Lumbar Disk Herniation: A Clinical Epidemiological and Radiological Evaluation

Abstract

BACKGROUND: A herniated disc in the spine is a condition during which a nucleus pulposus is displaced from intervertebral space. AIM: The study aimed to investigate and observe variation of clinical, epidemiological, and radiological aspects for patients suspected of lumbar herniation based on observed evaluation of CT and MRI imagery. METHODS: This is a cross-sectional study conducted during the periods March 2015 and November 2019. Patients were subjected to MRI and CT based on the emergency or scheduled of diagnose. All MRI scans were obtained with 1.5 tesla MRI machine and for CT had undergone examinations with one of the following equipment: Siemens with 128 slice and Phillips 64 slice. The patients were placed in supine position. RESULTS: Overall 194 symptomatic patients were recruited as a participant in this study, 118 men and 76 women with an average age of 44.9 ±10.4 years. Patients belong to the active age (35–44-years-old and 45–54-years-old) appeared to have the highest percentage of lumbar disk herniation (LDH) 30.9% and 25.8%, respectively. There were a significant association between such as epidemiological data (such as gender, BMI, age groups, and employment status) and presence of LDH, p ˂ 0.05. Acute pain was presented in 69.07% of patients and according to complaint associated with low back pain (LBP), most of them 47.4% appeared with Right Sciatica. MRI is the most diagnostic methods used in evaluation of LDH in 52% of patients, and CT was used in 48% of them. The most common changes were between L2-L3, L3-L4, and L4-L5. Furthermore, the grading findings which corresponding to lumbosacral segment were Grade I and Grade II. Grade V was less common. CONCLUSION: This study involving patients with lumbar disk herniation and associated LBP showed that a combination of clinical features and epidemiological predicted the presence or absence of a significant association. Further research is required to validate these findings in different types of LDH and LBP for other findings and conditions.

Navigating the Landscape of Herniated Discs: A Rare Case of Herniated Disc Regression

“…It is a severe development of a herniation because the nucleus pulposus goes through the annulus fibrosus and into the spinal canal, where it can move freely, therefore applying pressure to a lot of nerve structures ultimately being the cause of extending pain all the way to the lower leg [3]. At this point, patients can benefit from non-surgical treatments such as physical therapy, posture correction exercises, steroid injections, and other medicamentations and a wide range of exercises [4]. In some instances, surgery may be applicable, but in most instances, it is only needed 10% of the time.…”

“…This case report is consistent with the main takeaway, which emphasizes the value of informed decisionmaking and patient-centered care. The current trend in healthcare, which encourages shared decisionmaking between practitioners and patients, is in line with this emphasis on informed decision-making and offers insightful clinical information about how lumbar disc herniations present and are conservatively managed [3,4,5]. Clinicians handling cases similar to our patient can benefit from this thorough account of the patient's symptoms, course, and reaction to conservative treatment.…”

“…In 90%-95% of cases, they are in the region of L4-L5, L5-S1 [2]. It is important to keep in mind that most disc herniations do not have many symptoms and are usually found during an MRI [1][2][3][4][5]. Disc herniation is typically linked to disc degeneration.…”

The use of transforaminal epidural block in patients with herniated discs and radicular pain

“…По данным Azemi et al [31], пациенты с симптомными грыжами межпозвонковых дисков на поясничном уровне наиболее часто выявлялись в возрастных группах 35-44 (30,9 %) и 45-54 (25,8 %) лет.…”