2018 AANS Annual Scientific Meeting-720. Lumbar Disc Herniation Requiring Microdiscectomy in the Pediatric Population: Risk Factors, Presentation and Functional Outcomes

720. Lumbar Disc Herniation Requiring Microdiscectomy in the Pediatric Population: Risk Factors, Presentation and Functional Outcomes

Back to course

Video Transcription

Video Summary

In a video presentation, Malia McEvoy discusses lumbar disc herniations in the pediatric population. The study conducted a retrospective review of 199 patients who underwent lumbar microdiscectomy at Boston Children's Hospital over 19 years. The average age of patients was 16, with 56% being female. The most common symptom was radicular pain, followed by back pain. Bowel and bladder changes were less common. Most patients underwent unilateral discectomy at one level, with the most commonly operated levels being L4 and L5 and L5-S1. Following the procedure, pediatric patients showed good outcomes with a high return to school and sports. Complications were minimal, including cerebrospinal fluid leaks, wound infections, and one case of a new neurological deficit. Risk factors for pediatric lumbar discectomy included female sex, sports participation, and high BMI. Overall, the procedure is considered safe and effective for pediatric patients with symptomatic disc disease.

Asset Caption

Malia McAvoy

Keywords

lumbar disc herniations

pediatric population

retrospective review

lumbar microdiscectomy

Boston Children's Hospital