Extreme lateral lumbar disc herniation in a 12-year child: case report and review of the literature

Abstract

Extreme lateral lumbar disc herniations (ELLDHs) occur more frequently among elderly patients, with a peak incidence in the sixth decade, and are rarely found in children. The patient presented is a 12-year-old boy with a 3-month history of right-sided leg pain. Computerized tomography and magnetic resonance imaging demonstrated an extreme lateral disc herniation on the right at L4-L5 with compression of the L4 nerve root. He subsequently underwent removal of extreme lateral herniated disc through an intertransverse approach under general anesthesia. At 11-month follow-up, the patient maintained resolution of preoperative symptoms and a neurological examination revealed no sensory or motor deficit. Surgical intervention may be indicated for patients with ELLDHs that fail with conservative treatment.

Fig. 1

Axial CT images demonstrating an extreme lateral lumbar disc herniation at the level of the right L4–L5 disc

Fig. 2

Axial MRI images demonstrating an extreme lateral lumbar disc herniation at the level of the right L4–L5 disc