Lumbar disc herniations in children: a long-term clinical and magnetic resonance imaging follow-up study

Luukkonen, K. Partanen M.

doi:10.1080/02688699746041

Cited by 24 publications

(9 citation statements)

References 21 publications

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“…The actual incidence of adolescent HIVD is difficult to establish due to the following reasons. First, published series adopted different ranges of age 4,7,10,11. When an upper limit of 15 years was adopted, an epidemiologic study, following 12058 Finnish babies from birth until 28 years of age, showed no prevalence of confirmed HIVD.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Geographic Distribution of Herniated Intervertebral Disc in Korean 19-Year-Old Male from 2008 to 2009: A Study Based on Korean Conscription -National and Geographic Prevalence of Herniated Intervertebral Disc in Korean 19YO Male-

Lee

Yoon

et al. 2013

Yonsei Med J

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PurposeThis study was to determine the prevalence of herniated intervertebral disc (HIVD) among Korean 19-year-old male in a large national sample and to compare the prevalence across geographic regions based on the data of conscription.Materials and MethodsWe analyzed the conscription data of 615508 cases who were 19-year-old male, given an examination for conscription at nationwide Korean Military Manpower Administration from January 2008 to December 2009. Prevalence was determined by dividing the number of cases by the number of persons enrolled for 2 years. The analyses included of a cross-tabulations and nonparametric chi-square to compare the prevalence according to geographic region, disc severity, and conscription year.ResultsThe prevalence of HIVD among 19-year-old male was 0.47%. Seoul had the highest prevalence of HIVD (total HIVD was 0.60%, and severe HIVD was 0.44%). The prevalence of HIVD was lower in Jeollabuk-do and Jeollanam-do (total HIVD was 0.25-0.27%, and severe HIVD was 0.16-0.17%). Annual prevalence of HIVD was slightly decreased in 2009, but geographic distribution annually was not different.ConclusionIn Korean 19-year-old male, the national prevalence of adolescent HIVD was 0.60%, but different geographic distribution was observed. It is quite possible that secondary contributing factor(s) interfere with the different geographic prevalence of HIVD.

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Section: Discussionmentioning

confidence: 99%

Prevalence and Geographic Distribution of Herniated Intervertebral Disc in Korean 19-Year-Old Male from 2008 to 2009: A Study Based on Korean Conscription -National and Geographic Prevalence of Herniated Intervertebral Disc in Korean 19YO Male-

Lee

Yoon

et al. 2013

Yonsei Med J

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“…Prevalence studies have reported that 0.5-6.8% of all patients hospitalized for LDH are pediatric cases 3 , 7 , 8 , 13 , 14 , 16 , 21 , 27 , 31) . However, the real prevalence of adolescent LDH is difficult to establish for various reasons, for example, the different age ranges adopted in published series 4 , 13 , 19 , 21) . A literature review revealed that one previous study addressed the prevalence of Korean adolescent LDH 14) .…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Lumbar Disc Herniation in Adolescent Males in Seoul, Korea: Prevalence of Adolescent LDH in Seoul, Korea

Kim

Lee

et al. 2011

Korean J Spine

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ObjectiveThe authors surveyed the prevalence and the clinical character of lumbar disc herniation (LDH) in Korean male adolescents, and the usefulness of current conscription criteria.MethodsThe data of 39,673 nineteen-year-old males that underwent a conscription examination at the Seoul Regional Korean Military Manpower Administration (MMA) from October 2010 to May 2011 were investigated. For those diagnosed as having lumbar disc herniation, prevalences, subject characteristics, herniation severities, levels of herniation, and modified Korean Oswestry low back pain disability scores by MMA physical grade were evaluated. The analysis was performed using medical certificates, medical records, medical images, and electromyographic and radiologic findings.ResultsThe prevalence of adolescent LDH was 0.60%(237 of the 39,673 study subjects), and the prevalence of serious adolescent LDH with thecal sac compression or significant discogenic spinal stenosis was 0.28%(110 of the 39,673 study subjects). Of the 237 adolescent LDH cases, 105 (44.3%) were of single level LDH and 132 (55.7%) were of multiple level LDH, and the L4-5 level was the most severely and frequently affected. Oswestry back pain disability scores increased with herniation severity (p<0.01), and were well correlated with MMA grade.ConclusionsIn this large cohort of 19-year-old Korean males, the prevalence of adolescent LDH was 0.60% and the prevalence of serious adolescent LDH, which requires management, was relatively high at 0.28%. MMA physical grade was confirmed to be a useful measure of the disability caused by LDH.

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“…Особенно актуален данный вопрос у детей и подростков, так как полное или максимальное удаление диска в данном случае считается неоправданным. Так, по данным Luukkonen et al [18], это может привести к повторному стенозу невральных структур в связи с резким снижением высоты диска и развитию дегенеративных изменений в смежных сегментах. Кроме того, по данным Ishihara et al [11].…”

Section: результаты и их обсуждениеunclassified

Surgical Treatment of Disc Herniation in Children and Adolescents

Kuleshov¹,

Krutko²,

Исхаков³

et al. 2017

Hir. pozvonoč.

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Objective.To analyze the features of surgical treatment of children and adolescents with herniated discs and radicular compression symptoms. Material and Methods. A retrospective multicenter study of 34 patients with juvenile osteochondrosis with mean age of 15.4 years was performed. Surgical treatment included disc puncture methods, microdiscectomy through posterior approach, anterior discectomy, dynamic and rigid stabilization, and replacement of the fibrous ring defect. Results. Positive clinical effect with complete relief of pain was achieved in all cases. Paretic syndrome regressed completely in all patients. All patients regained the level of physical activity in the next 2-3 months. Long-term follow-up was on average 45.5 months. No recurrence of pain was noted during the follow-up period. Conclusion. Surgical treatment of disc herniation in children results in the relief of pain and full functional recovery. Among surgical methods, a preference should be given to microdiscectomy through minimally invasive surgical approaches. In the presence of indications, both rigid stabilization of spinal motion segment at the level of decompression and dynamic stabilization can be performed, and the latter is more preferable.

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Lumbar disc herniations in children: a long-term clinical and magnetic resonance imaging follow-up study

Cited by 24 publications

References 21 publications

Prevalence and Geographic Distribution of Herniated Intervertebral Disc in Korean 19-Year-Old Male from 2008 to 2009: A Study Based on Korean Conscription -National and Geographic Prevalence of Herniated Intervertebral Disc in Korean 19YO Male-

Prevalence and Geographic Distribution of Herniated Intervertebral Disc in Korean 19-Year-Old Male from 2008 to 2009: A Study Based on Korean Conscription -National and Geographic Prevalence of Herniated Intervertebral Disc in Korean 19YO Male-

Prevalence of Lumbar Disc Herniation in Adolescent Males in Seoul, Korea: Prevalence of Adolescent LDH in Seoul, Korea

Surgical Treatment of Disc Herniation in Children and Adolescents

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