Abstract
Objective: To discusses the surgical treatment of prolapsed lumber intervertebral
disc in adolescents and its long-term results (PLID). Background:
PLID is very rare in adolescence. Heavy lifting and trauma are the main causes;
back pain and radicular pain are the most common clinical presentations,
and surgical treatment gives satisfactory outcome after failure of conservative
treatment. Methods: During period from January 2014-January 2019 twenty
patients between 14 - 20 years old underwent for lumbar disc surgery in
Neurosurgery department, Hadramawt University, Yemen, 18 patients were
males while 2 were females. Results: Twenty patients 18 males (80%) while 2
females (20%) all patients have low back pain (100%), unilateral sciatica in
(90%), bilateral sciatica in (10%) and sphincter disturbance in (10%). The
most common affected level is L4/5 represent (80%) while L5/S1 (20%), partial
lumbar laminectomy in (40%) and microdiscectomy and fenestration in
(60%). Complication rate was (15%) and recurrence only (5%). Conclusion:
PLID in adolescence is very rare; back pain and sciatica were the main clinical
presentation. Meticulous surgical procedures give satisfactory outcome and
excellent result.