Professional paper

Lumbar disc herniation in children

Dino Budrovac ; Sveučilište "Josip Juraj Strossmayer", Medicinski fakultet Osijek
Sanja Hadžić ; Sveučilište "Josip Juraj Strossmayer", Medicinski fakultet Osijek
Nikola Gotovac ; Opća županijska bolnica Požega
Andrea Šimić Klarić orcid.org/0000-0002-7091-8613 ; Opća županijska bolnica Požega

Abstract

Lumbar disc herniation occurs more likely in adults than in children, with the most common pathology site at L4-L5 lumbar level. Our patient was a 16 years and 4 months old girl with pain in her lumbar region and numbness in her legs that occurred two to three years ago. During the neurological examination, decreased, symmetrical tendon reflexes of the lower extremities were found. Muscle power in the legs was reduced with bilateral positive Lasseque’s sign. Magnetic resonance of lumbar spine showed narrowing of the intervertebral space at L4-L5 level with focal dorsomedial protrusion of the intervertebral disc within 6 mm outside of the bone frame and with neural structures compression. There was sensory impairment in
the lower extremities. Electroneuromyography showed chronic neural lesion. The girl was treated conservatively, but with only partial response. Lumbar disc herniation is the entity that deserves more attention in children because early diagnosis provides adequate therapy and enables avoiding possible complications as well as invasive therapy.

Keywords

lumbar disc herniation; low back pain; children; conservative treatment

Hrčak ID:

122465

URI

https://hrcak.srce.hr/122465

Publication date:

2.6.2014.

Article data in other languages: croatian

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