14例青少年腰椎间盘突出症的临床特点及治疗分析

[目的]探讨青少年腰椎间盘突出症的临床特点、治疗方法与效果.[方法]14例青少年腰椎间盘突出症均行手术治疗,其中开窗9例,扩大开窗5例,对其进行回顾性分析.[结果]11例得到随访,平均随访时间21个月,优良率为90.9%.[结论]创伤、体育活动、艺术体操训练和畸形是造成青少年腰椎间盘突出症的主要原因;X线检查无特异性,但体征明显是其临床特点,先严格保守治疗,无效者采取手术治疗,近期效果良好.

Surgical treatment of lumbar disc herniation in children and adolescents

[ Objective] To evaluate the clinical characteristics and the treatment of lumbar disc herniation in children and adolescents. [ Method ] Fourteen cases were operated on 9 patients with fenestration, 5 patients with hemilaminectomy, their characteristics and treatments were analyzed. [ Result] Eleven cases were followed up for 21 months in average. The satisfactory rate was 90.9%. [ Conclusion] Trauma, physical training, artistic gymnastic, malformation are the chief causes of adolescent lumbar disc herniations. Radiological diagnosis are nonspecific in there cases, obvious physical signs are the main clinical characteristics. If conservative therapy would not be effective, the surgical treatment should be considered as an important treatment method, which always has a good prognosis.