Author(s)

Khalid Bin Madhi¹, Ghaleb Awadh¹, Mohamed A. Ragaee^2*

¹Neurosurgery Department, Hadhramout University, Hadhramout, Yemen.
²Neurosurgery Department, Assiut University, Assiut, Egypt.

Objective: To discusses the surgical treatment of prolapsed lumber intervertebral disc in adolescents and its long-term results (PLID). Background: PLID is very rare in adolescence. Heavy lifting and trauma are the main causes; back pain and radicular pain are the most common clinical presentations, and surgical treatment gives satisfactory outcome after failure of conservative treatment. Methods: During period from January 2014-January 2019 twenty patients between 14 - 20 years old underwent for lumbar disc surgery in Neurosurgery department, Hadramawt University, Yemen, 18 patients were males while 2 were females. Results: Twenty patients 18 males (80%) while 2 females (20%) all patients have low back pain (100%), unilateral sciatica in (90%), bilateral sciatica in (10%) and sphincter disturbance in (10%). The most common affected level is L4/5 represent (80%) while L5/S1 (20%), partial lumbar laminectomy in (40%) and microdiscectomy and fenestration in (60%). Complication rate was (15%) and recurrence only (5%). Conclusion: PLID in adolescence is very rare; back pain and sciatica were the main clinical presentation. Meticulous surgical procedures give satisfactory outcome and excellent result.

Lumber Disc, Adolescents, Sciatica, Microdiscectomy

Madhi, K. , Awadh, G. and Ragaee, M. (2019) Lumbar Disc Prolapse in Adolescent Patients. Open Journal of Modern Neurosurgery, 9, 472-479. doi: 10.4236/ojmn.2019.94046.