一名12岁儿童过度用力后的幼年背椎间盘突出,关于一个临床病例。

FAJARDO-SÁNCHEZ, JORDÀ-GÓMEZ, POYATOS-CAMPOS
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摘要

简介:成人椎间盘突出的发生率约为1%,儿童椎间盘突出的发生率更低,因此鉴别诊断至关重要。材料和方法:我们提出了一个12岁的男性的临床病例,他报告了剧烈运动后的致残性疼痛,并伴有急性脊柱侧凸畸形和左胸弯曲。影像学检查显示右侧后外侧椎间盘突出,位于D9-10节段,占据外侧隐窝。患者给予物理治疗和镇痛药物保守治疗,2个月内病情好转。讨论和结论:排除可能出现类似症状的严重病理是至关重要的。因此,治疗的第一步是保守治疗,包括药物治疗和物理治疗。必须识别出危险信号,例如神经系统受累,这可能导致将手术治疗作为第一选择。
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Hernia discal dorsal juvenil en un niño de 12 años tras sobresfuerzo, a propósito de un caso clínico.
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.
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