ArticleFrontiers in surgery2026
Clinical characteristics and distinct recovery trajectories of pain and disability after lumbar microdiscectomy in children and adolescents.
Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Pediatric and adolescent lumbar disc herniation (LDH) is uncommon, and recovery after microdiscectomy may differ across pain, disability, and outcome domains. Methods: This retrospective single-center case series included patients younger than 18 years of age who underwent microdiscectomy for LDH between 2022 and 2025 and had complete 12-month outcome data. Low back and radicular leg pain were assessed using the visual analog scale (VAS), disability using the Oswestry Disability Index (ODI), and global outcome using the modified MacNab criteria. Longitudinal changes were analyzed using Friedman tests and Holm-adjusted pairwise comparisons. A Results: Seventeen patients were included (median age, 16 years; median follow-up, 21 months). The median low back pain VAS score increased from 4 preoperatively to 7 early postoperatively and then decreased to 1 at 3 and 12 months (overall Conclusions: Pain, disability, and global outcome followed distinct trajectories. These exploratory findings support separate assessment of recovery domains and require confirmation in larger multicenter cohorts.
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