Characteristics and Neurological Manifestations of Patients with Operated Lumbar Disc Herniation

Amir Mohammad Bazzazi, Amir Abbas Ghasemi, Roghayeh Mirsoltani


Background and aim: Lumbar disk herniation is one of the most common causes of surgery in the spine with a variety of signs and symptoms. Sensory and motor deficits, as well as reflex and autonomic abnormalities may be seen. This study aimed to investigate characteristics and neurological manifestations in a series of operated cases with lumbar disc herniation. Methods: In a retrospective setting, profiles of 163 operated cases with lumbar disc herniation were reviewed. Demographics as well as preoperational sign and symptoms were extracted and evaluated. Results: There were 86 females and 77 males with a mean age of 44.85±0.91 (range: 23-78) years in the studied population. The most common involved levels were L4-L5 and L5-S1, respectively. Low back pain, radicular pain, and positive Lasegue test were documented in 98.2%, 96.9% and 77.3% of the patients, respectively. Sensory, motor and reflexive abnormalities were documented in 66.3%, 51.5% and 19.6% of the cases, respectively. Sphincter and sexual dysfunction was presented in 4.9% and 1.2%, respectively. Conclusion: Clinical and neurological signs of operated patients with lumbar disc herniation in the studied center are not far different from available reports in this regard.

Keywords: Lumbar disk herniation; Signs and symptoms; Surgery


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American Surgeon’s Editorial. Herniated Disc-Fact sheet. Am Neurolog Surg 2004; 4:1-12.

Roberts S, Evans H, Trivedi J, Menage J. Histology and pathology of the human intervertebral disc. J Bone Joint Surg Am 2006;88(2):10-14.

De Beeck, Rik Op, and Hermans Veerle. Research on Work-Related Low Back Disorders, 3rd Ed. Institute for Occupational Safety and Health/European Agency for Safety and Health at Work, Brussels, 2000.

Pouriesa M, Fouladi RF, Mesbahi S. Disproportion of end plates and the lumbar intervertebral disc herniation. Spine J. 2013;13(4):402-7.

Olmarker K, Blomquist J, Strömberg J, Nannmark U, Thomsen P, Rydevik B. Inflammatogenic properties of nucleus pulposus. Spine (Phila Pa 1976) 1995;20(6):665-669.

Mirhoseini SA. Evaluation of 754 surgically treated lumbar disc herniation. JRMS 2003; 8(3):15-18.

Mehrazin M, Vafaei SH. Surgical results in lumbar disc (analysis of 101 cases). Teb Va tazkieh 2003; 48:32-38.

Porchet F, Fankhauser H, de Tribolet N. Extreme lateral lumbar disc herniation: clinical presentation in 178 patients. Acta Neurochir (Wien) 1994;127(3-4):203-209.

Pietilä TA, Stendel R, Kombos T, Ramsbacher J, Schulte T, Brock M. Lumbar disc herniation in patients up to 25 years of age. Neurol Med Chir (Tokyo) 2001;41(7):340-344.

Janardhana AP, Rajagopal, Rao S, Kamath A. Correlation between clinical features and magnetic resonance imaging findings in lumbar disc prolapse. Indian J Orthop 2010;44(3):263-269.

Jain S, Kumar S. Correlation between clinical features and magnetic resonance imaging findings in lumbar disc prolapse. Indian J Orthop 2011;45(2):105.


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