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December 15, 1969

Herniations of the Lumbar Intervertebral Disk in Children and AdolescentsA Review of 30 Surgically Treated Cases

Author Affiliations

From the Department of Orthopedic Surgery, College of Physicians and Surgeons, Columbia University, and the New York Orthopedic Hospital, Columbia-Presbyterian Medical Center, New York.

JAMA. 1969;210(11):2045-2051. doi:10.1001/jama.1969.03160370029005

In 30 cases of surgically documented protrusions of the lumber intervertebral disk in children and adolescents, 14 patients displayed to a greater or lesser degree diagnostic difficulties and 16 patients underwent spinal fusion with laminectomy. Thorough study should be undertaken in all children and adolescents with back pain or sciatica, or both, and a ruptured lumbar intervertebral disk should be a prime consideration. Diagnostic problems are frequently due to the failure of the physician to appreciate this possibility. It is suggested that some cases of "disk space infection" may be herniations of the lumbar intervertebral disk.