Management of traumatic spinal column injury: A tertiary hospital experience

Ahsan, Md. Kamrul; Sakeb, N; Zaman, Naznin; Jannat, Syeda Nur E

doi:10.3329/bsmmuj.v8i2.28929

Cited by 2 publications

(2 citation statements)

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“…Fracture of intravertebral disc may occur following injury. 8 The earliest symptom of the root involvement in a lumbar disc prolapse is radiating pain along the sciatic nerve (sciatica). 4 The incidence of lumbar disc herniation under 24 years of age is only 1-3.5%.…”

Section: Discussionmentioning

confidence: 99%

Association between clinically diagnosed lumbar intervertebral disc prolapse and magnetic resonance image findings

Rahman

Islam

et al. 2016

Bangabandhu Sheikh Mujib Medical University Journal

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<p>There are contradictory reports on the findings of magnetic resonance image (MRI) in lumbar intervertebral disc prolapse. A study was conducted on 54 patients using 3 of 4 clinical criteria (low back pain with radiation down to the lower limbs, radicular pain along specific dermatomes, positive straight leg raising test, presence of neurological symptoms and signs e.g. motor or sensory deficit and MRI of lumbosacral spine of the respondent). Evaluation of MRI of lumbosacral spine was done based on extent of disc prolapse, disc degeneration, nerve root compression neural foramen compromise. The logistic regression analysis between the findings of MRI and the clinical features show that there was a significant association in the neural foramen or lateral recess (Odd's ratio 7.106, p<0.05), the root compression (p<0.01) as well as the disc extrusion (p<0.05). There was no statistical association between clinical levels and other MRI findings like disc protrusion and disc bulge (p value 0.21 and 0.14, respectively). The strength of agreement between clinical and MRI diagnosis level of disc prolapse was calculated using kappa statistics (k-value). The test revealed a very good agreement for L3/4 (k-value = 0.812) and good agreement for L4/5 and L5/SI level (k-value 0.75 and 0.75 respectively) between these two procedures, suggesting that level of disc prolapse could be correctly diagnosed without MRI findings. In conclusion, clinically diagnosed levels associate well with MRI levels, but all MRI abnormalities do not have any clinical significance.</p><p> </p>

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Section: Discussionmentioning

confidence: 99%

Association between clinically diagnosed lumbar intervertebral disc prolapse and magnetic resonance image findings

Rahman

Islam

et al. 2016

Bangabandhu Sheikh Mujib Medical University Journal

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“…Less than 5% of it occurs at Ll/2, L2/3 and L3/4. Fracture of intravertebral disc may occur following injury [8] . earliest symptom of the root involvement in a lumbar disc prolapse is radiating pain along the sciatic nerve (sciatica) [9] .…”

Section: Discussionmentioning

confidence: 99%

Study of correlation between clinical findings, radiological and intra operative findings in lumbar disc prolapse

Lakshmeesha¹,

Ks²,

Vishanth³

et al. 2019

Int. J. Orthop. Sci.

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Background: Lumbar disc prolapse is one of the common causes of low back pain seen in the working population [1,2] . Clinical examination is mainstay of diagnosis, to be confirmed by plain X-ray, invasive radiography like myelography, discography, etc. There is a good correlation between the findings of clinical features and MRI. However, all MRI abnormalities do not correlate with the findings of clinical features. Study was conducted to correlate between clinical findings, radiological and intra operative findings in lumbar disc prolapsed. Materials and Methods: Fifty eight cases of symptomatic prolapsed intervertebral disc confirmed by MRI who were not relieved by conservative line of management for a period of 6 weeks were selected for surgical intervention, were studied from 2014 to 2019. Patients presenting with clinical features of lower limb radiculopathy to the out patient department of orthopedics were screened for inclusion in the study. The patients with clinical diagnosis of lumbar disc prolapse were included in the study. Patients who presented with acute onset of symptoms and were having radicular symptoms for the first time were treated with simple bed rest and analgesics for 6 weeks and patients who had completely recovered were excluded from the study. Results: There was positive correlation between clinical, MRI findings and intra operative findings in 55 out of 58 and negative correlation in 3 out of 58 patients. Conclusion:There was positive correlation between clinical, MRI findings and intra operative findings. MRI is a helpful preoperative diagnostic investigation which shows structural changes in the disc the size and the site of the extrusion or protrusion.

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Management of traumatic spinal column injury: A tertiary hospital experience

Cited by 2 publications

References 0 publications

Association between clinically diagnosed lumbar intervertebral disc prolapse and magnetic resonance image findings

Association between clinically diagnosed lumbar intervertebral disc prolapse and magnetic resonance image findings

Study of correlation between clinical findings, radiological and intra operative findings in lumbar disc prolapse

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