The Risk Factors Affecting Disability Level of Lumbar Disc Herniation

Background. Lumbar disc herniation (LDH) is a disorder that involves rupture of the annulus fibrosus so that the nucleus pulposus protrudes and compresses the lumbar canal. LDH is the most common cause of lumbar radiculopathy. LDH causes functional disorders in patients, causing disability to carry out daily activities. The purpose of this study was to determine the risk factors that influence the degree of disability in lumbar nucleus pulposus herniation. Methods. Analytical research with a consecutive cross-sectional study approach in patients with lumbar LDH at the Neurology Outpatient Clinic, Dr. M. Djamil General Hospital Padang from March to November 2021. The risk factors assessed were age, gender, occupation, length of illness, and body mass index (BMI). The measurement of the degree of disability uses the Oswestry disability index (ODI) score. The relationship between risk factors and the degree of disability was analyzed using chi-square test. Differences in the mean age of groups with mild and moderate degrees of disability using unpaired t-test. Results. 40 subjects met the inclusion and exclusion criteria. Mean age 57 ± 10,976 years, male and female ratio 1:2, work with heavy lifting activities was found in 70% of subjects, duration of suffering from LDH more than one year in 60% of subjects. BMI overweight and obesity as many as 77.5% subjects. As many as 60% of the subjects experienced mild to moderate degrees of disability. There is a difference in the average age of the subjects with mild to moderate degree of disability with a severe degree of p-value of 0.044. There was no significant relationship between gender (p=0.054), occupation (p=0.398), length of illness (p=0.503) and body mass index (p=0.757), and the degree of disability. Conclusion. The degree of disability in patients with LDH is influenced by age. Meanwhile, gender, occupation, length of illness and body mass index were not significantly related to the degree of disability in patients.

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Results and risk factors for recurrence following single-level tubular lumbar microdiscectomy

Journal of Neurosurgery Spine ◽

10.3171/2009.12.spine08843 ◽

2010 ◽

Vol 12 (6) ◽

pp. 680-686 ◽

Cited By ~ 32

Author(s):

Jennifer A. Moliterno ◽

Jared Knopman ◽

Karishma Parikh ◽

Jessica N. Cohan ◽

Q. Daisy Huang ◽

...

Keyword(s):

Risk Factors ◽

Body Mass Index ◽

Body Mass ◽

Disc Herniation ◽

Lumbar Disc ◽

Lower Body ◽

Single Level ◽

Lower Body Mass Index ◽

Lumbar Microdiscectomy ◽

Nonobese Patients

Object The use of minimally invasive surgical techniques, including microscope-assisted tubular lumbar microdiscectomy (tLMD), has gained increasing popularity in treating lumbar disc herniations (LDHs). This particular procedure has been shown to be both cost-efficient and effective, resulting in outcomes comparable to those of open surgical procedures. Lumbar disc herniation recurrence necessitating reoperation, however, remains an issue following spinal surgery, with an overall reported incidence of approximately 3–13%. The authors' aim in the present study was to report their experience using tLMD for single-level LDH, hoping to provide further insight into the rate of surgical recurrence and to identify potential risk factors leading to this complication. Methods The authors retrospectively reviewed the cases of 217 patients who underwent tLMD for single-level LDH performed identically by 2 surgeons (J.B., R.H.) between 2004 and 2008. Evaluation for LDH recurrence included detailed medical chart review and telephone interview. Recurrent LDH was defined as the return of preoperative signs and symptoms after an interval of postoperative resolution, in conjunction with radiographic demonstration of ipsilateral disc herniation at the same level and pathological confirmation of disc material. A cohort of patients without recurrence was used for comparison to identify possible risk factors for recurrent LDH. Results Of the 147 patients for whom the authors were able to definitively assess symptomatic recurrence status, 14 patients (9.5%) experienced LDH recurrence following single-level tLMD. The most common level involved was L5–S1 (42.9%) and the mean length of time to recurrence was 12 weeks (range 1.5–52 weeks). Sixty-four percent of the patients were male. In a comparison with patients without recurrence, the authors found that relatively lower body mass index was significantly associated with recurrence (p = 0.005), such that LDH in nonobese patients was more likely to recur. Conclusions Recurrence rates following tLMD for LDH compare favorably with those in patients who have undergone open discectomy, lending further support for its effectiveness in treating single-level LDH. Nonobese patients with a relatively lower body mass index, in particular, appear to be at greater risk for recurrence.

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Body Mass Index and its Association with Lumbar Disc Herniation and Sciatica: A Large-Scale, Population-Based Study

Global Spine Journal ◽

10.1055/s-0034-1376593 ◽

2014 ◽

Vol 4 (1_suppl) ◽

pp. s-0034-1376593-s-0034-1376593

Author(s):

D. Samartzis ◽

J. Karppinen ◽

K. DK Luk ◽

K. MC Cheung

Keyword(s):

Body Mass Index ◽

Body Mass ◽

Lumbar Disc Herniation ◽

Disc Herniation ◽

Large Scale ◽

Lumbar Disc ◽

Population Based ◽

Population Based Study ◽

Scale Population

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The Effect of Body Mass Index Underwent Lumbar Disc Herniation Surgery on the Problems Experienced by Patients

Turkiye Klinikleri Journal of Health Sciences ◽

10.5336/healthsci.2019-73236 ◽

2020 ◽

Vol 5 (3) ◽

pp. 401-407

Author(s):

Arzu TAT ÇATAL ◽

Fatma CEBECİ

Keyword(s):

Body Mass Index ◽

Body Mass ◽

Lumbar Disc Herniation ◽

Disc Herniation ◽

Lumbar Disc

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Recurrence Is Associated With Body Mass Index in Patients Undergoing a Single-Level Lumbar Disc Herniation Surgery

Journal of Clinical Medicine Research ◽

10.14740/jocmr3121w ◽

2018 ◽

Vol 10 (6) ◽

pp. 486-492 ◽

Cited By ~ 5

Author(s):

George Fotakopoulos ◽

Demosthenes Makris ◽

Polikceni Kotlia ◽

Christos Tzerefos ◽

Kostas Fountas

Keyword(s):

Body Mass Index ◽

Body Mass ◽

Lumbar Disc Herniation ◽

Disc Herniation ◽

Lumbar Disc ◽

Single Level

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Risk factors and association of body composition components for lumbar disc herniation in Northwest, Mexico

Scientific Reports ◽

10.1038/s41598-020-75540-5 ◽

2020 ◽

Vol 10 (1) ◽

Author(s):

Adriana G. Mateos-Valenzuela ◽

Mirvana E. González-Macías ◽

Silvia Ahumada-Valdez ◽

Carlos Villa-Angulo ◽

Rafael Villa-Angulo

Keyword(s):

Physical Activity ◽

Risk Factors ◽

Body Composition ◽

Lumbar Disc Herniation ◽

Disc Herniation ◽

Visceral Fat ◽

Lumbar Disc ◽

Overweight And Obesity ◽

Abdominal Circumference ◽

Visceral Fat Area

Abstract The goal of this study was to investigate the association of body composition components and to elucidate whether any of these components is a risk factor for Lumbar Disc Herniation (LDH). The group of study consisted of 90 adults involved in a physical activity program due to overweight and obesity. 19 adults with medical diagnostic through Magnetic Resonance Imaging with LDH. Body composition data was obtained with a bioelectrical impedance analyzer. Descriptive statistics and principal components analysis permitted to analyze the information's structure and to visualize information clusters. A logistic regression analysis allowed us to find the association between some of the variables of body composition with LDH. The Degree of Obesity, Body Mass Index, Visceral Fat Area and the Abdominal Circumference resulted associated (P values of 0.0388, 0.0171, 0.0055 and 0.0032, respectively). The application of Odd Ratio allowed us to declare the Visceral Fat Area and Abdominal Circumference as risk factors to develop Lumbar Disk Herniation. Our results provide a new record for future studies, and support for prescription of physical activity and changes in diet, to correct or prevent the development of LDH in the population of Baja California.

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Risk factors for recurrent lumbar disc herniation after discectomy

International Orthopaedics ◽

10.1007/s00264-018-4201-7 ◽

2018 ◽

Vol 43 (4) ◽

pp. 963-967 ◽

Cited By ~ 6

Author(s):

Eun-Ho Shin ◽

Kyu-Jung Cho ◽

Young-Tae Kim ◽

Myung-Hoon Park

Keyword(s):

Risk Factors ◽

Lumbar Disc Herniation ◽

Disc Herniation ◽

Lumbar Disc ◽

Recurrent Lumbar Disc Herniation

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The effects of a 5-HT2A receptor antagonist on blood flow in lumbar disc herniation : application of nucleus pulposus in a canine model

European Spine Journal ◽

10.1007/s00586-007-0534-4 ◽

2007 ◽

Vol 17 (2) ◽

pp. 307-313 ◽

Cited By ~ 9

Author(s):

Miho Sekiguchi ◽

Shin-ichi Konno ◽

Shin-ichi Kikuchi

Keyword(s):

Blood Flow ◽

Receptor Antagonist ◽

Nucleus Pulposus ◽

Lumbar Disc Herniation ◽

Disc Herniation ◽

Lumbar Disc ◽

Canine Model

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Postoperative Clinical Outcome and Risk Factors for Poor Outcome of Foraminal and Extraforaminal Lumbar Disc Herniation

Journal of Korean Neurosurgical Society ◽

10.3340/jkns.2016.59.2.143 ◽

2016 ◽

Vol 59 (2) ◽

pp. 143 ◽

Cited By ~ 9

Author(s):

Jung Sik Bae ◽

Kyung Hee Kang ◽

Jeong Hyun Park ◽

Jae Hyeon Lim ◽

Il Tae Jang

Keyword(s):

Risk Factors ◽

Clinical Outcome ◽

Lumbar Disc Herniation ◽

Disc Herniation ◽

Lumbar Disc ◽

Poor Outcome

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Analysis of the efficacy of ozone therapy on different types of lumbar disc herniation: a new guidance is coming? [abstract]

Journal of Ozone Therapy ◽

10.7203/jo3t.3.4.2019.15506 ◽

2019 ◽

Vol 3 (4) ◽

Author(s):

Kenan Hao ◽

Huan Liu ◽

Yang Yang ◽

Qingle Zeng ◽

Xiaofeng He

Keyword(s):

Nucleus Pulposus ◽

Lumbar Disc Herniation ◽

Disc Herniation ◽

Lumbar Disc ◽

Ozone Treatment ◽

Type I ◽

Type Ii ◽

Ring Type ◽

Type Iv ◽

Fibre Ring

PURPOSE: To investigate the sub-types of lumbar disc herniation, compare efficacies of ozone treatment in various types of lumbar disc herniation and analyze the mechanisms. MATERIAL AND METHODS: A total of 250 patients (159 males, 91 females; age range: 14 - 85 years) diagnosed of lumbar disc herniation from January 2009 to Jun 2014 in Nanfang Hospital were enrolled. Disc Lesions, classified by Magnetic Resonance examinations and images when injecting ozone under Digital Subtraction Angiography, were divided into four types: type I: Non-prominent nucleus pulposus with ruptured fibre ring; type II: Prominent nucleus pulposus with ruptured fibre ring; type III: Non-prominent nucleus pulposus with Non-ruptured fibre ring; type IV: Prominent nucleus pulposus with Non-ruptured fibre ring. All patients underwent intradiscal and paravertebral injection of oxygen-ozone. Visual Analogue Scale (VAS) weighted score was administered for the measurement of low back pain before treatment, and the evaluation of efficacy respectively at 1 week, 1 month, 6 month and 12 month follow-up period. RESULTS: Most of the patients (about 4/5) showed better response to ozone treatment. Herniated disc shrinkage was obtained among type II and IV. The type II had the most reduction of average score while the type III had the least. The proportion of patients who had once experienced pain relief at the follow up interval, namely the curative efficacy, showed significant difference: type I occupied the most, type IV occupied the least. CONCLUSION: Ozone treatment is effective and safe for all types of lumbar disc herniation, but efficacy varies according the types, of which type I has the best results and type IV has the worst ones.

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