Research Article
Year 2022,
Volume: 32 Issue: 3, 335 - 338, 01.08.2022
Abstract
Abstract
Introduction: the aim of this study was to compare radiologically the effect of the disc on Root thicknesses in patients with acute disc herniation.
Methods: It was performed by measuring the same level of Root thickness in lumbar MRI images of patients presenting with acute disc herniation symptoms.
Findings: Lumbar MRI images of 95 patients were compared radiologically. It was statistically determined that the thickness of the nerve root on the side exposed to the compression of acute disc herniation increased compared to the other nerve root thickness at the same level.
Results: This study found statistically significant increase in the diameter of the affected nerve root in acute lumbar disc herniation. Especially in multi-level disc herniations, it may be useful to measure the nerve root thickness in determining the level that causes the actual clinic.
Keywords
References
- Referans1. Gibson JN, Waddell G. Surgical interventions for lumbar disc prolapse: updated Cochrane Review. Spine 2007; 32:1735–1747.
- Referans2. Choi YS. Pathophysiology of degenerative disc dis¬ease. Asian Spine J 2009;3:39-44.
- Referans3. Eguchi Y, Ohtori S, Yamashita M, Yamauchi K, Suzuki M, Orita S, et al. Diffusion-weighted magnetic resonance imaging of symptomatic nerve root of patients with lumbar disk herniation. Neuroradiology 2011 Sep;53(9):633-41. doi: 10.1007/s00234-010-0801-7. Epub 2010 Nov 16.
- Referans4. Nakashima H, Yukawa Y, Suda K, Yamagata M, Ueta T, Kato F. Abnormal findings on magnetic resonance images of the cervical spines in 1211 asymptomatic subjects. Spine (Phila Pa 1976) 2015;40:392-8.
- Referans5. Marshall LL, Trethewie ER, and Curtain CS. Chemical radiculitis: a clinical, physiological, and immunological study. Clin Orthop 1979; 129: pp. 61-67.
- Referans6. McCarron RF, Wimpee MW, Hudkins PG, et al. The inflammatory effect of nucleus pulposus: a possible element in the pathogenesis of low-back pain. Spine 1987; 12: pp. 760-764.
- Referans7. Saal JS, Franson RC, Dobrow R, et al. High levels of inflammatory phospholipase A2 activity in lumbar disc herniations. Spine 1990; 15: pp. 674-678.
- Referans8. Badalamente MA, Dee R, Ghillani R, et al. Mechanical stimulation of dorsal root ganglia induces increased production of substance P: a mechanism for pain following nerve root compromise? Spine 1987; 12: pp. 552-555.
- Referans9. Rydevik B, Brown MD, and Lundborg G: Pathoanatomy and pathophysiology of nerve root compression. Spine 1984; 9: pp. 7-15.
- Referans10. Nachemson AL: The lumbar spine: an orthopaedic challenge. Spine 1976; 1: pp. 59.
- Referans11. Deyo RA, Loeser JD, and Bigos SJ: Herniated lumbar intervertebral disk. Ann Intern Med 1990; 112: pp. 598-603.
- Referans12. Eguchi Y, Ohtori S, Yamashita M, Yamauchi K, Suzuki M, Orita S, et al. Clinical applications of diffusion magnetic resonance imaging of the lumbar foraminal nerve root entrapment. Eur Spine J. 2010 Nov;19(11):1874-82. Epub 2010 Jul 15.
- Referans13. Tyrrell PN, Cassar-Pullicino VN, McCall IW. Gadolinium-DTPA enhancement of symptomatic nerve roots in MRI of the lumbar spine. Radiol. 1998;8(1):116-22.
- Referans14. Spangfort EV. The lumbar disc herniation: a computer-aided analysis of 2,504 operations. Acta Orthop Scand Suppl 1972; 142: pp. 1-95.
- Referans15. Shahbandar L, Press J. Diagnosis and nonoperative management of lumbar disk herniation. Oper Tech Sports Med 2005;13: 114–21.
- Referans16. McCarron RF, Wimpee MW, Hudkins PG, Laros GS. The inflammatory effect of nucleus pulposus. A possible element in the pathogenesis of low-back pain. Spine 1987;12:760–4.
- Referans17. Bogduk N. On the definitions and physiology of back pain, referred pain, and radicular pain. Pain 2009;147:17–9.
- Referans18. Schafer A, Hall T, Briffa K. Classification of low back-related leg pain—a proposed patho-mechanism-based approach. Man Ther 2009;14:222–30.
- Referans19. Humphreys SC, Eck JC, Tennessee C. Clinical evaluation and treatment options for herniated lumbar disc. Am Fam Physician 1999;59: 575–82.
- Referans20. Foerster O. The dermatomes in man. Brain 1933;56:1–39.
- Referans21. Marzo JM, Simmons EH, Kallen F. Intradural connections between adjacent cervical spinal roots. Spine 1987;12:964–8.
- Referans22. Lauder TD, Dillingham TR, Andary M, et al. Effect of history and exam in predicting electrodiagnostic outcome among patients with suspected lumbosacral radiculopathy. Am J Phys Med Rehabil 2000;79:60–8.
- Referans23. De Luigi AJ, Fitzpatrick KF. Physical examination in radiculopathy. Phys Med Rehabil Clin N Am 2011;22:7–40.
Lomber Disk Hernisi Olan Hastalarda Lomber Sinir Kökü Kalınlığının Radyolojik Olarak Karşılaştırılması
Abstract
Giriş: Bu çalışmanın amacı akut disk hernili hastalarda diskin kök kalınlıkları üzerinde etkisinin radyolojik olarak karşılaştırılmasıdır.
Yöntem: Akut disk hernisi semptomlarıyla kliniğe baş vuran hastaların çekilen Lomber Mrı görüntülerindeki aynı seviye kök kalınlıklarının ölçülmesi ile yapıldı.
Bulgular: 95 hastanın Lomber mrı görüntüleri radyolojik olarak karşılaştırıldı. Akut disk hernisinin basısına maruz kalan taraf kök kalınlığının aynı seviyedeki diğer kök kalınlığına göre istatistiksel olarak arttığı tespit edildi.
Sonuçlar: Bu çalışma akut lumbar disk herniasyonundaki etkilenen sinir kökünün kök çapında istatistiksel olarak anlamlı bir artışa sahip olduğunu ortaya koymuştur. Özellikle çok seviyeli disk hernilerinde asıl kliniğe sebep olan seviyenin tespitinde kök kalınlığı ölçümü fayda sağlayabilir.
Keywords
References
- Referans1. Gibson JN, Waddell G. Surgical interventions for lumbar disc prolapse: updated Cochrane Review. Spine 2007; 32:1735–1747.
- Referans2. Choi YS. Pathophysiology of degenerative disc dis¬ease. Asian Spine J 2009;3:39-44.
- Referans3. Eguchi Y, Ohtori S, Yamashita M, Yamauchi K, Suzuki M, Orita S, et al. Diffusion-weighted magnetic resonance imaging of symptomatic nerve root of patients with lumbar disk herniation. Neuroradiology 2011 Sep;53(9):633-41. doi: 10.1007/s00234-010-0801-7. Epub 2010 Nov 16.
- Referans4. Nakashima H, Yukawa Y, Suda K, Yamagata M, Ueta T, Kato F. Abnormal findings on magnetic resonance images of the cervical spines in 1211 asymptomatic subjects. Spine (Phila Pa 1976) 2015;40:392-8.
- Referans5. Marshall LL, Trethewie ER, and Curtain CS. Chemical radiculitis: a clinical, physiological, and immunological study. Clin Orthop 1979; 129: pp. 61-67.
- Referans6. McCarron RF, Wimpee MW, Hudkins PG, et al. The inflammatory effect of nucleus pulposus: a possible element in the pathogenesis of low-back pain. Spine 1987; 12: pp. 760-764.
- Referans7. Saal JS, Franson RC, Dobrow R, et al. High levels of inflammatory phospholipase A2 activity in lumbar disc herniations. Spine 1990; 15: pp. 674-678.
- Referans8. Badalamente MA, Dee R, Ghillani R, et al. Mechanical stimulation of dorsal root ganglia induces increased production of substance P: a mechanism for pain following nerve root compromise? Spine 1987; 12: pp. 552-555.
- Referans9. Rydevik B, Brown MD, and Lundborg G: Pathoanatomy and pathophysiology of nerve root compression. Spine 1984; 9: pp. 7-15.
- Referans10. Nachemson AL: The lumbar spine: an orthopaedic challenge. Spine 1976; 1: pp. 59.
- Referans11. Deyo RA, Loeser JD, and Bigos SJ: Herniated lumbar intervertebral disk. Ann Intern Med 1990; 112: pp. 598-603.
- Referans12. Eguchi Y, Ohtori S, Yamashita M, Yamauchi K, Suzuki M, Orita S, et al. Clinical applications of diffusion magnetic resonance imaging of the lumbar foraminal nerve root entrapment. Eur Spine J. 2010 Nov;19(11):1874-82. Epub 2010 Jul 15.
- Referans13. Tyrrell PN, Cassar-Pullicino VN, McCall IW. Gadolinium-DTPA enhancement of symptomatic nerve roots in MRI of the lumbar spine. Radiol. 1998;8(1):116-22.
- Referans14. Spangfort EV. The lumbar disc herniation: a computer-aided analysis of 2,504 operations. Acta Orthop Scand Suppl 1972; 142: pp. 1-95.
- Referans15. Shahbandar L, Press J. Diagnosis and nonoperative management of lumbar disk herniation. Oper Tech Sports Med 2005;13: 114–21.
- Referans16. McCarron RF, Wimpee MW, Hudkins PG, Laros GS. The inflammatory effect of nucleus pulposus. A possible element in the pathogenesis of low-back pain. Spine 1987;12:760–4.
- Referans17. Bogduk N. On the definitions and physiology of back pain, referred pain, and radicular pain. Pain 2009;147:17–9.
- Referans18. Schafer A, Hall T, Briffa K. Classification of low back-related leg pain—a proposed patho-mechanism-based approach. Man Ther 2009;14:222–30.
- Referans19. Humphreys SC, Eck JC, Tennessee C. Clinical evaluation and treatment options for herniated lumbar disc. Am Fam Physician 1999;59: 575–82.
- Referans20. Foerster O. The dermatomes in man. Brain 1933;56:1–39.
- Referans21. Marzo JM, Simmons EH, Kallen F. Intradural connections between adjacent cervical spinal roots. Spine 1987;12:964–8.
- Referans22. Lauder TD, Dillingham TR, Andary M, et al. Effect of history and exam in predicting electrodiagnostic outcome among patients with suspected lumbosacral radiculopathy. Am J Phys Med Rehabil 2000;79:60–8.
- Referans23. De Luigi AJ, Fitzpatrick KF. Physical examination in radiculopathy. Phys Med Rehabil Clin N Am 2011;22:7–40.
There are 23 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Original Article |
| Authors | |
| Publication Date | August 1, 2022 |
| Submission Date | December 23, 2021 |
| Published in Issue | Year 2022 Volume: 32 Issue: 3 |
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