【摘要】 目的 分析青少年腰椎间盘突出症的发病原因，总结临床特点，评估手术治疗青少年腰椎间盘突出症的疗效。 方法 从1995～2003年对14例患者行单纯后路椎板开窗髓核摘除术，平均年龄17.6岁(年龄范围14～22岁)。采用JOA评分表评估术前，术后1周，末次随访时的症状与体征。 结果 其中12例患者获得随访，平均随访6.2年，术后患者症状明显缓解，远期随访手术效果满意。 结论 外伤是青少年腰椎间盘突出症的主要原因。结合临床症状、体征和影像学证据，对保守疗法治疗3个月以上无效的患者应及时采用手术治疗。

    关键词 青少年 腰椎间盘突出症 髓核摘除术

    Results of the lumbar disc herniation in adolescent treated with surgery

    Wu Kai，Wang Jiandong，Cao Yun

    Department of Orthopaedics，Shanghai First People's Hospital，Shanghai200080.

    【Abstract】 Objective To analyse the pathogenesis of lumbar disc herniation in adolescents，summarize the clinical symptoms and signs，and evaluate the long-term results of patients treated with surgery.Methods During1995to2003，14patients were treated with fenestration of vertebral plate and nucleotomy via a posterior approach.The mean age of the patients was17.6years old(range:14～22years old).JOA score was used to evaluate patients'symptoms and signs preoperatively ......