Intervertebral disc calcification in childhood

Ventura, N.; Huguet, R.; Salvador, A.; Terricabras, L.; Cabrera, Atenea Morcillo

doi:10.1007/bf00181112

Cited by 23 publications

(10 citation statements)

References 21 publications

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“…In contrast, calcified intervertebral discitis is a relatively uncommon disorder in childhood. The average age of presentation in juvenile intervertebral disc calcification is 8 years (6-10 years [4,7,8]), although it may occur from birth to adolescence. Boys seem to be more commonly affected than girls, but there is no significant difference in gender [9][10][11].…”

Section: Discussionmentioning

confidence: 99%

Thoracolumbar intervertebral disc calcifications in an 8-year-old boy: case report and review of the literature

Spapens¹,

Wouters²,

Moens³

2009

Eur J Pediatr

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An 8-year-old boy presented himself with a nontraumatic acute onset of thoracolumbar pain with an antalgic scoliosis. His past medical history did not reveal any infectious disorder. The back pain kept him from sleep and sports. Imaging revealed calcified intervertebral discs from thoracic intervertebral disc 10-11 to lumbar disc 2-3, with compression of the 11th thoracic root. Conservative treatment with analgesia, nonsteroidal anti-inflammatory drugs, and rest reduced the symptoms within a few days. The boy became asymptomatic within 2 weeks. Magnetic resonance imaging changes diminished in 2 months. Intervertebral disc calcification in children is a rare benign disorder which mostly affects the cervical spine. This is the first case, to our knowledge, of symptomatic intervertebral disc calcification involving the lumbar spine up to lumbar disc 2-3.

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Section: Discussionmentioning

confidence: 99%

Thoracolumbar intervertebral disc calcifications in an 8-year-old boy: case report and review of the literature

Spapens¹,

Wouters²,

Moens³

2009

Eur J Pediatr

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“…51 Boys seem to be slightly more often affected than girls. 52,53,55 The average age at diagnosis is 7-8 years, with a range of 7 days to 20 years. 51,53,56 Disk calcification in children can be seen as part of a syndrome or disease, such as Morquio syndrome, I cell disease, Patau syndrome, congenital or acquired vertebral fusion, hyperparathyroidism and other hypercalcemic states, osteomyelitis, tuberculosis, and diskitis.…”

Section: Disk Calcificationmentioning

confidence: 99%

Imaging of Back Pain in Children

Rodriguez¹,

Poussaint²

2009

AJNR Am J Neuroradiol

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SUMMARY:While back pain presents less frequently in children than in adults, it still poses a significant clinical challenge with respect to making a firm diagnosis and developing an effective treatment plan. When children have back pain and medical attention is sought, an underlying pathology is usually suspected. Pediatric patients are evaluated, first, with a complete clinical history and examination and, second, by an imaging work-up that is based on initial findings, including the child's age and size, signs and symptoms, and suspected etiology. This article describes 1) the epidemiology of back pain in children, 2) the imaging work-up used, and 3) the correlation of imaging findings with disease entities that may cause back pain in the pediatric patient. The list of diseases giving rise to back pain is not meant to be exhaustive but rather reflective of the most commonly identified pathologies and disorders among young children and adolescents, from athletic injuries to lethal cancers.ABBREVIATIONS: ALARA ϭ as low as reasonably achievable; ESR ϭ erythrocyte sedimentation rate; FSE ϭ fast spin-echo; 18 F ϭ fluorine 18; LCH ϭ Langerhans cell histiocytosis; LDH ϭ lactate dehydrogenase; MBP ϭ mechanical back pain; PET ϭ positron-emission tomography; RFA ϭ radio-frequency ablation, SPECT ϭ single-photon emission computed tomography; STIR ϭ short tau inversion recovery; 99m Tc-MDP ϭ technetium 99m methylene diphosphonate; WHO ϭ World Health Organization B ack pain in children presents less frequently than in adults. The incidence of back pain in adults has been estimated to be as high as 60%-80% 1 ; the actual incidence of back pain in children, however, is unknown. Back pain in children presenting to the emergency department was originally thought to be an uncommon complaint, 2 reflecting significant underlying pathology compared with adults. Although recent studies have shown an increased prevalence of back pain in children, [3][4][5][6][7] relatively few patients receive medical attention.

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“…In most cases, the calcification disappears spontaneously within a few weeks to months, although in a few cases it may persist. [3][4][5][6]8 In our case with myelopathy, the calcification persisted even after 5 years, although she was otherwise symptom free after laminoplasty.…”

Section: Discussionmentioning

confidence: 49%

“…2 Since then, more than 227 cases have been reported. 3 Pediatric intervertebral disc calcification is more common in boys than in girls. The peak incidence has been from 6 to 10 years of age (mean age, 8 years).…”

Section: Discussionmentioning

confidence: 99%

“…[4][5][6][7] The etiology of this entity is not clear, although a mild upper respiratory tract infection or injury may be associated. [3][4][5][6][7][8] Theories explaining the symptoms associated with disc calcification in children include an elevated hydrostatic pressure within the disc, nutritional disturbances in the nucleus pulposus arising from vascular impairment, inflammation of the disc, and protrusion of the intervertebral disc into the spinal canal. 9 Plain radiographs are often normal in this disease.…”

Section: Discussionmentioning

confidence: 99%

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Calcified intervertebral disc herniation in a child with myelopathy treated with laminoplasty

2005

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Study design: Case report. Objective: To describe a case of pediatric calcified intervertebral disc herniations at the cervical-thoracic junction surgically treated with laminoplasty. Methods: A 13-year-old girl with calcified intervertebral disc herniations at C7/Th1 and Th1/2 causing myelopathy was performed with laminoplasty . Results: Postoperative course was without complication, and the neurologic examination returned to a completely normal state at 5 years to date after surgery. Conclusions: Laminoplasty produced an excellent result and is a consideration for treatment of similar cases of calcified intervertebral disc herniation.Spinal Cord (2005) 43, 680-683.

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Intervertebral disc calcification in childhood

Cited by 23 publications

References 21 publications

Thoracolumbar intervertebral disc calcifications in an 8-year-old boy: case report and review of the literature

Thoracolumbar intervertebral disc calcifications in an 8-year-old boy: case report and review of the literature

Imaging of Back Pain in Children

Calcified intervertebral disc herniation in a child with myelopathy treated with laminoplasty

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