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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
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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
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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.
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