Spinal stenosis and disc herniation in a 14-year-old male. A case report.
Spinal stenosis should be considered in the differential diagnosis of disc disease when evaluating an adolescent presenting with unrelenting back and leg pain. Although they typically exhibit mechanical signs alone without neurological findings, they nevertheless may prove more vulnerable to rapidly progressive neurological changes. If motor deficits occur, protracted courses of conservative care should be avoided, and proper surgical management considered. Our recent experience with a 14-year-old boy with disc disease and stenosis indicated that aggressive surgical management facilitates a rapid return to an asymptomatic existence.
Epstein
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NE
Department of Surgery, North Shore University Hospital, Manhasset, New York.
Epstein
J A
JA
Carras
R
R
D000293:Adolescent; D000367:Age Factors; D003937:Diagnosis, Differential; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000000981:diagnostic imaging*; D008159:Lumbar Vertebrae; D008297:Male; D009192:Myelography; D013130:Spinal Stenosis / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed