Evidence map›Paper›PMID 41784821›Full record

ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2026

Pediatric lumbosacral disc herniation: risk factors, surgical outcomes, and the potential impact of the lockdown associated with the COVID-19 pandemic.

Ryszard Sordyl, Natalia Kardas, Natalia Wyroba, Marek Mandera

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Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Ryszard SordylDepartment of Pediatric Neurosurgery, Upper Silesian Children's Health Centerin, Medical University of Silesia, Medykow 16, 40-752, Katowice, Poland. ryszard.sordyl@sum.edu.pl.ORCID 0000-0001-5808-011X
Natalia KardasDepartment of Pediatric Neurosurgery, Upper Silesian Children's Health Centerin, Medical University of Silesia, Medykow 16, 40-752, Katowice, Poland.ORCID 0009-0007-1604-9465
Natalia WyrobaDepartment of Pediatric Neurosurgery, Upper Silesian Children's Health Centerin, Medical University of Silesia, Medykow 16, 40-752, Katowice, Poland.ORCID 0009-0004-2230-6403
Marek ManderaDepartment of Pediatric Neurosurgery, Upper Silesian Children's Health Centerin, Medical University of Silesia, Medykow 16, 40-752, Katowice, Poland.ORCID 0000-0003-2141-7932

Funding

Medical University of Silesia in Katowice BNW-1-184/N/4/K
6 · The paper itself

Abstract

purposeThis study aims to analyze the risk factors and treatment results in pediatric patients undergoing surgery for lumbosacral disc herniation (LDH), with a particular focus on the potential impact of the lockdown associated with the COVID-19 pandemic.

methodsA retrospective review of pediatric patients who underwent surgical treatment for LDH between 2011 and 2024 was conducted.

resultsA total of 30 patients were included in our analysis, with a median age of 16 years (range 12-17 years). Sports participation (30.0%), obesity (16.7%), and a history of trauma (10.0%) were common risk factors. Each patient presented with radicular pain, frequently accompanied by back pain (73.3%), and sensory changes (43.3%). All patients underwent microdiscectomy (MD), primarily via a fenestration approach (93.3%). Recurrent LDH occurred in 13.3% of cases, requiring reoperation. At a median follow-up of 2.9 years, initial postoperative clinical improvement was sustained in 96.7% of the cohort, although recurrent back pain persisted in 33.3% and intermittent radicular pain in 20.0%. Following the lockdown associated with the COVID-19 pandemic, the incidence of LDH qualified for neurosurgical intervention increased 3.3-fold (p = 0.002), while the median length of hospital stay decreased (7 vs 5 days; p = 0.005).

conclusionsThe analysis substantiated that MD is a safe and effective treatment option for children with symptomatic LDH unresponsive to conservative management. The observed increase in incidence of LDH qualified for neurosurgical intervention following the lockdown associated with the COVID-19 pandemic, without the difference in postoperative outcomes, may suggest a potential influence of pandemic-related lifestyle changes.

Indexed as

COVID-19DiskectomyIntervertebral Disc DisplacementLumbar VertebraeAdolescentChildFemaleHumansLumbosacral RegionMaleRetrospective StudiesRisk FactorsTreatment OutcomeAdolescentDiscopathyLumbar spineMicrodiscectomy

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.