0
Case Reports   |    
Giant Calcified Thoracic Disc Herniation in a ChildA Case Report and Review of the Literature
Xiao-Dong Wu, MD1; Hua-Jiang Chen, MD1; Wen Yuan, MD1; Nicholas Tsai, MB BS, FRACS(Orth)2; Xin-Wei Wang, MD1; Xu-Hui Zhou, MD1; Hua Li, MD1; Xiao-Long Sheng, PhD1; Sheng-Ming Xu, MD1
1 Departments of Radiology (H.L.) and Orthopaedics (X.-D.W., H.-J.C., W.Y., X.-W.W., X.-H.Z., X.-L.S., and S.-M.X.), Changzheng Hospital, Second Military Medical University, 415 Fengyang Road, Shanghai 200003, China. E-mail address for H.-J. Chen: chenhjspine@163.com. E-mail address for W. Yuan: yuanspine@163.com
2 The Canberra Hospital, Yamba Drive, Garran ACT, 2605 Australia
View Disclosures and Other Information
Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity.

Investigation performed at the Department of Orthopaedics, Changzheng Hospital, Second Military Medical University, Shanghai, China

Copyright © 2010 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2010 Aug 18;92(10):1992-1996. doi: 10.2106/JBJS.I.01652
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case

Extract

Calcified thoracic disc herniation in childhood is a rare disease, and it differs from calcified thoracic disc herniation in adults in several respects, including the natural history, clinical presentation, treatment, and prognosis1,2. Herniation of a calcified disc occasionally leads to acute nerve-root or spinal cord compression. Conservative treatment has been recommended for the majority of patients, even those with mild neurological deficits, since spontaneous resorption of the calcified lesion can be expected1,3-8. In other rare cases, giant herniation of the disc may cause intractable pain and a progressive neurological deficit, which has been an indication for surgical treatment1,5,6,8. We report the case of a child with giant herniation of an intervertebral disc calcification in the thoracic spine and present a literature review. The parents of the patient were informed that data concerning the case would be submitted for publication, and they consented.
Figures in this Article

    First Page Preview

    View Large
    />
    First page PDF preview
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

     
    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org

    References

    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe





    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    12/04/2013
    New York - Icahn School of Medicine at Mount Sinai
    04/02/2014
    W. Virginia - Charleston Area Medical Center
    12/31/2013
    S. Carolina - Department of Orthopaedic Surgery Medical Univerity of South Carlonina
    02/28/2014
    District of Columbia (DC) - Children's National Medical Center