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13 YAŞINDA LOMBER DİSK HERNİSİ OLGUSU

LOMBER DISC HERNIATION AT 13 YEARS OF AGE

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Abstract (2. Language): 
Concerning the development of spine we have to realize the importance of back pain in children. Sex related factors may play a role in spinal deformities and injuries. Lomber disc herniation (LDH) at childhood is observed in dumbbell sport or after lifting heavy loads where forces in direction of flexion are experienced. LDH at childhood may not present with symptoms. In treatment bed rest, bracing, exercise with physical agents and in unresponsive cases use of epidural corticosteroid injections are preferred. Cases with neurologic deficit and cauda equina syndromes should be treated surgically. We report here a patient with 13 years of age , unresponsive to conservative treatment.
Abstract (Original Language): 
Çocukluk çağındaki bel ağrılarına omurganın gelişimsel durumunu göz önünde tutarak önem verilmelidir. Cinsiyete özgü bazı faktörler de spinal deformite ve yaralanmalarda etkin olabilir. Lomber disk hernisi (LDH) ise çocukluk çağında özellikle halter gibi fleksiyon yüklenmeleri fazla olan spor alanlarında ve ani yük kaldırmalara bağlı gözlenebilir. Ergenlik dönemindeki LDH’ların erişkinlerdeki gibi semptom vermemesi önemlidir. Tedavide dinlenme, geçici breys kullanımı, fizik tedavi ajanlarıyla destekli egzersiz programı, dirençli vakalarda epidural kortikosteroid, kauda equina sendromu ve ilerleyici nörolojik defisiti olan olgularda ise cerrahi girişim düşünülebilir. 13 yaşında daha önce bel ağrısı şikayeti olmayan ancak akut gelişen bel ağrısı şikayetleri konservatif tedaviye cevap vermeyen bir olgu sunduk.
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