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[Diagnosis of extruded disk hernia]
Revue Du Rhumatisme Et Des Maladies Osteo-Articulaires
|October 1, 1982
Summary
Diagnosing extruded prolapsed intervertebral discs is crucial as it contraindicates chymonucleolysis. Clinical signs are unreliable, and while radiculography lacks definitive signs, irregular disc-level compression suggests this diagnosis.
Area of Science:
- Neurosurgery
- Radiology
- Spinal Surgery
Background:
- Extruded prolapsed intervertebral discs are a contraindication for chymonucleolysis.
- Accurate diagnosis is essential for patient safety and treatment efficacy.
Purpose of the Study:
- To define diagnostic criteria for extruded prolapsed intervertebral discs.
- To compare clinical, radiological, and operative findings.
Main Methods:
- Retrospective analysis of 98 patients.
- Comparison of clinical examination findings.
- Review of radiculographic and operative results.
Main Results:
- No single clinical sign is characteristic of extruded disc prolapse.
- Radiculography does not provide pathognomonic signs and struggles to differentiate from extra-ligamentous prolapse.
- Irregular compression or amputation images above or below the disc are highly suggestive.
Conclusions:
- Clinical diagnosis of extruded prolapsed intervertebral disc is unreliable.
- Radiculography findings, particularly irregular compression, are key indicators.
- Definitive diagnosis relies on integrating clinical and radiological evidence.