scholarly journals LUMBAR DISC HERNIATION

2018 ◽  
Vol 25 (01) ◽  
pp. 63-66
Author(s):  
Sohail Amir ◽  
Maimoona Qadir
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Demographic Characteristic ◽  
Lumbar Disc ◽  
Weight Lifting ◽  
Office Workers ◽  
Office Worker ◽  
Long Distance ◽  
Cross Sectional ◽  
Gender And Age

Objectives: To determine Demographic characteristic and etiology of patientspresenting with lumbar disc herniation. Study Design: Descriptive cross sectional study.Setting: Department of Neurosurgery, Naseer Teaching Hospital Peshawar. Period: September2013 to February 2015. Material and Methods: We evaluated two hundred and eleven patients.All patients with either gender and age who presented through outpatient department, withclinically and radiological diagnosed lumbar disc prolapsed were included in the study.Patient profile like name, age, sex, occupation like driver, barber, carpenter, labourer, officeworker and those with systemic diseases were documented on predesigned Proforma. MRILumbosacral spine done in all patients. Data was analyzed using SPSS version 20.02015.Results: 211 patients were recruited in this study. Out of which 145(69%) were male and66(31%) were female. In our study 97(46%) were in age ranges of 31-40 years, followed by63(30%) in 21-30years, followed by 29(14%) in age group. Long route drivers on bad roadshad common disc herniation 66(31%) followed by labour (moderate to heavy weight lifting)42(20%), carpenters 27(13%), barbers 23(11%) and office workers 19(9%). Conclusion: Middleage working male was more prone to develop Lumbar disc herniation, more commonly at L4-l5and L5-S1 level. Long distance driver, labourer, carpenter, barber and office worker have strongassociation with lumbar disc herniation.

Association of Occupational Risk Factors with the Level of Lumbar Disc Nucleus Pulposus Herniation

2021 ◽  
Vol 15 (10) ◽  
pp. 2863-2864
Author(s):  
Mohammad Abid ◽  
Hameed Ullah Khan ◽  
Mohammad Huzea Abid ◽  
Adeel Ijaz ◽  
Muhammad Ahmad ◽  
...  
Keyword(s):  
Nucleus Pulposus ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Working Hours ◽  
Weight Lifting ◽  
Occupational Risk ◽  
Office Worker ◽  
Occupational Risk Factors ◽  
Increased Risk

Background: Lumbar disc nucleus pulposus herniation causes functional and life quality impairment. Objective: To evaluate the association of various occupations with increased risk of lumbar disc herniation. Study Design: Retrospective study. Place and Duration of Study: Department of Neurosurgery, Shaikh Zayed Hospital, Lahore from 1st June 2011 to 3oth June 2020. Methodology: Eighty patients between 30-60 years were enrolled after complete examination and lumbar disc herniation (nucleus pulposus) diagnosis. Variable including occupations type, working hours, clinical history were noted. Results: There were 86% males and 13.8% females. The mean age of patients was 51±7.3 years. Majority of patients were either educationist or office worker with 28.75% those who were lifting weight >10 kg by bending forward flexion at >90°. The working hours of 65% was >8 hours daily. Conclusion: Occupations with greater sitting, bending and weight lifting activities are risky and can result in lumbar disc nucleus pulposus herniation. Key words: Occupational risk, Disc degeneration, Lumbar disc, Nucleus pulposus

scholarly journals Association between pain and gait instability in patients with lumbar disc herniation

2021 ◽  
Vol 49 (8) ◽  
pp. 030006052110393
Author(s):  
Keunjae Lee ◽  
Eun-San Kim ◽  
Boyoung Jung ◽  
Sang-Won Park ◽  
In-Hyuk Ha
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Rating Scale ◽  
Lumbar Disc ◽  
Linear Regression Analysis ◽  
Lumbar Pain ◽  
Multivariate Linear Regression Analysis ◽  
Cross Sectional ◽  
Gait Symmetry ◽  
Symmetry Index

Objective To determine whether pain is associated with gait instability in patients with lumbar disc herniation (LDH). Methods This retrospective cross-sectional study used data from electronic medical records. Among patients with lumbar back pain caused by LDH between January 2017 and July 2019, patients that underwent gait analysis were included. LDH was diagnosed using magnetic resonance imaging. An OptoGait photoelectric cell system was used for gait evaluation. Instability was measured using a gait symmetry index. Multivariate linear regression analysis was performed to determine the association between lumbar pain and gait instability. Results A total of 29 patients (12 females [41.4%] and 17 males [58.6%]; mean ± SD age, 40.6 ± 12.0 years) with LDH were enrolled in the study. With each 1-point increase in lumbar pain on the numeric rating scale, the symmetry index of the stance phase (0.33; 95% confidence interval [CI] 0.04, 0.62), swing phase (0.78; 95% CI 0.14, 1.43) and single support (0.79; 95% CI 0.15, 1.43) increased. Conclusions Gait instability in patients with LDH may occur due to an increase in pain.

Cross-sectional areas of lumbar muscles after surgical treatment of lumbar disc herniation

1995 ◽  
Vol 133 (1-2) ◽  
pp. 7-12 ◽  
Author(s):  
E. Kotilainen ◽  
A. Alanen ◽  
R. Parkkola ◽  
H. Helenius ◽  
S. Valtonen ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Cross Sectional

Herniated Lumbar Disc: Excerpt from the New AMA Guides to the Evaluation of Disease and Injury Causation, Second Edition

2013 ◽  
Vol 18 (4) ◽  
pp. 1-5
Keyword(s):  
Risk Factors ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Scientific Evidence ◽  
Minor Trauma ◽  
Cross Sectional ◽  
Disc Herniations ◽  
Cross Sectional Design ◽  
Injury Causation

Abstract This article presents the current science regarding the causation for herniated lumbar discs, taken from the second edition of the AMA Guides to the Evaluation of Disease and Injury Causation. Sciatica is a relatively common disorder; point prevalence population estimates range from 2% to 5%. People with sciatica may or may not have lumbar disc herniations (lumbar herniated nucleus pulposus). Sciatica is described by a variety of terms, including radiculopathy, lumbosacral radicular syndrome, and nerve root irritation. Different definitions of sciatica have been used in epidemiologic surveys, and studies concerning sciatic pain or sciatica generally have used self-reported risk factors in a cross-sectional design—these studies have drawn contradictory conclusions regarding the risk factors associated with lumber radiculopathy. Insufficient scientific evidence exists to justify attributing the cause of lumbar disc herniation to any minor trauma event or ergonomic risk factor; supposed “post hoc ergo propter hoc” (after this, therefore because of this) associations show only association, not causation. The article includes several tables, including risk factors for lumbar disc herniation, risk factors for sciatica, and a summary of evidence for low back pain.

STUDY ON CLINICAL FEATUTES, MRI AND NERVE CONDUCTION IN PATIENT WITH LUMBAR DISC HERNIATION

2017 ◽  
pp. 107-112
Author(s):  
Cong Chinh Tran ◽  
Dinh Toan Nguyen
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Clinical Features ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Common Disease ◽  
Resonance Imaging ◽  
Cross Sectional ◽  
Lumbar Mri

Objective: Lumbar disc herniation is a common disease that affects the quality of life of patients. The study aimed to assess the severity of the disc herniation on magnetic resonance imaging and neurological conduction disorder on Electromyogramme (EMG). Methods: Cross-sectional studies included 40 patients who were diagnosed lumbar disc herniation by clinical features and magnetic resonance imaging in Thua thien Hue Rehabilitation hospital from January 2016 to Dec 2016. Results: Clinical Features: The rate of Lombalgia was 85%, Schober score (+) was 60%, limitation of lumber movement was 65%. There were 45% patients having 2 sites of disc herniation on lumber MRI. Motor conduction velocity of posterior tibia nerve and deep febularis nerve in the side with disc herniation were 43.62 ± 7.53 ms and 45.99±5.74 ms consecutively lower than those in the side without disc herniation. F wave frequence of posterior tibia nerve and deep febularis nerve in the side with disc herniation were 32.63±14.05% and 29.82±12.29% consecutively lower than those in the side without disc herniation. Conclusion: there was a relationship between clinical features, lumbar MRI and change of nerve conductions on EMG in patients with lumbar disc herniation Key words: disc herniation, MRI, EMG, lombalgia

scholarly journals ANALYSIS OF THE RELIABILITY OF THE LEE CLASSIFICATION FOR LUMBAR DISC HERNIATIONS

2020 ◽  
Vol 19 (4) ◽  
pp. 258-261
Author(s):  
LUAN CELSO GONÇALVES ◽  
ALBERTO OFENHEJM GOTFRYD ◽  
MARIA FERNANDA SILBER CAFFARO ◽  
NELSON ASTUR ◽  
RODRIGO GOES MEDÉA DE MENDONÇA ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Interobserver Reliability ◽  
Lumbar Disc ◽  
Cross Sectional Study ◽  
Magnetic Resonance Images ◽  
Level Of Evidence ◽  
Cross Sectional ◽  
Disc Herniations

ABSTRACT Objective To evaluate the intra- and interobserver reliability of the Lee et al. classification for migrated lumbar disc herniations. Methods In 2018, Ahn Y. et al. demonstrated the accuracy of this classification for radiologists. However, magnetic resonance images are often interpreted by orthopedists. Thus, a cross-sectional study was conducted by evaluating the magnetic resonance images of 82 patients diagnosed with lumbar disc herniation. The images were evaluated by 4 physicians, 3 of whom were spinal orthopedic specialists and 1 of whom was a radiologist. The intra- and interobserver analysis was conducted using the percentage of concordance and the Kappa method. Results The report of the classifications used by the four observers had a higher proportion of “zone 3” and “zone 4” type classifications in both evaluation moments. The most affected anatomical levels were L5-S1 (48.2%) and L4-L5 (41.4%). The intra- and interobserver concordance, when comparing both moments evaluation of the complementary examinations of the participants involved, was classified as moderate and very good. Conclusions Lee’s classification presented moderate to very good intra- and interobserver reliability for the evaluation of migrated lumbar disc herniation. Level of evidence II; Retrospective Study.

Positional changes in lumbar disc herniation during standing or lumbar extension: a cross-sectional weight-bearing MRI study

2020 ◽  
Author(s):  
Cecilie Lerche Nordberg ◽  
Mikael Boesen ◽  
Gilles Ludger Fournier ◽  
Henning Bliddal ◽  
Philip Hansen ◽  
...  
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Weight Bearing ◽  
Cross Sectional ◽  
Lumbar Extension ◽  
Mri Study
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