Pediatric disc herniation is an uncommon but significant illness in children that can cause debilitating symptoms. The prevalence rate of lumbar disc herniation in this group is unknown. We present 4 rare cases of lumbar disc herniation in children. All patients complained from low back pain with radiation to the corresponding leg along with other neurological manifestations. Trauma and family history for all patients were negative. Magnetic Resonance Imaging (MRI) was performed for all patients and confirmed the diagnosis in all cases. All patients were treated conservatively without any improvement, thus surgical intervention (minimally invasive discectomy with foraminotomy) was performed. The importance of early identification and adequate care in pediatric patients with lumbar disc herniation cannot be overstated. More study is needed to better understand the risk factors, pathophysiology, and best treatments for this illness in children and adolescents.

Pediatric disc herniation is a rare but serious condition that can lead to debilitating symptoms in children and the prevalence rate of lumbar disc herniation in this population remains unclear. Compared to adults, the diagnosing of lumbar disc herniation in children is often delayed. It occurs when the soft tissue cushioning between the vertebrae in the spine (disc) ruptures, causing the inner material to leak out and press on nearby nerves. While most cases of disc herniation occur in adults, it can also occur in children, with the incidence estimated to be around 1%-2%. According to reports, pediatric patients account for 0.4%-15.4% of lumbar disc herniation patients who undergo surgery. In contrast to adults, who mainly develop chronic degenerative changes leading to lumbar disc herniation, trauma resulting from axial load or sports-related injuries are the primary factors linked to lumbar disc herniation in children [3–6]. Symptoms can range from mild back pain to severe neurological deficits, depending on the location and severity of the herniation. L4/L5 and L5/S1 are the primary levels affected by lumbar disc herniation in pediatric patients (about 93%), although other levels and multiplelevel disease can occur, but they are not common.