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Hernia discal dorsal juvenil en un niño de 12 años tras sobresfuerzo, a propósito de un caso clínico
Juvenile dorsal disc herniation in a 12-year-old boy after overexertion, clinical case report.
FAJARDO-SÁNCHEZ VLÁ, JORDÀ-GÓMEZ P, POYATOS CAMPOS J. SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA, HOSPITAL GENERAL UNIVERSITARIO DE CASTELLÓN, ESPAÑA
Recepción:
22/12/2022
Aceptación:
22/12/2022
Publicación:
22/12/2022
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Resumen (ES)
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
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
Palabras clave (ES):
hernia
juvenil
discal
conservador
tratamiento
dorsal
Resumen (EN)
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
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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