Herniated nucleus pulposus with radiculopathy in an adolescent: successful nonoperative treatment.
The following report describes a 17-year old girl with a central herniated nucleus pulposus (HNP) at L4-5. The diagnosis of lumbar disk herniation was based on findings from magnetic resonance imaging (MRI). A decision to use conservative treatment was unanimously agreed upon by a team of orthopedists, a neurosurgeon, and an internist. This report follows the patient's course from the onset of pain through the completion of the nonoperative treatment and shows that HNP of a lumbar intervertebral disk with radiculopathy can be treated successfully with aggressive nonoperative care.
Internal Medicine Ltd, Charlottesville, VA, USA.
Ramona
R
Hood-White
J Devon
JD
Lowdon
D000293:Adolescent; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications* / Q000188:drug therapy / Q000534:rehabilitation*; D008159:Lumbar Vertebrae / Q000187:drug effects / Q000293:injuries*; D011843:Radiculopathy / Q000188:drug therapy / Q000209:etiology* / Q000534:rehabilitation*