Skip to main content
Erschienen in: European Spine Journal 2/2016

01.02.2016 | Original Article

Lumbar disc herniation surgery in children: outcome and gender differences

verfasst von: Fredrik Strömqvist, Björn Strömqvist, Bo Jönsson, Paul Gerdhem, Magnus K. Karlsson

Erschienen in: European Spine Journal | Ausgabe 2/2016

Einloggen, um Zugang zu erhalten

Abstract

Introduction

Lumbar disc herniation (LDH) in children is rare. Few studies have evaluated the outcome of surgery and none in a prospective study design.

Purpose

To evaluate preoperative disability and postoperative outcome in children operated on for LDH.

Methods

Through a 10-year period, 74 children aged <18 years were included in SweSpine register for LDH with pre- and perioperative data registered, 48 with 1-year follow-up data. Demographics and outcome measurements were described according to the SweSpine protocol.

Results

All patients reported preoperatively severe impairment in terms of pain, quality of life and function, girls to a higher extent. Significant postoperative improvement was seen in all patients, leaving no patients dissatisfied with outcome. The PROMS were 1 year after surgery within normal ranges, but remained slightly lower for girls.

Conclusion

Operative treatment of LDH in growing individuals leads to very good outcome with high degree of patient satisfaction.
Literatur
2.
Zurück zum Zitat Lagerback T, Elkan P, Moller H, Grauers A, Diarbakerli E, Gerdhem P (2015) An observational study on the outcome after surgery for lumbar disc herniation in adolescents compared with adults based on the Swedish Spine Register. Spine J 15:1241–1247. doi:10.1016/j.spinee.2015.02.024 PubMedCrossRef Lagerback T, Elkan P, Moller H, Grauers A, Diarbakerli E, Gerdhem P (2015) An observational study on the outcome after surgery for lumbar disc herniation in adolescents compared with adults based on the Swedish Spine Register. Spine J 15:1241–1247. doi:10.​1016/​j.​spinee.​2015.​02.​024 PubMedCrossRef
3.
Zurück zum Zitat Durham SR, Sun PP, Sutton LN (2000) Surgically treated lumbar disc disease in the pediatric population: an outcome study. J Neurosurg 92:1–6PubMedCrossRef Durham SR, Sun PP, Sutton LN (2000) Surgically treated lumbar disc disease in the pediatric population: an outcome study. J Neurosurg 92:1–6PubMedCrossRef
9.
Zurück zum Zitat Wahren H (1945) Herniated nucleus pulposus in a child of 12 years. Acta Orthop Scand 16:40–42PubMedCrossRef Wahren H (1945) Herniated nucleus pulposus in a child of 12 years. Acta Orthop Scand 16:40–42PubMedCrossRef
10.
Zurück zum Zitat Borgesen SE, Vang PS (1974) Herniation of the lumbar intervertebral disk in children and adolescents. Acta Orthop Scand 45:540–549PubMedCrossRef Borgesen SE, Vang PS (1974) Herniation of the lumbar intervertebral disk in children and adolescents. Acta Orthop Scand 45:540–549PubMedCrossRef
11.
Zurück zum Zitat Clarke NM, Cleak DK (1983) Intervertebral lumbar disc prolapse in children and adolescents. J Pediatr Orthop 3:202–206PubMedCrossRef Clarke NM, Cleak DK (1983) Intervertebral lumbar disc prolapse in children and adolescents. J Pediatr Orthop 3:202–206PubMedCrossRef
12.
Zurück zum Zitat DeLuca PF, Mason DE, Weiand R, Howard R, Bassett GS (1994) Excision of herniated nucleus pulposus in children and adolescents. J Pediatr Orthop 14:318–322PubMedCrossRef DeLuca PF, Mason DE, Weiand R, Howard R, Bassett GS (1994) Excision of herniated nucleus pulposus in children and adolescents. J Pediatr Orthop 14:318–322PubMedCrossRef
14.
Zurück zum Zitat Gennuso R, Humphreys RP, Hoffman HJ, Hendrick EB, Drake JM (1992) Lumbar intervertebral disc disease in the pediatric population. Pediatr Neurosurg 18:282–286PubMedCrossRef Gennuso R, Humphreys RP, Hoffman HJ, Hendrick EB, Drake JM (1992) Lumbar intervertebral disc disease in the pediatric population. Pediatr Neurosurg 18:282–286PubMedCrossRef
15.
Zurück zum Zitat Kurihara A, Kataoka O (1980) Lumbar disc herniation in children and adolescents. A review of 70 operated cases and their minimum 5-year follow-up studies. Spine 5:443–451PubMedCrossRef Kurihara A, Kataoka O (1980) Lumbar disc herniation in children and adolescents. A review of 70 operated cases and their minimum 5-year follow-up studies. Spine 5:443–451PubMedCrossRef
16.
Zurück zum Zitat Kurth AA, Rau S, Wang C, Schmitt E (1996) Treatment of lumbar disc herniation in the second decade of life. Eur Spine J 5:220–224PubMedCrossRef Kurth AA, Rau S, Wang C, Schmitt E (1996) Treatment of lumbar disc herniation in the second decade of life. Eur Spine J 5:220–224PubMedCrossRef
17.
Zurück zum Zitat Jorngarden A, Wettergen L, von Essen L (2006) Measuring health-related quality of life in adolescents and young adults: Swedish normative data for the SF-36 and the HADS, and the influence of age, gender, and method of administration. Health Qual Life Outcomes 4:91. doi:10.1186/1477-7525-4-91 PubMedPubMedCentralCrossRef Jorngarden A, Wettergen L, von Essen L (2006) Measuring health-related quality of life in adolescents and young adults: Swedish normative data for the SF-36 and the HADS, and the influence of age, gender, and method of administration. Health Qual Life Outcomes 4:91. doi:10.​1186/​1477-7525-4-91 PubMedPubMedCentralCrossRef
19.
Zurück zum Zitat Ng LC, Sell P (2004) Predictive value of the duration of sciatica for lumbar discectomy. A prospective cohort study. J Bone Joint Surg Br 86:546–549PubMed Ng LC, Sell P (2004) Predictive value of the duration of sciatica for lumbar discectomy. A prospective cohort study. J Bone Joint Surg Br 86:546–549PubMed
20.
Zurück zum Zitat Fairbank JC, Pynsent PB (2000) The Oswestry Disability Index. Spine 25:2940-2952; discussion 2952 Fairbank JC, Pynsent PB (2000) The Oswestry Disability Index. Spine 25:2940-2952; discussion 2952
22.
Zurück zum Zitat Gibson JN, Grant IC, Waddell G (1999) The Cochrane review of surgery for lumbar disc prolapse and degenerative lumbar spondylosis. Spine 24:1820–1832PubMedCrossRef Gibson JN, Grant IC, Waddell G (1999) The Cochrane review of surgery for lumbar disc prolapse and degenerative lumbar spondylosis. Spine 24:1820–1832PubMedCrossRef
24.
Zurück zum Zitat Lagerbäck T EP, Möller H, Grauers A, Diarbakerli E, Gerdhem P (2015) An observational study on outcome after surgery for lumbar disc herniation in adolescents compared with adults on the Swedish Spine Register. Spine J (in press) Lagerbäck T EP, Möller H, Grauers A, Diarbakerli E, Gerdhem P (2015) An observational study on outcome after surgery for lumbar disc herniation in adolescents compared with adults on the Swedish Spine Register. Spine J (in press)
25.
Zurück zum Zitat Papagelopoulos PJ, Shaughnessy WJ, Ebersold MJ, Bianco AJ Jr, Quast LM (1998) Long-term outcome of lumbar discectomy in children and adolescents 16 years of age or younger. J Bone Joint Surg Am 80:689–698PubMedCrossRef Papagelopoulos PJ, Shaughnessy WJ, Ebersold MJ, Bianco AJ Jr, Quast LM (1998) Long-term outcome of lumbar discectomy in children and adolescents 16 years of age or younger. J Bone Joint Surg Am 80:689–698PubMedCrossRef
26.
Zurück zum Zitat Gitelman A, Hishmeh S, Morelli BN, Joseph SA Jr, Casden A, Kuflik P, Neuwirth M, Stephen M (2008) Cauda equina syndrome: a comprehensive review. Am J Orthop 37:556–562PubMed Gitelman A, Hishmeh S, Morelli BN, Joseph SA Jr, Casden A, Kuflik P, Neuwirth M, Stephen M (2008) Cauda equina syndrome: a comprehensive review. Am J Orthop 37:556–562PubMed
Metadaten
Titel
Lumbar disc herniation surgery in children: outcome and gender differences
verfasst von
Fredrik Strömqvist
Björn Strömqvist
Bo Jönsson
Paul Gerdhem
Magnus K. Karlsson
Publikationsdatum
01.02.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
European Spine Journal / Ausgabe 2/2016
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-015-4149-x

Weitere Artikel der Ausgabe 2/2016

European Spine Journal 2/2016 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Knie-TEP: Kein Vorteil durch antibiotikahaltigen Knochenzement

29.05.2024 Periprothetische Infektionen Nachrichten

Zur Zementierung einer Knie-TEP wird in Deutschland zu über 98% Knochenzement verwendet, der mit einem Antibiotikum beladen ist. Ob er wirklich besser ist als Zement ohne Antibiotikum, kann laut Registerdaten bezweifelt werden.

Häusliche Gewalt in der orthopädischen Notaufnahme oft nicht erkannt

28.05.2024 Häusliche Gewalt Nachrichten

In der Notaufnahme wird die Chance, Opfer von häuslicher Gewalt zu identifizieren, von Orthopäden und Orthopädinnen offenbar zu wenig genutzt. Darauf deuten die Ergebnisse einer Fragebogenstudie an der Sahlgrenska-Universität in Schweden hin.

Fehlerkultur in der Medizin – Offenheit zählt!

28.05.2024 Fehlerkultur Podcast

Darüber reden und aus Fehlern lernen, sollte das Motto in der Medizin lauten. Und zwar nicht nur im Sinne der Patientensicherheit. Eine negative Fehlerkultur kann auch die Behandelnden ernsthaft krank machen, warnt Prof. Dr. Reinhard Strametz. Ein Plädoyer und ein Leitfaden für den offenen Umgang mit kritischen Ereignissen in Medizin und Pflege.

Mehr Frauen im OP – weniger postoperative Komplikationen

21.05.2024 Allgemeine Chirurgie Nachrichten

Ein Frauenanteil von mindestens einem Drittel im ärztlichen Op.-Team war in einer großen retrospektiven Studie aus Kanada mit einer signifikanten Reduktion der postoperativen Morbidität assoziiert.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.