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Lumbar disc herniation in patients with chronic backache
Journal of Ayub Medical College, Abbottabad : JAMC
|September 18, 2014
Summary
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).
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