Disproportionate Vertebral Bodies and Their Impact on Lumbar Disc Herniation

Läubli, Ralph; Brugger, Robin; Pirvu, Tatiana; Hoppe, Sven; Sieroń, Dominik; Szyluk, Karol; Albers, Christoph E.; Christe, Andreas

doi:10.3390/jcm10143174

Cited by 3 publications

(1 citation statement)

References 26 publications

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“…Lumbar disc herniation (LDH) is a common cause of low back pain (LBP) and radiating pain in the lower extremities, mostly occurring at the L4/5 or L5/S1 level (1). LBP is a common condition experienced by about 70% of people during their illness (2).…”

Section: Introductionmentioning

confidence: 99%

Risk factors for lumbar disc herniation in adolescents and young adults: A case–control study

Luo

Meng

et al. 2023

Front. Surg.

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BackgroundThere is a limited understanding of the risk factors for lumbar disc herniation (LDH) in younger people, even though the evidence suggests that LDH is more prevalent in this population. This study aimed to comprehensively analyze the risk factors for LDH in adolescents and young adults.MethodsThe medical records of all patients were retrospectively reviewed with inclusion criteria of being younger than 25 years. Magnetic resonance imaging (MRI) was used to confirm LDH from September 2016 to September 2021. Furthermore, 104 healthy people in the same age range were enrolled as the control group from physical examination centers. Gender, BMI, smoking, drinking, genetic history, sitting posture, daily sitting time, traumatic history of the lower back, scoliosis, and daily exercise time were examined for all enrolled people. These factors were statistically analyzed to determine the high-risk factors.ResultsA total of 208 young individuals were enrolled in the present study. The mean age of the study group and the control group was 21.06 ± 3.27 years (range: 11–25 years) and 21.26 ± 2.23 years (range: 15–25 years), respectively. The result of the chi-squared test demonstrated that there was a significant difference in BMI of more than 30 (p < 0.001), genetic history (p = 0.004), sitting posture (p < 0.001), daily sitting time of more than 6 h (p < 0.001), and the history of low back trauma (p = 0.002). Additionally, multivariate logistic regression showed that these were high-risk factors for LDH, particularly the duration of daily sitting time (more than 6 h).ConclusionsBMI of more than 30, genetic history, sitting posture, daily sitting time of more than 6 h, and a history of low back trauma are the high-risk factors for adolescents and young adults with LDH. Therefore, providing them with the proper guidance and education, particularly about the protection of the lower back and the reduction of spinal load, could play a key role in preventing and reducing LDH.

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Section: Introductionmentioning

confidence: 99%

Risk factors for lumbar disc herniation in adolescents and young adults: A case–control study

Luo

Meng

et al. 2023

Front. Surg.

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Association between vertebral cross-sectional area and lumbar disc displacement – a population-based study

Ollila,

Oura,

Karppinen

et al. 2023

Eur Spine J

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Purpose Vertebral dimensions may constitute a potential risk factor for degenerative changes in the spine. Previous studies have found a positive association between vertebral height and both type 2 Modic changes and intervertebral disc height loss. Also, vertebral endplate size has been associated with disc degeneration. However, only a few studies have investigated the association between vertebral dimensions and lumbar disc displacement (LDD). This study aimed to investigate the association between vertebral cross-sectional area (CSA) and LDD among the general middle-aged Finnish population. We hypothesized that larger vertebral CSA is associated with LDD. Materials and methods The study was conducted by using data from the Northern Finland Birth Cohort 1966 (NFBC1966). At the age of 46, a subpopulation of NFBC1966 underwent clinical examinations including magnetic resonance imaging (MRI) (n = 1249). MRI scans were used to measure L4 CSA and evaluate the presence of LDD (bulge, protrusion, and extrusion/sequestration) in the adjacent discs. The association between L4 CSA and LDD was analysed using logistic regression, with adjustment for sex, education, body mass index, leisure-time physical activity, smoking, diet, and L4 height. Results Larger L4 CSA was associated with LDD; an increase of 1 cm2 in vertebral CSA elevated the odds of LDD relative to no LDD by 10% (adjusted odds ratio 1.10, 95% CI 1.01–1.19). The association was similar among either sex. Conclusions Larger L4 vertebral CSA was associated with LDD in our study sample. Even though smaller vertebral size exposes our vertebrae to osteoporotic fractures, it simultaneously seems to protect us from LDD.

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Reducing thoracolumbar kyphosis: Structural, postural, and spinal rehabilitation case report with a 5-year follow-up

Oakley,

Woodham,

Haas

et al. 2024

Interdisciplinary Neurosurgery

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Disproportionate Vertebral Bodies and Their Impact on Lumbar Disc Herniation

Cited by 3 publications

References 26 publications

Risk factors for lumbar disc herniation in adolescents and young adults: A case–control study

Risk factors for lumbar disc herniation in adolescents and young adults: A case–control study

Association between vertebral cross-sectional area and lumbar disc displacement – a population-based study

Reducing thoracolumbar kyphosis: Structural, postural, and spinal rehabilitation case report with a 5-year follow-up

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