Erschienen in:
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
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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.