Is conservative treatment a good choice for pediatric intervertebral disc calcification in children?

作者全名："Chen, Kai; Chen, Xin; Su, Yuxi"

作者地址："[Chen, Kai; Su, Yuxi] Chongqing Med Univ, Dept Orthoped,Chongqing Key Lab Pediat,Childrens, China Int Sci & Technol Cooperat Base Child Dev &, Minist Educ,Key Lab Child Dev & Disorders,Natl Cl, Zhongshan 2rd 136, Chongqing 400014, Peoples R China; [Chen, Xin] Chongqing Med Univ, Natl Clin Res Ctr Child Hlth & Disorders, Dept Radiol,Key Lab Child Dev & Disorders,China I, Chongqing Key Lab Pediat,Childrens Hosp,Minist Ed, Chongqing, Peoples R China"

通信作者："Su, YX (通讯作者)，Chongqing Med Univ, Dept Orthoped,Chongqing Key Lab Pediat,Childrens, China Int Sci & Technol Cooperat Base Child Dev &, Minist Educ,Key Lab Child Dev & Disorders,Natl Cl, Zhongshan 2rd 136, Chongqing 400014, Peoples R China."

来源：EUROPEAN SPINE JOURNAL

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000876239100001

JCR分区：Q2

影响因子：2.8

年份：2022

卷号：　

期号：　

开始页：　

结束页：　

文献类型：Article; Early Access

关键词：Paediatric intervertebral disc calcification; Posterior longitudinal ligament calcification; Conservative treatment

摘要："Purpose Paediatric intervertebral disc calcification (PIDC) is a rare disease, and its aetiology remains unknown. This study aimed to analyse the characteristics and clinical outcomes of patients with PIDC. Methods After applying the exclusion and inclusion criteria, 159 children diagnosed with PIDC were analysed at our hospital between January 2010 and November 2020. Patients' demographic and clinical data were collected, such as sex, pain, duration time, physical examination, white blood cell count, erythrocyte sedimentation rate, C-reactive protein, and radiography, computed tomography, and magnetic resonance imaging findings. Patients were followed up for at least 6 months, and radiography or symptoms were evaluated. Fisher's exact test or chi(2)-test was used for statistical analyses. Results One hundred and fifty-nine patients were ultimately followed up with for about 12.5 +/- 5.8 months. There were 103 male and 56 female, with an average age of 6.08 +/- 2.62 years (2 months to 12 years). A total of 109 patients had only one PIDC, 29 patients had two PIDCs, and 21 patients had multiple PIDCs. Thirty patients were found incidentally and were asymptomatic. A total of 106 patients had neck torticollis. Sixteen patients had IDC herniations, fifteen patients had posterior longitudinal ligament calcification, two patients had anterior longitudinal ligament calcification, and 17 patients had herniation of the vertebral canal. All patients underwent conservative treatment, and none underwent surgery. All patients' symptoms resolved after either collar fixation or neck traction. Conclusion PIDC can be treated conservatively, even when accompanied by herniation, longitudinal ligament calcification, or clinical neck symptoms."

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