Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지
DOI QR코드

DOI QR Code

Lumbar Disc Herniation in Tae Kwon Do Athletic Child

  • Kim, Sung-Hoon (Department of Rehabilitation, Wonju College of Medicine, Yonsei University) ;
  • Kim, Hyeun-Sung (Department of Neurosurgery, Heori Sarang Hospital) ;
  • Kim, Seok-Won (Department of Neurosurgery, College of Medicine, Chosun University)
  • Received : 2010.02.17
  • Accepted : 2010.12.21
  • Published : 2010.12.28
Download PDF
⟨ Previous Next ⟩

Abstract

Lumbar disc herniation is extremely uncommon in children below 10 years of age. A 7-year-old boy is reported who presented with low back pain and left leg radiating pain. The pain started seven days prior to presentation and was attributed to performing the jumping kick without any previous warm-up. Magnetic resonance imaging revealed a posterolateral disc herniation at the L3-4 level and multiple degenerative changes. The patient received conservative treatment including limitation of sports activities, anti-inflammatory and muscle relaxant medications as well as physical therapy. After three months of the aggressive treatment the child was symptom free. We present here a lumbar disc herniation in one of the youngest patient.

Keywords

References

  1. Benifla M, Melamed I, Barrelly R, Aloushin A, Shelef I : Unilateral partial hemilaminectomy for disc removal in a 1-year-old child. J Neurosurg Pediatr 2 : 133-135, 2008 https://doi.org/10.3171/PED/2008/2/8/133
  2. Bradford DS, Garcia A : Lumbar intervertebral disk herniations in children and adolescents. Orthop Clin North Am 2 : 583-592, 1971
  3. Bulos S : Herniated intervertebral lumbar disc in the teenager. J bone Joint surg Br 55 : 273-278, 1973
  4. Bunnell WP : Back pain in children. Orthop Clin North Am 13 : 587- 604, 1982
  5. DeOrio JK, Bianco AJ Jr : Lumbar disc excision in children and adolescents. J Bone Joint Surg Am 64 : 991-996, 1982 https://doi.org/10.2106/00004623-198264070-00004
  6. Ghabrial YA, Tarrant MJ : Adolescent lumbar disc prolapsed. Acta Orthop Scand 60 : 174-176, 1989 https://doi.org/10.3109/17453678909149247
  7. Ginsburg GM, Bassett GS : Back pain in children and adolescents : Evaluation and differential diagnosis. J Am Acad Orthop Surg 5 : 67- 78, 1997 https://doi.org/10.5435/00124635-199703000-00002
  8. Hession EF, and Donald GD : Treatment of multiple lumbar disc herniation in an adolecent athlete utilizing flexion distraction and rotational manipulation. JMPT 16 : 185-192, 1993
  9. Ishihara H, Matsui H, Hirano N, Tsuji H : Lumbar intervertebral disc herniation in children less than 16 years of age. Long-term follow-up study of surgically managed cases. Spine (Phila Pa 1976) 22 : 2044- 2049, 1997 https://doi.org/10.1097/00007632-199709010-00022
  10. King AB : Surgical removal of a ruptured intervertebral disc in early childhood. J Pediatr 55 : 57-62, 1959 https://doi.org/10.1016/S0022-3476(59)80171-2
  11. Kurihara A, Kataoka O : Lumbar disc herniation in children and adolescents. A review of 70 operated cases and their minimum 5-year follow-up studies. Spine (Phila Pa 1976) 5 : 443-451, 1980 https://doi.org/10.1097/00007632-198009000-00009
  12. MacGee EE : Protruded lumbar disc in a 9-year-old boy. J Pediatr 73 : 418-419, 1968 https://doi.org/10.1016/S0022-3476(68)80122-2
  13. Martinez-Lage JF, Fernandez Cornejo V, López F, Poza M : Lumbar disc herniation in early childhood : case report and literature review. Childs Nerv Syst 19 : 258-260, 2003
  14. Revuelta R, De Juambelz PP, Fernandez B, Flores JA : Lumbar disc herniation in a 27-month-old child. Case report. J Neurosurg (1 Suppl) 92 : 98-100, 2000
  15. Tibbles AC, Cote P, Cassidy JD, Donat J : Adolescent apophyseal ring fracture simulating lumbar disc herniation : a case report. J Can Chiropr Assoc 36 : 11-16, 1992