A Flat Sagittal Spinal Alignment Is Common among Young Patients with Lumbar Disc Herniation

It has been previously suggested in the literature that with aging, degenerative changes as well as disc herniation start at the lower lumbar segments, with higher disc involvement observed in an ascending fashion in older age groups. We conducted a study to investigate this correlation between age and level of disc herniation, and to associate it with the magnitude of the Lumbar Lordotic Angle (LLA), as measured by Cobb’s method. We followed retrospectively lumbosacral spine MRI’s of 1419 patients with symptomatic disc herniation. Pearson’s correlation was used in order to investigate the relationship between LLA, age, and level of disc herniation. Student’s -test was applied to assess gender differences. Young patients were found to have higher LLA (, ) and lower levels of disc herniation (, ), whereas older patients had higher level herniation in lower LLA group (mean LLA 28.6° and 25.4°) and lower level herniation in high LLA group (mean LLA 33.2°). We concluded that Lumbar lordotic Cobb’s angle and age can be predictors of the level of lumbar disc herniation. This did not differ among men and women (, ).

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A New radiographic feature of lower lumbar disc herniation in young patients

International Orthopaedics ◽

10.1007/s00264-017-3723-8 ◽

2017 ◽

Vol 42 (3) ◽

pp. 583-586 ◽

Cited By ~ 3

Author(s):

Shiwu Tao ◽

Lin Jin ◽

Zhiyong Hou ◽

Wei Zhang ◽

Tao Chen ◽

...

Keyword(s):

Lumbar Disc Herniation ◽

Disc Herniation ◽

Lumbar Disc ◽

Young Patients ◽

Radiographic Feature ◽

Lower Lumbar

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Effectiveness of Traction in Young Patients Representing Different Stages of Degenerative Disc Disease

Ortopedia Traumatologia Rehabilitacja ◽

10.5604/01.3001.0013.2925 ◽

2019 ◽

Vol 21 (3) ◽

pp. 187-196 ◽

Cited By ~ 1

Author(s):

Tomasz Kuligowski ◽

Agnieszka Dębiec-Bąk ◽

Anna Skrzek

Keyword(s):

Young People ◽

Functional Status ◽

Lumbar Disc Herniation ◽

Disc Herniation ◽

Degenerative Disc Disease ◽

Lumbar Disc ◽

Clinical Status ◽

Young Patients ◽

Disc Disease ◽

Degenerative Disc

Background. Low back pain (LBP) currently ranks among the most frequent musculoskeletal pathologies, and the average age of those affected is constantly decreasing. One of the causes of LBP is lumbar disc herniation (LDH). If untreated, it causes disability and leads to socio-economic problems. Traction techniques are a popular method of treating this condition. The stage of LDH (protrusion, extrusion) in young people appears to determine patients’ clinical status, necessitating diversification of treatment methods with regard to the type of damage. Material and methods. The study enrolled 37 people aged 22-35. The subjects underwent radiological evaluation (MRI), which constituted the basis for assigning them to one of two groups: a protrusion group (PRO) or an extrusion group (EXT). During the experiment, the patient was in the supine position while the therapist administered three-dimensional traction using a manual therapy belt. The Oswestry questionnaire, MRC scale, NRS, SLR test, PLE test and measurements of lumbar segment mobility were used for clinical evaluation. Statistica 12.5 was used to perform statistical calculations. Results. An analgesic effect was noted with regard to the following two parameters in both groups: ODI (PRO 28 → 14 and EXT 30 → 28, p <0.01) and NRS (PRO 6 → 2 and EXT 6 → 3, p <0.01). The subjects improved clinically, with regard to PLE (EXT 22% → 0%, p <0.04) and SLR (PRO 100% → 29%, p <0.01, and EXT 100% → 57%, p <0.01). Conclusions. 1. The type of intervertebral disc damage determines the functional status of young people with degenerative disc disease. 2. The study demonstrated and confirmed a positive effect of traction on the functional status of subjects with lumbar disc herniation. 3. Traction techniques are safe and can be successfully used in the treatment of LDH.

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High-sensitivity analysis of serum C-reactive protein in young patients with lumbar disc herniation

Journal of Bone and Joint Surgery - British Volume ◽

10.1302/0301-620x.85b8.14538 ◽

2003 ◽

Vol 85-B (8) ◽

pp. 1151-1154 ◽

Cited By ~ 17

Author(s):

K. Sugimori ◽

Y. Kawaguchi ◽

M. Morita ◽

I. Kitajima ◽

T. Kimura

Keyword(s):

Sensitivity Analysis ◽

Lumbar Disc Herniation ◽

Disc Herniation ◽

Lumbar Disc ◽

Young Patients ◽

High Sensitivity ◽

C Reactive Protein ◽

Reactive Protein

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Predictive outcome factors in the young patient treated with lumbar disc herniation surgery

Journal of Neurosurgery Spine ◽

10.3171/2016.2.spine16136 ◽

2016 ◽

Vol 25 (4) ◽

pp. 448-455 ◽

Cited By ~ 9

Author(s):

Fredrik Strömqvist ◽

Björn Strömqvist ◽

Bo Jönsson ◽

Paul Gerdhem ◽

Magnus K. Karlsson

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Lumbar Disc Herniation ◽

Disc Herniation ◽

Short Form ◽

Lumbar Disc ◽

Young Patients ◽

Leg Pain ◽

Short Form Health

OBJECTIVE The aim of this study was to evaluate predictive factors for outcome after lumbar disc herniation surgery in young patients. METHODS In the national Swedish spine register, the authors identified 180 patients age 20 years or younger, in whom preoperative and 1-year postoperative data were available. The cohort was treated with primary open surgery due to lumbar disc herniation between 2000 and 2010. Before and 1 year after surgery, the patients graded their back and leg pain on a visual analog scale, quality of life by the 36-Item Short-Form Health Survey and EuroQol–5 Dimensions, and disability by the Oswestry Disability Index. Subjective satisfaction rate was registered on a Likert scale (satisfied, undecided, or dissatisfied). The authors evaluated if age, sex, preoperative level of leg and back pain, duration of leg pain, pain distribution, quality of life, mental status, and/or disability were associated with the outcome. The primary end point variable was the grade of patient satisfaction. RESULTS Lumbar disc herniation surgery in young patients normalizes quality of life according to the 36-Item Short-Form Health Survey, and only 4.5% of the patients were unsatisfied with the surgical outcome. Predictive factors for inferior postoperative patient-reported outcome measures (PROM) scores were severe preoperative leg or back pain, low preoperative mental health, and pronounced preoperative disability, but only low preoperative mental health was associated with inferiority in the subjective grade of satisfaction. No associations were found between preoperative duration of leg pain, distribution of pain, or health-related quality of life and the postoperative PROM scores or the subjective grade of satisfaction. CONCLUSIONS Lumbar disc herniation surgery in young patients generally yields a satisfactory outcome. Severe preoperative pain, low mental health, and severe disability increase the risk of reaching low postoperative PROM scores, but are only of relevance clinically (low subjective satisfaction) for patients with low preoperative mental health.

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