scholarly journals Are There Correlations Between Facet Joint Parameters and Lumbar Disk Herniation Laterality in Young Adults?

2021 ◽  
Author(s):  
Song Ke ◽  
Ming Yang ◽  
Wentao Zhang ◽  
Tianze Sun ◽  
Jing Zhang ◽  
...  
Keyword(s):  
Young Adults ◽  
Facet Joint ◽  
Clinical History ◽  
Intervertebral Disk ◽  
Control Group ◽  
Disk Herniation ◽  
Lumbar Disk Herniation ◽  
Lumbar Disk ◽  
Joint Parameters ◽  
Intervertebral Disk Herniation

Abstract Background: We aimed to determine whether there is an association, in young adults, between the occurrence of lumbar disk herniation（LDH）at a given segment and the segment’s facet joint parameters [facet orientation (FO) and tropism (FT)]. In addition, associations between facet joint parameters in the corresponding segment and LDH laterality were also investigated.Methods: We retrospectively analyzed data from 529 patients who were between 18 and 35 years old, who had experienced single-level LDH (L4–5 or L5–S1) between June 2017 and December 2019, and with less than 2 years of clinical history. We included an additional 122 patients with no history of LDH as an age-matched control group. LDH were classified by laterality (left-sided, right-sided, or central herniation). At each level (L4–L5 or L5–S1 segments), we investigated the relationship between facet joint parameters and herniation laterality. Results: FOA values at the L4–L5 level and the L5–S1 level were significantly lower and FT was higher for the LDH group compared with those for the control group. The level at which LDH occurred, FOL, FOR, and FT differed significantly among the three groups. There was a significant association between herniation laterality and FO at the L4–L5 level but not at the L5–S1 level.Conclusions: Abnormal facet joint parameters are significantly associated with LDH. Young adults with higher FT should be paid more attention, to prevent the occurrence of LDH. At the L4–L5 level, intervertebral disk herniation tended to occur ipsilateral to the side with a lower facet joint angle when FT was present.

scholarly journals Diabetes Mellitus, a New Risk Factor for Lumbar Spinal Stenosis: A Case–Control Study

2016 ◽  
Vol 9 ◽  
pp. CMED.S39035 ◽  
Author(s):  
Leila Asadian ◽  
Kaveh Haddadi ◽  
Mohsen Aarabi ◽  
Amirhossein Zare
Keyword(s):  
Diabetes Mellitus ◽  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Case Control Study ◽  
Control Group ◽  
Disk Herniation ◽  
Lumbar Disk Herniation ◽  
Lumbar Disk ◽  
Lumbar Spinal ◽  
Control Study

Objectives This study aimed to determine the prevalence of diabetes mellitus in patients with spinal stenosis and lumbar vertebral disk degeneration, and the correlation of diabetes with these diseases. Study Design This is a cross-sectional study. Methods This case–control study was performed during 2012–2014 with 110 patients suffering from lumbar spinal stenosis and 110 patients with lumbar disk herniation, who were diagnosed using clinical and radiological evidences. Additionally, 110 participants who were referred to the clinic and did not show clinical signs of degenerative diseases of the lumbar spine entered the study as a control group. Demographic data and medical histories of the patients were collected using checklists. Results A total of 50 patients (15.2%) were diagnosed with diabetes, which comprised 32 (29.1%) in the stenosis group, 7 (6.4%) in the lumbar disk herniation group, and 11 (10%) in the control group. The prevalence of diabetes in women with spinal stenosis and women with lumbar disk herniation was 35.9% and 10.3%, respectively, whereas prevalence of diabetes in women was 10.9% in the control group. This difference was statistically significant in the spinal stenosis group in comparison with the controls ( P < 0.0001). Conversely, no significant difference was found in men. Conclusions There is an association between diabetes and lumbar spinal stenosis. Diabetes mellitus may be a predisposing factor for the development of lumbar spinal stenosis.

scholarly journals The Correlation Between Facet Joint Parameters and the Location of Lumbar Disc Herniation in the Young Population

2021 ◽  
Author(s):  
Song Ke ◽  
Naiguo Wang ◽  
Ming Yang ◽  
Wentao Zhang ◽  
Tianze Sun ◽  
...  
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Facet Joint ◽  
Lumbar Disc ◽  
Clinical History ◽  
Control Group ◽  
Young Population ◽  
Facet Orientation ◽  
Joint Parameters ◽  
Facet Tropism

Abstract Background: Facet joint parameters have been discussed as substantial factors in the development of LDH. However, the correlation between facet joint parameters and the location of LDH in the corresponding segment is still unclear. The objective of this study was to demonstrate a clearly relationship between facet orientation (FO), facet tropism (FT) and lumbar disc herniation (LDH) in young individuals.Methods: Between June 2017 and December 2019, 529 patients having single-level LDH (L4-5 or L5-S1) between 18 and 35 years old with a less than 2 years clinical history were included. Another 122 age-matched patients with no LDH were enrolled as the control group (N-LDH group). Based on the location of herniation, cases in LDH group were divided into three groups (LDHL, LDHR, and LDHM). We investigated the correlation between facet joint parameters and the location of LDH.Results: The FOA in L4-5 and L5-S1 level were significantly lower while FT were higher in LDH group than N-LDH group respectively. In terms of the correlation between the facet joint parameters and the location of LDH, the level of LDH, the FOL, FOR, and FT were significantly varied among the three groups. There is a significant association between the different location of LDH and different FO of bilateral facet joints in L4-5 while not in L5-S1 level.Conclusion: The facet joint parameters abnormality have an significant association with the development of LDH. Young individuals with higher FT and/or lower FO should be paid more attention to preventing the occurrence of LDH. There was more location of IVD herniated on the ipsilateral location with lower FO of facet joint when FT existed in L4-5 level.

Clinical application of enhanced recovery after surgery in lumbar disk herniation patients undergoing dynamic stabilization and discectomy

2021 ◽  
pp. 1-7
Author(s):  
Haoshaqiang Zhang ◽  
Zhigang Wang ◽  
Kun Li
Keyword(s):  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Dynamic Stabilization ◽  
Control Group ◽  
Disk Herniation ◽  
Lumbar Disk Herniation ◽  
Lumbar Disk ◽  
Vas Score ◽  
Eras Protocol ◽  
And Control

BACKGROUND: Enhanced recovery after surgery (ERAS) has been demonstrated to improve early postoperative outcomes and is becoming a crucial component of any perioperative management paradigm. OBJECTIVE: To investigate the effect of an ERAS protocol on lumbar disk herniation (LDH) patients undergoing dynamic stabilization and discectomy. METHODS: A total of 119 lumbar disk herniation (LDH) patients undergoing Dynesys dynamic stabilization and discectomy were divided into the ERAS (n1 = 56) and control group (n2 = 63). ERAS group received an enhanced recovery after surgery (ERAS) protocol, and control group received a traditional care protocol. RESULTS: Both the ERAS and control groups had significantly decreased visual analog scale (VAS) score and Oswestry Disability Index (ODI) and increased Japanese Orthopaedic Association (JOA) score at postoperative 1 week, 1 month and 3 months compared with preoperative scores. Moreover, the ERAS group had lower postoperative VAS score and ODI and higher postoperative JOA score and rate of improved JOA score compared with the control group. Intraoperative blood loss, operation time, ambulation time and length of stay were all lower in the ERAS group than in the control group. CONCLUSIONS: The ERAS protocol designed was feasible for LDH patients undergoing dynamic stabilization and discectomy with significantly improved perioperative outcomes.

The Effect of Hydrotherapy on Pain Intensity and Functional Ability in Lumbar Disk Herniation (LDH) Patients that Undergo Non-operative Procedure Pre-experimental Study at Medical Rehabilitation Installation of RSUP dr. Mohammad Hoesin Palembang

2020 ◽  
Vol 3 (3) ◽  
pp. 42-50
Author(s):  
Theresa Rahmadhani ◽  
Nyimas Fatimah ◽  
Eka Febri Zulissetiana
Keyword(s):  
Experimental Study ◽  
Pain Intensity ◽  
Functional Ability ◽  
Operative Procedure ◽  
Medical Rehabilitation ◽  
Wilcoxon Test ◽  
Low Back ◽  
Disk Herniation ◽  
Lumbar Disk Herniation ◽  
Lumbar Disk

The effect of hydrotherapy on pain intensity and functional ability in lumbar disk herniation (LDH) patients thatundergo non-operative procedure; pre-experimental study at medical rehabilitation installation of RSUPdr. Mohammad Hoesin Palembang. Lumbar disk herniation (LDH) is the most common disease that becaused low backpain and functional disability. Some studies mentioned that hydrotherapy is an effective treatment for low back pain.Therefore, this study was conducted to determine the effect of hydrotherapy on reducing pain intensity and improvingfunctional ability in LDH patients. This study was a pre-experimental study with one group pretest-posttest design. Datawas collected by direct interviews to the patients using visual analogue scale (VAS) to measure pain intensity andModified Oswestry Low Back Pain Disability Questionnaire to assess functional ability before and after underwenthydrotherapy once a week for 4 weeks. The data then undergo Shapiro-Wilk normality test and continue with Paired t-Test or Wilcoxon test. From 30 subjects, it was found that there are effects of hydrotherapy on reducing pain intensity(p<0,001) and improving functional ability (p<0,001) in LDH patients that undergo non-operative procedure at theMedical Rehabilitation Installation of RSUP Dr. Mohammad Hoesin Palembang. There are effects of hydrotherapy onpain intensity and functional ability in LDH patients that undergo non-operative procedure.

Sign in / Sign up

Export Citation Format

Share Document