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Related Experiment Videos

Cross leg pain and trunk list.

B Khuffash1, R W Porter

  • 1Doncaster Royal Infirmary, South Yorkshire, England.

Spine
|June 1, 1989
PubMed
Summary

Gravity-induced trunk list and cross leg pain indicate poor prognosis for lumbar disc lesion treatment. Cross leg pain may contraindicate chymopapain injections and suggest disc migration during surgery.

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Area of Science:

  • Neurosurgery
  • Orthopedics
  • Spinal Medicine

Background:

  • Lumbar disc lesions often present with nerve root irritation.
  • Assessing prognostic indicators is crucial for guiding treatment strategies.

Purpose of the Study:

  • To investigate the prognostic significance of trunk list and cross leg pain in lumbar disc lesions.
  • To evaluate the association of these signs with treatment outcomes.

Main Methods:

  • Prospective investigation of 113 patients with root tension signs from lumbar disc lesions.
  • Correlation analysis of trunk list and cross leg pain with conservative and surgical management outcomes.

Main Results:

  • Trunk list and cross leg pain (positive contralateral straight leg raising sign) were associated with poor prognosis for conservative management.
  • Operated patients with cross leg pain showed a high incidence of disc sequestration and extrusion.
  • Cross leg pain indicated a higher likelihood of migrated disc fragments.

Conclusions:

  • Cross leg pain is a significant indicator of poor prognosis in lumbar disc lesions.
  • Cross leg pain may be a contraindication for chymopapain injections.
  • Surgeons should consider the possibility of migrated disc fragments in patients presenting with cross leg pain.

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