The Clinical Diagnostic Value of Lumbar Intervertebral Disc Herniation Based on MRI Images

Abstract

MRI was used to measure the changes in the angle of the facet joints of the lumbar spine and analyze the relationship between it and the herniated lumbar intervertebral disc. Analysis of the causes of lumbar disc herniation from the anatomy and morphology of the spine provides a basis for the early diagnosis and prevention of lumbar disc herniation. There is a certain correlation between the changes shown in MRI imaging of lumbar disc herniation and the TCM syndromes of lumbar intervertebral disc herniation. There is a correlation between the syndromes of lumbar disc herniation and the direct signs of MRI: pathological type, herniated position, and degree of herniation. Indirect signs with MR, nerve root compression and dural sac compression, are related. The MRI examination results can help syndrome differentiation to improve its accuracy to a certain extent. MRI has high sensitivity for the measurement of the angle of the facet joints of the lumbar spine and can be used to study the correlation between the changes of the facet joint angles and the herniated disc. Facet joint asymmetry is closely related to lateral lumbar disc herniation, which may be one of its pathogenesis factors. The herniated intervertebral disc is mostly on the sagittal side of the facet joint, and the facet joint angle on the side of the herniated disc is more sagittal. The asymmetry of the facet joints is not related to the central lumbar disc herniation, and the angle of the facet joints on both sides of the central lumbar disc herniation is partial sagittal.

A comparative study of single and double incision for L4/5 and L5/S1 double-level percutaneous interlaminar lumbar discectomy

“…In addition, a single incision is not suitable for bilateral lumbar disc herniation. Not only can surgeons understand the type of disc herniation through preoperative imaging tests such as x-rays, CT scans, and MRI but also they can understand the feasibility of endoscopic surgery ( 20 ). The degree of disc herniation, degree of migration, severity of adhesion, risk of dural tear, the softness of the herniated disc, and concurrent spinal stenosis should be assessed.…”

Clinical and pathological considerations in lumbar herniated disc associated with inflammatory lesions

“…Still, it is more common in the elderly, because, with age, there occur more degenerative lesions of the lumbar spine [ 15 , 16 ]. Lumbar herniated disc is defined as a pathological condition caused by the displacement of the nucleus pulposus , of the ring or terminal plate that exceeds the normal line of the intervertebral disc, thus compressing the corresponding segment of the dural sac or the nervous root [ 17 ]. Most often, disc hernia is the result of the posterior migration of the nucleus pulposus , with the rupture of the fibrous ring, herniation into the vertebral canal and compression of the dural sac, of a nervous root or the roots composing the “ponytail” [ 18 , 19 , 20 ].…”

The Assessment of Spinal Pathology among Taif City Population Using MRI

“…Thus, precise diagnosis of nerve root compression of lumber region using MRI is highly important ( Zheng, Wen, & Li, 2021). Because disc protrusion is a common medical issue causing back pain encountered in the health care sectors, interprofessional team is recommended to be involved in the management (Dydyk & Mesfin, 2022).…”