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Lumbar Disc Prolapse in Adolescent Patients

Research Abstract
Abstract Objective: To discusses the surgical treatment of prolapsed lumber intervertebral disc in adolescents and its long-term results (PLID). Background: PLID is very rare in adolescence. Heavy lifting and trauma are the main causes; back pain and radicular pain are the most common clinical presentations, and surgical treatment gives satisfactory outcome after failure of conservative treatment. Methods: During period from January 2014-January 2019 twenty patients between 14 - 20 years old underwent for lumbar disc surgery in Neurosurgery department, Hadramawt University, Yemen, 18 patients were males while 2 were females. Results: Twenty patients 18 males (80%) while 2 females (20%) all patients have low back pain (100%), unilateral sciatica in (90%), bilateral sciatica in (10%) and sphincter disturbance in (10%). The most common affected level is L4/5 represent (80%) while L5/S1 (20%), partial lumbar laminectomy in (40%) and microdiscectomy and fenestration in (60%). Complication rate was (15%) and recurrence only (5%). Conclusion: PLID in adolescence is very rare; back pain and sciatica were the main clinical presentation. Meticulous surgical procedures give satisfactory outcome and excellent result.
Research Authors
Khalid Bin Madhi, Ghaleb Awadh, Mohamed A. Ragaee
Research Department
Research Journal
Open Journal of Modern Neurosurgery
Research Pages
472-479
Research Publisher
NULL
Research Rank
1
Research Vol
9
Research Website
https://www.scirp.org/journal/ojmn
Research Year
2019