EXCISION OF HERNIATED NUCLEUS PULPOSUS IN CHILDREN AND ADOLESCENTS

被引:52
作者
DELUCA, PF [1 ]
MASON, DE [1 ]
WEIAND, R [1 ]
HOWARD, R [1 ]
BASSETT, GS [1 ]
机构
[1] ALFRED I DUPONT INST,EDITORIAL SERV,POB 269,WILMINGTON,DE 19899
关键词
ADOLESCENTS; CHILDREN; DISKECTOMY; HERNIATED NUCLEUS PULPOSUS; LUMBAR DISC DISEASE;
D O I
10.1097/01241398-199405000-00008
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Eighty-eight patients were treated at the Alfred I. duPont Institute for disc disease from 1940 to 1989. Forty-eight patients, with an average age of 16 years, underwent discectomy. Twenty-three patients were followed for an average of 6 years after initial presentation. Thirteen patients, with an average age of 15 years, and who had radiographic documentation of disc disease, were treated nonoperatively. Eight patients were followed for an average of 6.3 years. The results of discectomy were rated as excellent or good in 91% of the patients, and poor in 9% at follow-up. In the patients treated nonoperatively, the results were rated as excellent or good in 25%, and poor in 75%. Our 6 year follow-up study suggests that discectomy yields excellent to good long-term results in children and adolescents.
引用
收藏
页码:318 / 322
页数:5
相关论文
共 12 条
[1]
Borgesen S.E., Vang P.S., Herniation of the lumbar intervertebral disc in children and adolescents, Acta Orthop Scand, 45, pp. 540-549, (1974)
[2]
Bradford D.S., Garcia A., Lumbar intervertebral disc herniations in children and adolescents, Orthop Clin North Am, 2, pp. 584-589, (1977)
[3]
Clarke N., Cleak D.K., Intervertebral lumbar disc prolapse in children and adolescents, J Pediatr Orthop, 3, pp. 202-206, (1983)
[4]
Deorio J.K., Bianco A.J., Lumbar disc excision in children and adolescents, J Bone Joint Surg [Am], 64, pp. 991-996, (1986)
[5]
Gurdjian E.S., Webster J.E., Ostrowski A.Z., Hardy W.G., Lindner D.W., Thomas L.M., Herniated lumbar intervertebral discs. An analysis of 1176 operated cases, J Trauma, 1, pp. 158-176, (1961)
[6]
Key J.A., Intervertebral disc lesions in children and adolescents, J Bone Joint Surg [Am], 32, pp. 97-102, (1950)
[7]
Kurihara A., Kataoka O., Lumbar disc herniation in children and adolescents. A review of 70 operated cases and their minimal 5-year follow-up studies, Spine, 5, pp. 443-451, (1980)
[8]
Nashold B.S., Zdenek H., Lumbar Disc Disease: A Twenty-Year Clinical Follow-Up Study, (1971)
[9]
Russwurm H., Bjeakreim I., Ronglan E., Lumbar intervertebral disc in children and adolescents, Acta Orthop Scand, 45, pp. 540-544, (1974)
[10]
Taylor T., Proceedings of the New Zealand Orthopaedic Association, J Bone Joint Surg [Br], 53, (1971)