Surgical treatment of disc herniation in children and adolescents
Objective.To analyze the features of surgical treatment of children and adolescents with herniated discs and radicular compression symptoms. Material and Methods. A retrospective multicenter study of 34 patients with juvenile osteochondrosis with mean age of 15.4 years was performed. Surgical t...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"
2017-03-01
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| Series: | Хирургия позвоночника |
| Subjects: | |
| Online Access: | https://www.spinesurgery.ru/jour/article/view/171/311 |
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| author | Aleksandr A. Kuleshov Aleksandr V. Krutko Оlimdzhan S. Iskhakov Marchel S. Vetrile Medetbek D. Abakirov Aleksey V. Peleganchuk Andrey I. Vasilyev Igor N. Lisyansky Semyon V. Meshcheryakov Aleksey I. Kokorev |
| author_facet | Aleksandr A. Kuleshov Aleksandr V. Krutko Оlimdzhan S. Iskhakov Marchel S. Vetrile Medetbek D. Abakirov Aleksey V. Peleganchuk Andrey I. Vasilyev Igor N. Lisyansky Semyon V. Meshcheryakov Aleksey I. Kokorev |
| author_sort | Aleksandr A. Kuleshov |
| collection | DOAJ |
| description | Objective.To analyze the features of surgical treatment of children and adolescents with herniated discs and radicular compression
symptoms.
Material and Methods. A retrospective multicenter study of 34 patients with juvenile osteochondrosis with mean age of 15.4 years was
performed. Surgical treatment included disc puncture methods, microdiscectomy through posterior approach, anterior discectomy, dy-
namic and rigid stabilization, and replacement of the fibrous ring defect.
Results. Positive clinical effect with complete relief of pain was achieved in all cases. Paretic syndrome regressed completely in all patients.
All patients regained the level of physical activity in the next 2–3 months. Long-term follow-up was on average 45.5 months. No recurrence
of pain was noted during the follow-up period.
Conclusion. Surgical treatment of disc herniation in children results in the relief of pain and full functional recovery. Among surgical
methods, a preference should be given to microdiscectomy through minimally invasive surgical approaches. In the presence of indications,
both rigid stabilization of spinal motion segment at the level of decompression and dynamic stabilization can be performed, and the lat-
ter is more preferable. |
| first_indexed | 2024-03-12T07:20:23Z |
| format | Article |
| id | doaj.art-9002463fc2f04964a537e3fc67709b72 |
| institution | Directory Open Access Journal |
| issn | 1810-8997 2313-1497 |
| language | English |
| last_indexed | 2024-03-12T07:20:23Z |
| publishDate | 2017-03-01 |
| publisher | Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan" |
| record_format | Article |
| series | Хирургия позвоночника |
| spelling | doaj.art-9002463fc2f04964a537e3fc67709b722023-09-02T22:31:21ZengMinistry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"Хирургия позвоночника1810-89972313-14972017-03-01141687710.14531/ss2017.1.68-77Surgical treatment of disc herniation in children and adolescentsAleksandr A. Kuleshov0Aleksandr V. Krutko1Оlimdzhan S. Iskhakov2Marchel S. Vetrile3Medetbek D. Abakirov4Aleksey V. Peleganchuk5Andrey I. Vasilyev6Igor N. Lisyansky7Semyon V. Meshcheryakov8Aleksey I. Kokorev9Central Institute of Traumatology and Orthopaedics n.a. N.N. Priorov, Moscow, RussiaNovosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan, Novosibirsk, RussiaInstitute of Emergency Pediatric Surgery and Traumatology, Moscow, RussiaCentral Institute of Traumatology and Orthopaedics n.a. N.N. Priorov, Moscow, RussiaInstitute of Emergency Pediatric Surgery and Trauma- tology, Moscow, RussiaNovosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan, Novosibirsk, RussiaNovosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan, Novosibirsk, RussiaCentral Institute of Traumatology and Orthopaedics n.a. N.N. Priorov, Moscow, RussiaInstitute of Emergency Pediatric Surgery and Traumatology, Moscow, RussiaCentral Institute of Traumatology and Orthopaedics n.a. N.N. Priorov, Moscow, RussiaObjective.To analyze the features of surgical treatment of children and adolescents with herniated discs and radicular compression symptoms. Material and Methods. A retrospective multicenter study of 34 patients with juvenile osteochondrosis with mean age of 15.4 years was performed. Surgical treatment included disc puncture methods, microdiscectomy through posterior approach, anterior discectomy, dy- namic and rigid stabilization, and replacement of the fibrous ring defect. Results. Positive clinical effect with complete relief of pain was achieved in all cases. Paretic syndrome regressed completely in all patients. All patients regained the level of physical activity in the next 2–3 months. Long-term follow-up was on average 45.5 months. No recurrence of pain was noted during the follow-up period. Conclusion. Surgical treatment of disc herniation in children results in the relief of pain and full functional recovery. Among surgical methods, a preference should be given to microdiscectomy through minimally invasive surgical approaches. In the presence of indications, both rigid stabilization of spinal motion segment at the level of decompression and dynamic stabilization can be performed, and the lat- ter is more preferable.https://www.spinesurgery.ru/jour/article/view/171/311juvenile osteochondrosismicrodisectomydisc herniationartificial disc implantdisc puncture methodfibrous ring defectbarricaid closure device |
| spellingShingle | Aleksandr A. Kuleshov Aleksandr V. Krutko Оlimdzhan S. Iskhakov Marchel S. Vetrile Medetbek D. Abakirov Aleksey V. Peleganchuk Andrey I. Vasilyev Igor N. Lisyansky Semyon V. Meshcheryakov Aleksey I. Kokorev Surgical treatment of disc herniation in children and adolescents Хирургия позвоночника juvenile osteochondrosis microdisectomy disc herniation artificial disc implant disc puncture method fibrous ring defect barricaid closure device |
| title | Surgical treatment of disc herniation in children and adolescents |
| title_full | Surgical treatment of disc herniation in children and adolescents |
| title_fullStr | Surgical treatment of disc herniation in children and adolescents |
| title_full_unstemmed | Surgical treatment of disc herniation in children and adolescents |
| title_short | Surgical treatment of disc herniation in children and adolescents |
| title_sort | surgical treatment of disc herniation in children and adolescents |
| topic | juvenile osteochondrosis microdisectomy disc herniation artificial disc implant disc puncture method fibrous ring defect barricaid closure device |
| url | https://www.spinesurgery.ru/jour/article/view/171/311 |
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