الفهرس 
Lumbar disc herniation in adolescents
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Abstract
Lumbar disc herniation in adolescents is a relatively rare condition among those cases presented with low back pain. Trauma & genetics are the commonest predisposing factors in adolescent lumbar disc herniation. The clinical presentations of disc herniation in adolescents differ from those of the adults. Back pain is not all marked in adolescent patients. Objective: this study was subjected to discuss the etiology, diagnosis and treatment modalities and the variable outcomes for both medical and surgical treatment of lumbar disc herniation in adolescents. Patients and Methods: This prospective study was conducted on twenty patients between 10 and 19 years old presenting with lumbar disc herniation, managed and treated conservatively and/or surgically in the Neurosurgery Department at Kasr Al Ainy School of medicine, Cairo University in the period from October 2015 to September 2016 with 12 months follow-up period. Results: in our study the peak incidence was between 17 and 19 years old (83.3% of males and 75% of females. Most of patients in our study were males (12 patients, 60%) with male: female ratio 1.5: 1. Twelve patients (60%) gave a positive family history, also 9 cases (45%) had a history of back trauma prior to affection with lumbar disc herniation. All the cases (100%) were presented with sciatic pain while only half of them had low back pain, Also 2 cases were presented with motor deficit. After performing MRI of lumbosacral spine (investigation of choice) for the patients, L5-S1 disc level was the most common level affected (50% of cases)