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Lumbar disc herniation in young children

Show simple item record Haidar R. Ghanem I. Saad S. Uthman I.
dc.contributor.editor Jan-2010 2017-10-05T16:07:32Z 2017-10-05T16:07:32Z 2010
dc.identifier 10.1111/j.1651-2227.2009.01460.x
dc.identifier.issn 08035253
dc.description.abstract Aim: This article explores lumbar disc herniation in young children through focusing on matters relevant to patient presentation, physical examination, differential diagnosis, imaging and treatment. Methods: Major databases were searched for studies that addressed lumbar disc herniation in young children. Results: Diagnosis of lumbar disc herniation in young children is usually delayed because of the rarity and lack of experience with this entity and the difficulty in extracting a reliable medical history. Nevertheless, lumbar disc herniation should be considered in the differential diagnosis of any young child presenting with a chief complaint of back pain and-or radiculopathy, especially in the setting of recent trauma. This should be coupled with a directed physical examination to elicit signs and narrow the differential diagnosis. Imaging studies, mainly magnetic resonance imaging, will help establish a diagnosis; yet radiographs are still required to exclude other spinal lesions. The initial management of lumbar disc herniation in children is the same as that in adults and consists of conservative treatment unless lumbar disc herniation affects the patient's motor and neurological functions in which case, early surgical treatment must be undertaken. Although the latter remains more difficult, current experience suggests a favourable outcome. Conclusion: Awareness of lumbar disc herniation will help the paediatrician extract a relevant medical history, perform a directed physical examination, and order appropriate imaging studies. This will aid in initiating early intervention, be it conservative or operative, and achieving a favourable outcome. © 2009 Foundation Acta Pædiatrica.
dc.format.extent Pages: (19-23)
dc.language English
dc.publisher MALDEN
dc.relation.ispartof Publication Name: Acta Paediatrica, International Journal of Paediatrics; Publication Year: 2010; Volume: 99; no. 1; Pages: (19-23);
dc.source Scopus
dc.title Lumbar disc herniation in young children
dc.type Review
dc.contributor.affiliation Haidar, R., Department of Surgery, American University of Beirut, Medical Center, P.O. Box 11-0236, Riad El Solh, 1107 2020 Beirut, Lebanon
dc.contributor.affiliation Ghanem, I., Department of Orthopedic Surgery, Saint-Joseph University, Beirut, Lebanon
dc.contributor.affiliation Saad, S., Department of Physiology, Faculty of Medicine, American University of Beirut, Beirut, Lebanon
dc.contributor.affiliation Uthman, I., Department of Internal Medicine, American University of Beirut, Medical Center, Beirut, Lebanon
dc.contributor.authorAddress Haidar, R.; Department of Surgery, American University of Beirut, Medical Center, P.O. Box 11-0236, Riad El Solh, 1107 2020 Beirut, Lebanon; email:
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Surgery;
dc.contributor.authorDepartment Surgery
dc.contributor.faculty Faculty of Medicine
dc.contributor.authorInitials Haidar, R
dc.contributor.authorInitials Ghanem, I
dc.contributor.authorInitials Saad, S
dc.contributor.authorInitials Uthman, I
dc.contributor.authorReprintAddress Haidar, R (reprint author), Amer Univ Beirut, Med Ctr, Dept Surg, POB 11-0236, Beirut 11072020, Lebanon.
dc.contributor.authorUniversity American University of Beirut Medical Center
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dc.description.citedCount 7
dc.description.citedTotWOSCount 6
dc.description.citedWOSCount 5
dc.format.extentCount 5
dc.identifier.coden APAEE
dc.identifier.pubmedID 19659503
dc.identifier.scopusID 71949122846
dc.publisher.address COMMERCE PLACE, 350 MAIN ST, MALDEN 02148, MA USA
dc.relation.ispartOfISOAbbr Acta Paediatr.
dc.relation.ispartOfIssue 1
dc.relation.ispartofPubTitle Acta Paediatrica, International Journal of Paediatrics
dc.relation.ispartofPubTitleAbbr Acta Paediatr. Int. J. Paediatr.
dc.relation.ispartOfVolume 99
dc.source.ID WOS:000272565800011
dc.type.publication Journal
dc.subject.otherAuthKeyword Back pain
dc.subject.otherAuthKeyword Children
dc.subject.otherAuthKeyword Lumbar disc herniation
dc.subject.otherAuthKeyword Review
dc.subject.otherAuthKeyword Trauma
dc.subject.otherIndex analgesic agent
dc.subject.otherIndex anamnesis
dc.subject.otherIndex backache
dc.subject.otherIndex computer assisted tomography
dc.subject.otherIndex conservative treatment
dc.subject.otherIndex differential diagnosis
dc.subject.otherIndex diskitis
dc.subject.otherIndex hernia
dc.subject.otherIndex human
dc.subject.otherIndex laminectomy
dc.subject.otherIndex lumbar disk hernia
dc.subject.otherIndex nuclear magnetic resonance imaging
dc.subject.otherIndex physical examination
dc.subject.otherIndex priority journal
dc.subject.otherIndex radiculopathy
dc.subject.otherIndex review
dc.subject.otherIndex schmorl node
dc.subject.otherIndex spinal cord tumor
dc.subject.otherIndex spondylitis
dc.subject.otherIndex spondylolisthesis
dc.subject.otherIndex spondylolysis
dc.subject.otherIndex Back Pain
dc.subject.otherIndex Child
dc.subject.otherIndex Child, Preschool
dc.subject.otherIndex Diagnosis, Differential
dc.subject.otherIndex Humans
dc.subject.otherIndex Infant
dc.subject.otherIndex Intervertebral Disk Displacement
dc.subject.otherIndex Lumbar Vertebrae
dc.subject.otherIndex Medical History Taking
dc.subject.otherIndex Physical Examination
dc.subject.otherIndex Radiculopathy
dc.subject.otherKeywordPlus LOW-BACK-PAIN
dc.subject.otherKeywordPlus PEDIATRIC POPULATION
dc.subject.otherKeywordPlus INTERVERTEBRAL DISC
dc.subject.otherKeywordPlus EARLY-CHILDHOOD
dc.subject.otherKeywordPlus SCHMORLS NODES
dc.subject.otherKeywordPlus ADOLESCENTS
dc.subject.otherKeywordPlus DISEASE
dc.subject.otherKeywordPlus SPINE
dc.subject.otherKeywordPlus SPONDYLOLISTHESIS
dc.subject.otherKeywordPlus SPONDYLOLYSIS
dc.subject.otherWOS Pediatrics

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