Plain films of the lumbar spine (not provided) were unremarkable.
A diagnosis of herniated disk was made, and the patient was treated with strict bed rest and pelvic traction for several weeks. He was then put into a back brace and showed continued improvement.
Herniated disks are rare in prepubertal children, but are increasing in incidence in adolescents as more and more undertake competitive sports. It occurs after an exertion and is traumatic in nature, unlike herniated disks in adults which are degenerative in nature. Herniated disks in adolescents are larger than those in adults because adolescents have a small tear in a health annulus, causing a large amount of disk tissue to extrude. Plain films of the spine are unremarkable. A MRI exam will show an asymmetric extradural defect on the thecal sac.
Follow us on Twitter @pedseducation and @pedsimaging
Please send us comments by filling out our Comment Form.
All contents copyright © 1992-2015 Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. and the authors. All rights reserved.
"Virtual Pediatric Hospital", the Virtual Pediatric Hospital logo, and "A digital library of pediatric information" are all Trademarks of Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D.
Virtual Pediatric Hospital is funded in whole by Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. Advertising is not accepted.
Your personal information remains confidential and is not sold, leased, or given to any third party be they reliable or not.
The information contained in Virtual Pediatric Hospital is not a substitute for the medical care and advice of your physician. There may be variations in treatment that your physician may recommend based on individual facts and circumstances.