Pediatrics severe low back pain by disc herniation: an uncommon entity
Abstract Background Common severe back pain due to disc herniation is rare in the paediatric population which involves children under eighteen years of age. Paediatric lumbar disc herniation (LDH) cannot be considered the same disease as in adults, as it has potentially different natural and clinica...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | Pediatric Rheumatology Online Journal |
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| Online Access: | https://doi.org/10.1186/s12969-023-00942-4 |
| _version_ | 1797363614444683264 |
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| author | Wendlassida Joelle Stéphanie Tiendrebeogo/Zabsonre Denlewende Sylvain Zabsonre Fulgence Kabore Abdoulaye Sanou Yakouba Haro Inoussa Zoungrana Dieu-Donné Ouedraogo |
| author_facet | Wendlassida Joelle Stéphanie Tiendrebeogo/Zabsonre Denlewende Sylvain Zabsonre Fulgence Kabore Abdoulaye Sanou Yakouba Haro Inoussa Zoungrana Dieu-Donné Ouedraogo |
| author_sort | Wendlassida Joelle Stéphanie Tiendrebeogo/Zabsonre |
| collection | DOAJ |
| description | Abstract Background Common severe back pain due to disc herniation is rare in the paediatric population which involves children under eighteen years of age. Paediatric lumbar disc herniation (LDH) cannot be considered the same disease as in adults, as it has potentially different natural and clinical backgrounds. The treatment of pediatric LDH is the other particularity of this condition. Indeed, in children, delaying surgery for a conservative treatment is justified. We report 3 cases treated in 8 years. Case presentation Three patients, two of whom were 14 years of age and one 17 years of age, were admitted for L5 or S1 lumbosciatica. A CT scan showed a lumbar disc herniation L5S1 associated with bi-isthmic lysis (and a transitional abnormality in 1 case or spina bifida occulta in 1 other case). The last patient had an magnetic resonance imaging (MRI) that showed a herniated L4L5 disc. The diagnosis of low back pain disc herniation was retained in two patients and that of disabling low back disc in one patient. Percutaneous discolysis in the two hyperalgesic cases and epidural corticosteroid infiltration in the disabling case were effective on lumbosciatica. Conclusion Paediatric common lomw back pain caused by a disc herniation with a hyperalgic or disabling character posed a therapeutic problem which were solved by the invasive approaches that must be given priority nowadays with children. |
| first_indexed | 2024-03-08T16:22:42Z |
| format | Article |
| id | doaj.art-c84158f3592c4dfbad889c414f324c7e |
| institution | Directory Open Access Journal |
| issn | 1546-0096 |
| language | English |
| last_indexed | 2024-03-08T16:22:42Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Pediatric Rheumatology Online Journal |
| spelling | doaj.art-c84158f3592c4dfbad889c414f324c7e2024-01-07T12:15:36ZengBMCPediatric Rheumatology Online Journal1546-00962024-01-012211510.1186/s12969-023-00942-4Pediatrics severe low back pain by disc herniation: an uncommon entityWendlassida Joelle Stéphanie Tiendrebeogo/Zabsonre0Denlewende Sylvain Zabsonre1Fulgence Kabore2Abdoulaye Sanou3Yakouba Haro4Inoussa Zoungrana5Dieu-Donné Ouedraogo6Rheumatology Department of Bogodogo, University Hospital of OuagadougouNeurosurgery Department of Yalgado, Ouedraogo University Hospital of OuagadougouRheumatology Department of Bogodogo, University Hospital of OuagadougouNeurosurgery Department of Yalgado, Ouedraogo University Hospital of OuagadougouNeurosurgery Department of Yalgado, Ouedraogo University Hospital of OuagadougouNeurosurgery Department of Yalgado, Ouedraogo University Hospital of OuagadougouRheumatology Department of Bogodogo, University Hospital of OuagadougouAbstract Background Common severe back pain due to disc herniation is rare in the paediatric population which involves children under eighteen years of age. Paediatric lumbar disc herniation (LDH) cannot be considered the same disease as in adults, as it has potentially different natural and clinical backgrounds. The treatment of pediatric LDH is the other particularity of this condition. Indeed, in children, delaying surgery for a conservative treatment is justified. We report 3 cases treated in 8 years. Case presentation Three patients, two of whom were 14 years of age and one 17 years of age, were admitted for L5 or S1 lumbosciatica. A CT scan showed a lumbar disc herniation L5S1 associated with bi-isthmic lysis (and a transitional abnormality in 1 case or spina bifida occulta in 1 other case). The last patient had an magnetic resonance imaging (MRI) that showed a herniated L4L5 disc. The diagnosis of low back pain disc herniation was retained in two patients and that of disabling low back disc in one patient. Percutaneous discolysis in the two hyperalgesic cases and epidural corticosteroid infiltration in the disabling case were effective on lumbosciatica. Conclusion Paediatric common lomw back pain caused by a disc herniation with a hyperalgic or disabling character posed a therapeutic problem which were solved by the invasive approaches that must be given priority nowadays with children.https://doi.org/10.1186/s12969-023-00942-4Low back painDisc herniationPediatricsDiscolysis |
| spellingShingle | Wendlassida Joelle Stéphanie Tiendrebeogo/Zabsonre Denlewende Sylvain Zabsonre Fulgence Kabore Abdoulaye Sanou Yakouba Haro Inoussa Zoungrana Dieu-Donné Ouedraogo Pediatrics severe low back pain by disc herniation: an uncommon entity Pediatric Rheumatology Online Journal Low back pain Disc herniation Pediatrics Discolysis |
| title | Pediatrics severe low back pain by disc herniation: an uncommon entity |
| title_full | Pediatrics severe low back pain by disc herniation: an uncommon entity |
| title_fullStr | Pediatrics severe low back pain by disc herniation: an uncommon entity |
| title_full_unstemmed | Pediatrics severe low back pain by disc herniation: an uncommon entity |
| title_short | Pediatrics severe low back pain by disc herniation: an uncommon entity |
| title_sort | pediatrics severe low back pain by disc herniation an uncommon entity |
| topic | Low back pain Disc herniation Pediatrics Discolysis |
| url | https://doi.org/10.1186/s12969-023-00942-4 |
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