File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Percutaneous endoscopic lumbar discectomy in lumbar disc herniation with posterior ring apophysis fracture: A case report in a 15-year-old child

TitlePercutaneous endoscopic lumbar discectomy in lumbar disc herniation with posterior ring apophysis fracture: A case report in a 15-year-old child
Authors
Keywordscase report
lumbar disc herniation
pediatric
percutaneous endoscopic lumbar discectomy
posterior ring apophysis fracture
Issue Date30-Oct-2023
PublisherLippincott, Williams & Wilkins
Citation
Medicine, 2023, v. 102, n. 52, p. E36213 How to Cite?
Abstract

Rationale: 

Lumbar disc herniation (LDH) with posterior ring apophysis fracture (PRAF) is rather rare in children, and in all age-stratified LDH patients, the incidence of RAF was 5.3% to 7.5%. Interestingly, the incidence of LDH with RAF in children (15%–32%) is several times higher than in adults, the mis-diagnosis of which may lead to delayed treatment.

Patient concerns: 

Here, we report a 15-year-old schoolboy who suffered from sudden low back pain and radiating pain in both lower limbs after sport activities. Symptoms persisted after 3 months of conservative treatment. Computer radiography and magnetic resonance imaging indicated central disc herniation with PRAF at L4-5.

Diagnosis: 

LDH with PRAF.

Interventions: 

The herniated disc and epiphyseal fragments were successfully excised by the percutaneous endoscopic lumbar discectomy minimal-invasive technique.

Outcomes: 

Surgery was successful. Symptoms were immediately relieved postoperatively with a wound of only about 7.0 mm. Discharged on the next day. No perioperative complications occurred. Moreover, the imaging and clinical outcomes were also more satisfactory during the post-operative 15 months outpatient follow-up.

Lessons: 

Pediatric LDH with PRAF is extremely uncommon, and there is a lack of training among physicians for such cases, which may lead to delayed diagnosis and treatment. Once a diagnosis for LDH with PRAF is established, percutaneous endoscopic lumbar discectomy is a safe and effective minimally invasive treatment to be considered, and we hope that this technique can provide more assistance in the future.


Persistent Identifierhttp://hdl.handle.net/10722/340083
ISSN
2023 Impact Factor: 1.3
2023 SCImago Journal Rankings: 0.441
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorZhang, B-
dc.contributor.authorChen, P-
dc.contributor.authorZhong, J-
dc.contributor.authorTo, MK-
dc.contributor.authorCheung, KM-
dc.contributor.authorWu, J-
dc.date.accessioned2024-03-11T10:41:32Z-
dc.date.available2024-03-11T10:41:32Z-
dc.date.issued2023-10-30-
dc.identifier.citationMedicine, 2023, v. 102, n. 52, p. E36213-
dc.identifier.issn0025-7974-
dc.identifier.urihttp://hdl.handle.net/10722/340083-
dc.description.abstract<h3>Rationale: </h3><p>Lumbar disc herniation (LDH) with posterior ring apophysis fracture (PRAF) is rather rare in children, and in all age-stratified LDH patients, the incidence of RAF was 5.3% to 7.5%. Interestingly, the incidence of LDH with RAF in children (15%–32%) is several times higher than in adults, the mis-diagnosis of which may lead to delayed treatment.</p><h3>Patient concerns: </h3><p>Here, we report a 15-year-old schoolboy who suffered from sudden low back pain and radiating pain in both lower limbs after sport activities. Symptoms persisted after 3 months of conservative treatment. Computer radiography and magnetic resonance imaging indicated central disc herniation with PRAF at L4-5.</p><h3>Diagnosis: </h3><p>LDH with PRAF.</p><h3>Interventions: </h3><p>The herniated disc and epiphyseal fragments were successfully excised by the percutaneous endoscopic lumbar discectomy minimal-invasive technique.</p><h3>Outcomes: </h3><p>Surgery was successful. Symptoms were immediately relieved postoperatively with a wound of only about 7.0 mm. Discharged on the next day. No perioperative complications occurred. Moreover, the imaging and clinical outcomes were also more satisfactory during the post-operative 15 months outpatient follow-up.</p><h3>Lessons: </h3><p>Pediatric LDH with PRAF is extremely uncommon, and there is a lack of training among physicians for such cases, which may lead to delayed diagnosis and treatment. Once a diagnosis for LDH with PRAF is established, percutaneous endoscopic lumbar discectomy is a safe and effective minimally invasive treatment to be considered, and we hope that this technique can provide more assistance in the future.</p>-
dc.languageeng-
dc.publisherLippincott, Williams & Wilkins-
dc.relation.ispartofMedicine-
dc.subjectcase report-
dc.subjectlumbar disc herniation-
dc.subjectpediatric-
dc.subjectpercutaneous endoscopic lumbar discectomy-
dc.subjectposterior ring apophysis fracture-
dc.titlePercutaneous endoscopic lumbar discectomy in lumbar disc herniation with posterior ring apophysis fracture: A case report in a 15-year-old child-
dc.typeArticle-
dc.identifier.doi10.1097/MD.0000000000036213-
dc.identifier.scopuseid_2-s2.0-85181511358-
dc.identifier.volume102-
dc.identifier.issue52-
dc.identifier.spageE36213-
dc.identifier.eissn1536-5964-
dc.identifier.isiWOS:001134264400014-
dc.identifier.issnl0025-7974-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats