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Neurologia medico-chirurgica· 2001Q1

Lumbar Disc Herniation in Patients Up to 25 Years of Age.

Terttu Pietilä, Ruediger Stendel, Theodoros Kombos, J. Ramsbacher et al.

Short summary

Lumbar disc herniation occurs in 2.3% of patients up to age 25, with bony changes like postural deformities being more critical than disc tissue condition in this young demographic.

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Key points

  • Lumbar disc herniation affects 2.3% of patients up to age 25.
  • Bony structural changes, especially postural deformities like scoliosis, are more critical than disc tissue condition in young patients.
  • 75.2% of young patients showed bony changes, primarily postural deformities.
  • A positive family history of disc herniation was reported in 67.8% of patients with a valid history.
  • Patients with lumbar disc herniation in this age group had a higher body mass index.

AI-generated from the title and abstract; the full text is not read.

Abstract

Retrospective analysis of 165 patients (105 males, 60 females) with a mean age of 21.2 years (range 14 to 25 years) of 6933 surgically treated patients from January 1987 to May 1999 focused on age and sex distribution, body mass, familial predisposition, trauma, histology, and clinical course. The incidence of herniated lumbar discs was 2.3% in patients aged up to 25 years. A valid family history was obtained in 121 patients and a positive history was found in 82 of these patients (67.8%). The patients had a higher body mass index compared to a group of individuals with a similar age structure. Radiography demonstrated bony changes in 124 patients (75.2%), primarily attributable to postural deformities such as scoliosis. The condition of the bony structures seems to be more important than the condition of the disc tissue in the occurrence of this disease in young patients.

The authors' abstract, as published at the source. Neurologia medico-chirurgica, 2001 · DOI ↗

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Field: Pathology and Forensic Medicine

Pathology and Forensic MedicineMedicine