Fredrik Strömqvist1, Björn Strömqvist2, Bo Jönsson2, Paul Gerdhem3, Magnus K Karlsson2. 1. Clinical and Molecular Osteoporosis Research Unit, Departments of Clinical Sciences and Orthopaedics, Skane University Hospital, Lund University, SE-205 02, Malmö, Sweden. fredrik.stromqvist@med.lu.se. 2. Clinical and Molecular Osteoporosis Research Unit, Departments of Clinical Sciences and Orthopaedics, Skane University Hospital, Lund University, SE-205 02, Malmö, Sweden. 3. Department of Clinical Sciences and Orthopaedics, Intervention and Technology (CLINTEC), Karolinska Institute and Karolinska University Hospital, Stockholm, Sweden.
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.
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.
Authors: Tobias Lagerbäck; Peter Elkan; Hans Möller; Anna Grauers; Elias Diarbakerli; Paul Gerdhem Journal: Spine J Date: 2015-02-17 Impact factor: 4.166
Authors: Alex Gitelman; Shuriz Hishmeh; Brian N Morelli; Samuel A Joseph; Andrew Casden; Paul Kuflik; Michael Neuwirth; Mark Stephen Journal: Am J Orthop (Belle Mead NJ) Date: 2008-11
Authors: Anja Tschugg; Wolfgang N Löscher; Sara Lener; Matthias Wildauer; Sebastian Hartmann; Sabrina Neururer; Claudius Thomé Journal: Eur Spine J Date: 2016-12-21 Impact factor: 3.134
Authors: Winston Shang Rong Lim; Ming Han Lincoln Liow; Graham S. Goh; William Yeo; Zhixing Marcus Ling; Wai-Mun Yue; Chang Ming Guo; Seang Beng Tan Journal: Int J Spine Surg Date: 2020-10-12
Authors: Sasha Gulati; Mattis A Madsbu; Tore K Solberg; Andreas Sørlie; Charalampis Giannadakis; Marius K Skram; Øystein P Nygaard; Asgeir S Jakola Journal: Acta Neurochir (Wien) Date: 2017-01-16 Impact factor: 2.216