Derviş Mansuri YILMAZ, Ersin HACIYAKUPOĞLU, Ömer Neşet KİŞİ, Erol AKGÜL, Sebahattin HACIYAKUPOĞLU

Çocukluk çağında lomber intervertebral disk herniasyonu: 7 olgunun sunumu

Lomber disk hernisi adolesan yaşta görülen nadir bir patolojidir ve bu hastalar disk hernisi için ameliyat edilen tüm hastaların sadece % 1-5'ini oluşturur. Travma ve aile öyküsü disk hernileri için önemli faktörlerdir. Fakat dejeneratif değişiklikler yetişkinlerden daha az önemlidir. Bu çalışmanın amacı çocukluk çağında lumbar intervertebral disk herniasyonunu tedavi etmekti. 2005-2016 yılları arasında lumbar disk hernisi için 15 yaşından küçük 7 hastaya interlaminar mikrodiskektomi uyguladık. Bu hastalar klinik özellikler, radyolojik özellikler, ameliyat bulguları ve ameliyatın sonucu açısından değerlendirildi. Tüm hastalarda bel ağrısı şikayetleri vardı. Hastaların altısında radiküler ağrı şikayeti mevcuttu. Hastalarımızın çoğunda belirgin travma öyküsü olsa da, görüntüleme çalışmalarında ciddi travma olduğuna dair herhangi bir kanıt bulunmamaktadır. Tüm hastalarda bel ağrısı ve bacak ağrısı şikayetlerinin düzelmesi açısından mükemmel sonuçlar aldık, ancak nörolojik defisitin düzelmesi daha dirençli idi. Sınırlı laminektomi ve mikrodiskektomi ile füzyonsuz mükemmel sonuçlarımız vardı. Tüm olguların şikayetleri ameliyat sonrası düzeldi ve bir ay içinde normal yaşam tarzlarına döndüler.

Lumbar intervertebral disc herniation in childhood: a report of 7 cases

Lumbar disc herniation is a rare pathology in adolescent age and these patients only constitute 1-5% of all patients who underwent surgery for disc herniation. Trauma and family history are reported as important initiating factors for disc herniations but degenerative changes are less important than adults. The objective of this study was to treat the lumbar intervertebral disc herniation in childhood.Between 2005 and 2016, we performed interlaminarmicrodiscectomy to 7 patients younger than 15 years of age for lumbar disc herniation. These patients were evaluated for clinical features, radiological features, operative findings and outcome of surgery. All patients were complaining of low back pain, six of them had radicular pain. Although most of our patients have significant trauma histories there are no evidences of severe trauma on imaging studies. We had excellent results in all patients for the improvement of low back pain and leg pain but neurological deficits were more resistant to improvement. We had excellent results with limited laminectomy and microdiscectomy without fusion. In all cases pains improved postoperatively and they got back to their normal lifestyle in one month

Keywords:

Lumbar intervertebral, disc herniation, childhood, low back pain, microdiscectomy,

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