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

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Kangxing Zheng ◽  
Zihuan Wen ◽  
Dehuai Li
Keyword(s):  
Intervertebral Disc ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Facet Joint ◽  
Lumbar Disc ◽  
Herniated Disc ◽  
Intervertebral Disc Herniation ◽  
Facet Joints ◽  
Lumbar Intervertebral Disc ◽  
Lumbar Intervertebral Disc Herniation

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.

scholarly journals A CLINICO-OPERATIVE STUDY OF LUMBAR INTERVERTEBRAL DISC HERNIATION

2021 ◽  
Vol 5 (10) ◽  
Author(s):  
Yogesh Kumar ◽  
Rohit Amar
Keyword(s):  
Back Pain ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Clinical Signs ◽  
Leg Pain ◽  
Herniated Disc ◽  
Intervertebral Disc Herniation ◽  
Older Individuals ◽  
Lumbar Intervertebral Disc ◽  
Lumbar Intervertebral Disc Herniation

Background: Herniation is a greater threat in younger individuals between the ages of 30 and 50 years, in whom the nucleusmaterial has good turgor, in contrast to older individuals in whom the nucleus is desiccated and fibrotic. Open discectomy is the gold standard for operative intervention in patients with herniated disc where conservative treatment has failed. Aim of objective: To study the reliability of clinical signs in diagnosing lumbar disc herniation. Material and Methods: This study was done collecting data of patients presenting to, JLNMCH, Bhagalpur. During this period there were 46 patients with a history of low back pain and at least one symptom suggesting root compression (Radiating pain, numbness,weakness or loss of sensation) who underwent surgery. Conclusion: Commonest presentation is that of, long histories of back pain with superimposed syndrome of sciatica. Patients with predominant leg pain or only leg pain have high incidences of ruptured herniations. Keywords: Herniation, Sciatica, Numbness, loss of sensation.

scholarly journals INFLUENCE OF FACET TROPISM ON THE LOCATION OF LUMBAR DISC HERNIATION

2018 ◽  
Vol 17 (1) ◽  
pp. 23-26 ◽  
Author(s):  
RODRIGO ARNOLD TISOT ◽  
JULIANO DA SILVEIRA VIEIRA ◽  
DIEGO DA SILVA COLLARES ◽  
LEONARDO DOMINGUES STUMM ◽  
MARIANO FERABOLI FONTANA ◽  
...  
Keyword(s):  
Intervertebral Disc ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Facet Joint ◽  
Lumbar Disc ◽  
Demographic Data ◽  
Herniated Disc ◽  
Resonance Imaging ◽  
Level Of Evidence ◽  
Facet Tropism

ABSTRACT Objective: To correlate facet tropism with the side and location of the intervertebral disc in which the lumbar disc herniation occurred. Methods: A retrospective descriptive study that evaluated Magnetic Resonance Imaging of 255 patients with lumbar disc herniation undergoing surgical treatment with the Spine Group of the Hospital Ortopédico de Passo Fundo between 2002 and 2014. The total patient number was stratified according to the side affected by the herniated disc (right or left), location of the hernia in the intervertebral disc (central, centrolateral, foraminal and extraforaminal) and demographic data, such as age, gender etc. The degree of facet joint tropism was measured by the Karakan method and classified as mild (difference less than 7º); moderate (between 7º and 15º) and severe (difference greater than 15º). Results: A statistical significant relationship (p= 0.023) was observed between the facet joint tropism and the side where the lumbar disc herniation occurred. No correlation was found between facet joint tropism and location of the herniation on the intervertebral disc. Conclusions: The degree of facet tropism presents a statistical significant correlation with the side of the intervertebral disc in which the lumbar disc herniation will develop. Level of Evidence: II. Type of study: Retrospective study.

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