{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T11:22:08Z","timestamp":1784287328052,"version":"3.55.0"},"reference-count":24,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2017,10,1]],"date-time":"2017-10-01T00:00:00Z","timestamp":1506816000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Children's Orthopaedics"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Small spinal canal dimensions play a role in symptomatic adult disc herniation, but its role in adolescent disc herniation has not been investigated with MRI. The goal of this study was to examine retrospectively if there is a correlation with dimensions of osseous spinal canal and need of discectomy in an adolescent population suffering from disc herniation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review of child and adolescent patients who were treated in our institution for back or back-\u00adrelated leg pain was conducted. Patients were divided in three groups; group 1: lumbar disc herniation requiring operative treatment; group 2: lumbar disc herniation treated with observation; and group 3: back pain and no disc herniation on MRI. MRI images and radiographs were studied for spinal canal dimensions and compared between groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The discectomy group presented considerably smaller spinal canal dimensions measured from the MRI images than the two other groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Adolescent patients requiring operative treatment for symptomatic disc herniation have smaller osseous spinal canals than patients who are managed non-operatively.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1302\/1863-2548.11.170055","type":"journal-article","created":{"date-parts":[[2017,10,2]],"date-time":"2017-10-02T04:28:48Z","timestamp":1506918528000},"page":"380-386","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Spinal canal dimensions affect outcome of adolescent disc herniation"],"prefix":"10.1177","volume":"11","author":[{"given":"O.","family":"Linkoaho","sequence":"first","affiliation":[{"name":"HUS Medical Imaging Center, Radiology and Department of Pediatric Orthopedics, Children's Hospital, University of Helsinki and Helsinki University Hospital, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Kivisaari","sequence":"additional","affiliation":[{"name":"HUS Medical Imaging Center, Radiology, Children's Hospital, University of Helsinki and Helsinki University Hospital, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Ahonen","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopedics, Children's Hospital, University of Helsinki and Helsinki University Hospital, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,10,1]]},"reference":[{"key":"bibr1-1863-2548.11.170055","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200011000-00018"},{"key":"bibr2-1863-2548.11.170055","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e3181651bc8"},{"key":"bibr3-1863-2548.11.170055","doi-asserted-by":"publisher","DOI":"10.1097\/01.bpo.0000229974.78565.cc"},{"key":"bibr4-1863-2548.11.170055","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-007-0370-1"},{"key":"bibr5-1863-2548.11.170055","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2013.10.042"},{"key":"bibr6-1863-2548.11.170055","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198009000-00009"},{"key":"bibr7-1863-2548.11.170055","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198003000-00003"},{"key":"bibr8-1863-2548.11.170055","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198505000-00007"},{"key":"bibr9-1863-2548.11.170055","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198606000-00006"},{"key":"bibr10-1863-2548.11.170055","doi-asserted-by":"publisher","DOI":"10.1007\/s005860100267"},{"key":"bibr11-1863-2548.11.170055","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-002-0448-0"},{"key":"bibr12-1863-2548.11.170055","first-page":"303","volume":"69","author":"Chatha DS","year":"2011","journal-title":"Bull NYU Hosp Jt Dis"},{"key":"bibr13-1863-2548.11.170055","first-page":"42","volume":"115","author":"Eisenstein S","year":"1976","journal-title":"Clin Orthop"},{"key":"bibr14-1863-2548.11.170055","first-page":"29","volume":"82","author":"Perron O","year":"1996","journal-title":"Rev Chir Orthop Reparatrice Appar Mot"},{"key":"bibr15-1863-2548.11.170055","unstructured":"No authors listed. International statistical classification of diseases and related health problems. 10th revision, edition 2010. http:\/\/www.who.int\/classifications\/icd\/en\/ (date last accessed 3September2017)."},{"key":"bibr16-1863-2548.11.170055","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2014.04.022"},{"key":"bibr17-1863-2548.11.170055","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-010-1433-7"},{"key":"bibr18-1863-2548.11.170055","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.86B4.14419"},{"key":"bibr19-1863-2548.11.170055","unstructured":"B\u00f6rgersen SE. Proceedings: Herniation of the lumbar intervertebral disc in children and adolescents. 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