{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T17:52:32Z","timestamp":1785520352958,"version":"3.56.0"},"reference-count":37,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:sec><jats:title>OBJECTIVE<\/jats:title><jats:p>Few studies describe long-term functional outcomes of pediatric patients who have undergone lumbar microdiscectomy (LMD) because of the rarity of pediatric disc herniation and the short follow-up periods. The authors analyzed risk factors, clinical presentation, complications, and functional outcomes of a single-institution series of LMD patients over a 19-year period.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>A retrospective case series was conducted of pediatric LMD patients at a large pediatric academic hospital from 1998 to 2017. The authors examined premorbid risk factors, clinical presentation, physical examination findings, type and duration of conservative management, indications for surgical intervention, complications, and postoperative outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Over the 19-year study period, 199 patients underwent LMD at the authors\u2019 institution. The mean age at presentation was 16.0 years (range 12\u201318 years), and 55.8% were female. Of these patients, 70.9% participated in competitive sports, and among those who did not play sports, 65.0% had a body mass index greater than 25 kg\/m<jats:sup>2<\/jats:sup>. Prior to surgery, conservative management had failed in 98.0% of the patients. Only 3 patients (1.5%) presented with cauda equina syndrome requiring emergent microdiscectomy. Complications included 4 cases of postoperative CSF leak (2.0%), 1 case of a noted intraoperative CSF leak, and 3 cases of wound infection (1.5%). At the first postoperative follow-up appointment, minimal or no pain was reported by 93.3% of patients. The mean time to return to sports was 9.8 weeks. During a mean follow-up duration of 8.2 years, 72.9% of patients did not present again after routine postoperative appointments. The total risk of reoperation was a rate of 7.5% (3.5% of patients underwent reoperation for the same level; 4.5% underwent adjacent-level decompression, and one patient [0.5%] ultimately underwent a fusion).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Microdiscectomy is a safe and effective treatment for long-term relief of pain and return to daily activities among pediatric patients with symptomatic lumbar disc disease in whom conservative management has failed.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2019.6.peds18716","type":"journal-article","created":{"date-parts":[[2019,10,19]],"date-time":"2019-10-19T07:42:41Z","timestamp":1571470961000},"page":"549-557","source":"Crossref","is-referenced-by-count":15,"title":["Long-term outcomes of lumbar microdiscectomy in the pediatric population: a large single-institution case series"],"prefix":"10.3171","volume":"24","author":[{"given":"Malia","family":"McAvoy","sequence":"first","affiliation":[{"name":"Division of Health Sciences and Technology, Harvard Medical School, Boston, Massachusetts;"},{"name":"Department of Neurosurgery, Computational Neuroscience Outcomes Center, Brigham and Women\u2019s Hospital, Harvard Medical School; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather J.","family":"McCrea","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Holtz Children\u2019s Hospital, Nicklaus Children\u2019s Hospital, University of Miami Miller School of Medicine, Miami, Florida;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vamsidhar","family":"Chavakula","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Brigham and Women\u2019s Hospital, Boston, Massachusetts;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hoon","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The Medical College of Wisconsin, Milwaukee, Wisconsin;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenya Linda","family":"Bi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Brigham and Women\u2019s Hospital, Boston, Massachusetts;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rania A.","family":"Mekary","sequence":"additional","affiliation":[{"name":"School of Pharmacy, Massachusetts College of Pharmacy and Health Sciences;"},{"name":"Department of Neurosurgery, Computational Neuroscience Outcomes Center, Brigham and Women\u2019s Hospital, Harvard Medical School; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scellig","family":"Stone","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Boston Children\u2019s Hospital, Harvard Medical School, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark R.","family":"Proctor","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Computational Neuroscience Outcomes Center, Brigham and Women\u2019s Hospital, Harvard Medical School; and"},{"name":"Department of Neurosurgery, Boston Children\u2019s Hospital, Harvard Medical School, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Evid Based Spine Care J","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1055\/s-0034-1386750","article-title":"Microdiscectomy for the treatment of lumbar disc herniation: an evaluation of reoperations and long-term outcomes","volume":"5","author":"Aichmair A","year":"2014","unstructured":"Aichmair A, Du JY, Shue J, Evangelisti G, Sama AA, Hughes AP, : Microdiscectomy for the treatment of lumbar disc herniation: an evaluation of reoperations and long-term outcomes. 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