Tap on and choose 'Add to Home Screen' to create a shortcut app

Tap on and choose 'Add to Home Screen/Install App' to create a shortcut app

Preparation for Surgery for Degenerative Lumbar Disk Disease in Children

This page was last updated on January 24th, 2023

Indications for Procedure

  • Cauda equina syndrome: The clinical diagnosis of cauda equina syndrome is a surgical emergency and patients should undergo immediate intervention.
  • Neurological deficits: Surgery may be indicated for progressive or severe neurological deficits upon presentation.
  • Radicular pain: Refractory radicular pain after conservative therapy for at least 6–8 weeks is a relative indication, and surgery can be used as a treatment in place of continued conservative management.

Preoperative Orders

  • No special orders are required.

Anesthetic Considerations

  • No special anesthetic considerations are required.

Devices to Be Implanted

  • Devices are typically not implanted.

Ancillary/Specialized Equipment

  • Intraoperative x-ray: Fluoroscopy or lateral x-rays are typically required to localize the surgical level. Microscopy should be available for the microdissection and diskectomy components of surgery.

Your donations keep us going

The ISPN Guide is free to use, but we rely on donations to fund our ongoing work and to maintain more than a thousand pages of information created to disseminate the most up-to-date knowledge in the field of paediatric neurosurgery.

By making a donation to The ISPN Guide you are also indirectly helping the many thousands of children around the world whose treatment depends on well-informed surgeons.

Please consider making a donation today.

Use the app

The ISPN Guide can be used as a standalone app, both on mobile devices and desktop computers. It’s quick and easy to use.

Fully featured

Free registration grants you full access to The Guide and host of featured designed to help further your own education.

Stay updated

The ISPN Guide continues to expand both in breadth and depth. Join our mailing list to stay up-to-date with our progress.