Preparation for Surgery for Degenerative Lumbar Disk Disease in Children

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.