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Demographical Aspects of Central Large Lumbar Disc Herniation

Profile image of hakan simsekhakan simsek

2016, Turkish neurosurgery

https://doi.org/10.5137/1019-5149.JTN.7320-12.2
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Abstract

The purpose of this study was to investigate the risk factors for the development of the central large disc herniations and to compare the demographic data between central mass prolapse and broad-based central disc herniation. Between 2002 and 2007, 1630 patients underwent surgery and a large disc herniation was the main problem in 59 patients (3.6%). We performed a retrospective analysis of the demographic data of these patients. Magnetic resonance (MR) images were evaluated according to the disc type and level. Variables were evaluated both at baseline and follow-up, with special emphasis on physical job characteristics, sports activities, and MR - based morphologic findings. Central large disc herniation was diagnosed in 59 patients consisting of 41 males and 18 females. The average age was 34.7 years. 36 patients had a central mass prolapse that occupied more than 50% of the spinal canal. Intraoperative observations confirmed that 29 out of 36 central disc prolapse patients (80....

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Lumbar Disc Herniation
Sohail Amir

The Professional Medical Journal, 2018

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Evaluation of Lumbar Disc Herniation on Magnetic Resonance Imaging (MRI)
Tayyaba Qadeer

Journal of Health, Medicine and Nursing, 2021

To evaluate the lumbar disc herniation on magnetic resonance imaging (MRI) BACK GROUND: Lumbar disk herniation (LDH) is a common cause of low back pain in the world. The evidence has shown that the incidence of lumbar disc herniation (LDH) increases with age, weight lift and also depend on gender. In this cross-sectional descriptive study of LDH has been conducted to investigate the role of age in the incidence of LDH in elderly. The aim of the study is to investigate the relationship between the process of aging and the occurrence of LDH in old adults. Clinical studies have indicated that morphological characteristics of lumbar discs and signal intensity of patient's MRI image have close relationship with clinical outcome

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Does the Size or Location of Lumbar Disc Herniation Predict the Need for Operative Treatment?
Dhruv Goyal

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Study Design: Retrospective cohort study. Objective: The goal of this study was to determine whether the absolute size (mm2), relative size (% canal compromise), or location of a single-level, lumbar disc herniation (LDH) on axial and sagittal cuts of magnetic resonance imaging (MRI) were predictive of eventual surgical intervention. Methods: MRIs of 89 patients were reviewed, and patients were split into groups based on type of management received (34 nonoperative vs 55 microdiscectomy). Radiographic characteristics—including size of disc herniation (mm2), size of spinal canal (mm2), location of herniation on axial (central, paracentral, foraminal) and sagittal (disc level, suprapedicle, pedicle, infrapedicle) planes, and type of herniation (bulge, protrusion, extrusion, sequestration)—were measured by 2 independent, orthopedic spine fellows and compared between groups via univariate and multivariate analyses. Results: The operative group showed a significantly higher percentage of...

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Clinical and surgical outcomes of upper lumbar disc herniations: a retrospective study
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Background/aim: Upper lumbar disc herniation (LDH), generally involving L1-L2 and L2-L3 level herniation, is less common than lower LDH and, in this retrospective study, the clinical and radiological findings of patients who suffered from upper LDH and were operated on due to this pathology were reviewed. Materials and methods: Data regarding neurological and radiological findings of patients operated on between January 2005 and December 2013 were retrospectively collected. During this period, 3494 patients had surgery for LDH, and 129 of these patients had disc herniation at the upper levels. Seventy-eight patients with proper follow-up and data were included in the study. Results: There were 39 males and 39 females enrolled in the study. Twenty-one patients (0.6%) were operated on due to L1-L2 disc herniation and 45 (1.2%) had L2-L3 disc herniation. Twelve (0.3%) patients had disc pathologies at both levels. The mean age of the population was 59.9 years old, and this was significantly higher than lower LDH averages previously described in the literature (42 years old). Cauda equina signs and urinary disturbances were frequently seen, in addition to symptoms related to back and leg pain, neurologic claudication, and weakness in lower extremities. Conclusion: Upper LDHs requiring surgical therapy are extremely rare, more so than other LDHs. They are more frequent among older patients and are often present along with signs of cauda equina and urinary dysfunction.

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Risk factors for the need of surgical treatment of a first recurrent lumbar disc herniation
Diego Valiente

European Spine Journal, 2015

Purpose A recurrent lumbar disc herniation (RLDH) is the most prevalent cause for new radicular pain after surgery for disc herniation-induced sciatica. Reported risk factors include age, gender and smoking, while its surgical treatment is associated to a higher rate of complications and costs. The purpose of this study is to identify factors that increase the risk of requiring surgical treatment for a first RLDH in workers' compensation patients. Methods Nested case-control: 109 patients operated for an RLDH (cases) between June 1st 1994 and May 31st 2011 (minimum follow-up 1 year) and 109 randomly selected patients operated for a first disc herniation with no recurrence during the study period (controls). Age, gender, smoking status, type of work and MRI characteristics of the index herniation were statistically evaluated as potential risk factors. Results Patient's age of less than 35 years (p = 0.001) and a subligamentous herniation (p \ 0.05) at the time of the index surgery were identified as risk factors for requiring surgical treatment of a first RLDH. No statistical differences were observed between both groups regarding the other evaluated variables. Conclusion A subligamentous disc herniation and patient's age inferior to 35 years at the time of the first surgery are risk factors for requiring surgical treatment of a first RLDH among workers' compensation patients.

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Related topics

  • Demography
  • Medicine
  • Disc herniation
  • Lumbar disc herniation
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