青少年腰椎间盘突出症

Lumbar Disc Herniation in Children and Adolescents

目的：探讨青少年腰椎间盘突出症的病因和治疗。方法：１３例青少年腰椎间盘突出症均手术治疗，开窗术９例，半椎板切除３例，全椎板切除术１例；并分析其病因，临床表现及治疗方法。结果：随访全部病例，平均随访时间４２年，优良率达９２３％。结论：外伤和畸形是造成青少年腰椎间盘突出症的主要原因；症状轻，体征明显是其临床特征。治疗上不应过分强调保守治疗。

Aim:To study the etiology and treatments of lumbar disc herniation in children and adolescents. Methods:13 patients were operated on,9 cases with fenestration,3 cases with hemilaminectomy,1 case with total laminectomy;their etiology,clinical sympotoms, signs and treatments were analysed.Results:All cases were followed-up for 4.2 years in average .The satisfactory rate was 92.3 percent.Conclusion:Trauma and malformation are the chief causes of adolescent lumbar disc herniations,light sympotoms and serious signs are their clinical characteristics.It is important that the conservative therapy shouldn't be over emphasized and surgical treatment should be considered as a chief treatment method.