{"id":"1a8c5601-fc6d-47a6-a2ac-3de80d6b248b","slug":"isolated-painless-scoliosis-in-lumbar-disc-herniation","title":"Isolated painless scoliosis in lumbar disc herniation","authors":["Ali Akhaddar","Hafid Arabi"],"abstract":"Background: Isolated painless scoliosis and lumbar disc herniations (LDHs) are rarely reported together and can often be misdiagnosed as idiopathic scoliosis. This misdiagnosis can lead to inappropriate treatments such as bracing and physical therapy. Summary: A 24-year-old male presented with a 12-month history of progressive scoliosis and difficulty walking, without spinal or radicular pain. After being misdiagnosed with idiopathic scoliosis, imaging revealed a right paramedian LDH at the L4–L5 level. Following a conventional open discectomy, the patient's scoliosis resolved, and he remained neurologically intact two years post-surgery. Conclusion: In cases of scoliosis in pediatric, adolescent, and young adult populations, it is crucial to rule out acute LDH as a potential cause of deformity before diagnosing thoracolumbar scoliosis. Keywords: scoliosis, lumbar disc herniation, idiopathic scoliosis, discectomy, neurological intact, pediatric, adolescent, young adult","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/1a8c5601-fc6d-47a6-a2ac-3de80d6b248b/featured/hero-1781563379648.png","publishDate":"2020-06-20T00:00:00.000Z","doi":"10.25259/SNI_287_2020","categories":["Spine","Letter to the Editor"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2020/06/10094/SNI-11-159.pdf"}