Hernia discal dorsal juvenil en un niño de 12 años tras sobresfuerzo, a propósito de un caso clínico.

Abstract

Introduction: Dorsal disc herniation occurs in approximately 1% of all disc herniations in adults, this frequency is even lower in children, so it is crucial to make a good differential diagnosis. Material and method: We present the clinical case of a 12-year-old male who reported disabling pain after intense exercise accompanied by an acute scoliotic deformity with a left thoracic curve. Imaging studies revealed a right posterolateral dorsal disc herniation at level D9-10, which occupied the lateral recess. The patient was treated conservatively with physiotherapy and analgesics, improving within 2 months. Discussion and conclusion: It is crucial to rule out severe pathologies that may present with similar symptoms. Thereforth the first therapeutic step is conservative treatment consisting in pharmacological treatment and physiotherapy. Red flags must be identified, such as neurological involvement, which may lead to considering surgical treatment as the first option.