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Lumbar disc herniation in patients with chronic backache

Asghar Ali, Shahbaz Ali Khan, Ahsan Aurangzeb

    Journal of Ayub Medical College, Abbottabad : JAMC
    |September 18, 2014
    PubMed

    Insights

    Chronic low back pain is common. This study found that 7.9% of patients with chronic backache had lumbar disc herniation, most frequently at the L5-S1 level, affecting the middle-aged group.

    Area of Science:

    • Neurosurgery
    • Radiology
    • Orthopedics

    Background:

    • Low back pain is a prevalent chronic pain disorder with substantial socioeconomic impact.
    • Determining the frequency and specific levels of lumbar disc herniation in patients with chronic backache is crucial for effective management.

    Purpose of the Study:

    • To ascertain the frequency of lumbar disc herniation among patients experiencing chronic backache.
    • To identify the specific lumbar vertebral levels most commonly affected by disc herniation.

    Main Methods:

    • A cross-sectional study was conducted from January 2011 to January 2013.
    • Magnetic resonance imaging (MRI) was utilized to diagnose lumbar disc herniation in 477 patients aged 14 years and above presenting with chronic low backache.
    • Data on patient demographics and herniation levels were collected and analyzed.

    Main Results:

    • Out of 477 patients, 38 (7.9%) showed radiological evidence of lumbar disc prolapse.
    • The most common herniation levels were L5-S1 (52.6%) and L4-L5 (39.5%).
    • Disc herniation was more prevalent in males (9.5%) than females (5.9%).

    Conclusions:

    • Intervertebral lumbar disc prolapse is a significant cause of chronic backache.
    • The middle-aged demographic is particularly susceptible to lumbar disc disease, with a predilection for lower lumbar regions (L5-S1 and L4-L5).
    Abstract

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