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Traumatic disc prolapses.

D Terhaag1, R A Frowein

  • 1Department of Neurosurgery, University of Cologne.

Neurosurgical Review
|January 1, 1989
PubMed
Summary
This summary is machine-generated.

Traumatic disc lesions are rare but occur in adults with pre-existing disc damage. Trauma typically causes temporary, not permanent, deterioration in lumbar and cervical spine injuries.

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Area of Science:

  • Orthopedics
  • Neurosurgery
  • Spinal Medicine

Background:

  • Traumatic disc lesions are infrequent in both lumbar and cervical spine regions.
  • In adults, these lesions predominantly occur in discs with pre-existing damage.
  • Trauma's role is often transient, not a definitive cause of disc deterioration.

Purpose of the Study:

  • To investigate the incidence and significance of traumatic disc lesions in lumbar and cervical spine surgeries.
  • To differentiate between definite, possible, and doubtful traumatic influences on disc pathology.

Main Methods:

  • Retrospective analysis of 1,771 lumbar disc operations.
  • Retrospective analysis of 600 cervical disc operations.
  • Evaluation of trauma as a causative factor in disc lesions.

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Main Results:

  • In lumbar disc operations, definite traumatic disc lesions were found in 0.2% of patients, possible in 0.4%, and doubtful in 0.9%.
  • In cervical disc operations, definite traumatic influence was observed in 2% of patients, possible in 1.6%, and doubtful in 0.6%.
  • Trauma's influence was more frequently noted in cervical disc pathologies compared to lumbar.

Conclusions:

  • Traumatic disc lesions, though uncommon, are a recognized clinical entity, particularly in adults with pre-existing disc conditions.
  • The study quantifies the incidence of definite, possible, and doubtful traumatic influences in both lumbar and cervical disc surgeries.
  • Findings suggest trauma plays a more significant role in cervical disc lesions than previously assumed.