[Clinical evaluation of adolescent @entity890 misdiagnosed as XXXX ].

@entity1 @entity1183 @entity1635 @entity2112 @entity615 @entity158 @entity85 @entity890
OBJECTIVE: To retrospectively review the clinical features and treatment strategy of @entity890 in adolescents initially misdiagnosed as @entity2112 . METHODS: From 1998 to 2007, nineteen adolescents with @entity890 were admitted to our hospital. All of them presented a scoliotic curve as their first complaint. There were 10 males and 9 females with the age ranged from 14 to 20 years. The disc herniation located at L(4,5) in 10 @entity1 , at L(5)S(1) in 7, and at L(4)-S(1) in 2. The Cobb angle ranged from 23 degrees to 38 degrees . The distance from the C(7) plumb line to the central sacral line averaged 4.7 cm. All the @entity1 underwent conventional open discectomy, followed by a pelvic traction for 3 weeks. A cast fixation for one month was recommended for further correction of @entity1635 if the curve improvement was not obvious. RESULTS: Fourteen (73.7%) @entity1 had a disc herniation at the convex side of lumbar curve, and 5 (26.3%) @entity1 had a disc herniation at the concave side, which showed a marginal statistical correlation between the side of the disc herniation and the direction of lumbar curve (P = 0.07). Leg @entity158 and @entity1183 disappeared in the 19 @entity1 after surgical decompression. After the pelvic traction for 3 weeks postoperatively, the Cobb angle reduced to 14 degrees, with the mean distance from the C(7) plumb line to the central sacral line of 2.2 cm. At a mean follow-up of 21 months, neither the recurrence of @entity615 and leg @entity158 nor the loss of spontaneous @entity1635 correction was found. CONCLUSIONS: Care should be taken to the diagnosis of @entity890 in adolescents with @entity85 as their chief complaint. Satisfactory clinical results can be achieved by early diagnosis and proper treatment.
