Permanent Thoracic Myelopathy Resulting from Herniation of a Calcified Intervertebral Disc in a Child

This retrospective study was made to illustrate the rare occurrence of neurologic deficits resulting from intervertebral disc calcification (IDC) in a child. Most authors agree that juvenile IDC is usually a benign, self-limiting disease with excellent prognosis. The symptoms subside spontaneously i...

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Veröffentlicht in:Journal of pediatric orthopaedics. B 2002-01, Vol.11 (1), p.6-9
Hauptverfasser: Mahlfeld, Konrad, Kayser, Ralph, Grahoff, Henning
Format: Artikel
Sprache:eng
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Zusammenfassung:This retrospective study was made to illustrate the rare occurrence of neurologic deficits resulting from intervertebral disc calcification (IDC) in a child. Most authors agree that juvenile IDC is usually a benign, self-limiting disease with excellent prognosis. The symptoms subside spontaneously in 95% of patients. Conservative treatment is therefore usually sufficient. Reviewing the English-speaking literature, only two further cases of operated juvenile IDC with myelopathy have been published. In the current report, we describe a case of permanent thoracic myelopathy resulting from juvenile IDC treated by urgent decompressive thoracic laminectomy. At the 3-year follow-up examination, the patient had not recovered fully. Persisting deficits in motor and sensory function were observed.
ISSN:1060-152X
1473-5865
DOI:10.1097/00009957-200201000-00002