah AF(1974)Extreme-lateral lumbar disc herniations. Clinical syndrome and special problems of diagnosis J Neurosurg 41 229-234
[2]  
Ditto EW(1988)Surgical management of extreme lateral lumbar disc herniations: review of 138 cases Neurosurgery 22 648-653
[3]  
Byrd EB(2004)Far-lateral lumbar disc herniation: the microsurgical transmuscular approach Neurosurgery 54 939-942
[4]  
Williams R(1995)Far lateral disc herniations treated by microscopic fragment excision: techniques and results Spine 20 1500-1505
[5]  
Abdullah AF(1995)Different surgical approaches to far lateral lumbar disc herniations J Spinal Disord 8 383-394
[6]  
Wolber PG(1995)Evaluation of varied surgical approaches used in the management of 170 far-lateral lumbar disc herniations: indications and results J Neurosurg 83 648-656
[7]  
Warfield JR(2002)Foraminal and far lateral lumbar disc herniations: surgical alternatives and outcome measures Spinal Cord 40 491-500
[8]  
Gunadi IK(1990)Diagnosis and microsurgical approach to far-lateral disc herniation in the lumbar spine J Neurosurg 72 378-382
[9]  
Tessitore E(1997)Far lateral lumbar disc herniation. The key to the intertransverse approach J Bone Joint Surg Br 79 943-947
[10]  
de Tribolet N(1999)Far-lateral disc herniations: the results of conservative management J Spinal Disord 12 138-140