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The Impact of Occupational Features On Radiological Staging of The Lumbar Disc Herniation

Year 2019, Issue: 3, 524 - 528, 01.09.2019

İskender Samet Daltaban Sultan Pınar Çetintepe Hakan Ak Engin Tutkun

Abstract

Background: Lumbar disc herniation may cause back and/or leg pain, sensory deficits, loss of strength, and even urinary and fecal incontinence. The relationship between lumbar disc herniation LDH and occupation was tried to be revealed through various studies. In this study, the association between the radiological stage of LDH on magnetic resonance imaging MRI and occupational features of the patients was evaluated. Materials and methods: Sociodemographic and occupational features were collected from medical files of 895 patients with lumbar disc hernia. The occupational groups consisted of housewives, construction workers, health care workers and teachers. Patients were divided into three groups according to the years spent at work as follows: 0-5 years, 5-10 years, 10-15 years and over 15 years. On MRI, LDH was classified as bulging, protrusion, extrusion and sequestration according to Macnab classification.Results: There was no statistically significant relationship between the radiological staging of LDH and occupation p=0.2 or gender p=0.4 . Increased advanced age and more working years had a significant association with the radiological staging of LDH p

Keywords

Lumbar disc herniation magnetic resonance imaging occupation

References

  • Bono CM, Wisneski R, Garfin SR. Lumbar disc herniations. In: Herkowitz HN, Garfin SR, Eismont FJ, Bell GR, Balderston RA, editors. Rothman-Simeone the spine, 5th ed. Philadelphia: Saunders Elsevier; 2006.pp 979–80.
  • Schoenfeld AJ, Weiner BK. Treatment of lumbar disc herniation: Evidence-based practice. Int J Gen Med 2010;3:209–14.
  • Andersson GBJ, Deyo RA. History and physical examination in patients with herniated lumbar discs. Spine (Phila Pa 1976)1996;21:10S-8S. [CrossRef]
  • McCall IW. Lumbar herniated disks. Radiol Clin North Am 2000;38:1293–309. [CrossRef]
  • Jensen MC, Brant-Zawadzki MN, Obuchowski N, Modic MT, Malkasian D, Ross JS. Magnetic resonance imaging of the lumbar spine in people without back pain. N Engl J Med 1994;331:69–73. [CrossRef]
  • Spine (Phila Pa 1976) 1990;15:114–9. [CrossRef]
  • Mobbs RJ, Newcombe RL, Chandran KN. Lumbar discectomy and the diabetic patient: incidence and outcome. J Clin Neurosci 2001;8:10– 3. [CrossRef]
  • Longo UG, Denaro L, Spiezia F, Forriol F, Maffulli N, Denaro V. Symptomatic disc herniation and serum lipid levels. Eur Spine J 2011;20:1658–62. [CrossRef]
  • Jordan J, Konstantinou K, O’Dowd J. Herniated lumbar disc. BMJ Clin Evid 2009;2009. pii: 1118.
  • Seidler A, Bolm-Audorff U, Siol T, Henkel N, Fuchs C, Schug H, et al. Occupational risk factors for symptomatic lumbar disc herniation; a case-control study. Occup Environ Med 2003;60:821–30. [CrossRef]
  • Heliovaara M. Occupation and risk of herniated lumbar intervertebral disc or sciatica leading to hospitalization. J Chronic Dis 1987;40:259– 64. [CrossRef]
  • Battie MC, Videman T, Gibbons LE, Manninen H, Gill K, Pope M, Kaprio J. Occupational driving and lumbar disc degeneration: a case-control study. Lancet 2002;360:1369–74. [CrossRef]
  • Cramer GD, Darby SA, Frysztak RJ, Pain of Spinal Origin. In: Cramer GD, Darby SA. Basic and Clinical Anatomy of the Spine, Spinal Cord, and ANS, 2nd ed. Missouri: Mosby; 2005.
  • Milette PC. Classification, diagnostic imaging, and imaging characterization of a lumbar herniated disk. Radiol Clin North Am 2000;38:1267–92. [CrossRef]
  • Janardhana AP, Rajagopal, Rao S, Kamath A. Correlation between clinical features and magnetic resonance imaging findings in lumbar disc prolapse. Indian J Orthop 2010;44:263–9. [CrossRef]
  • Macnab I. Negative disc exploration. An analysis of the causes of nerve-root involvement in sixty-eight patients. J Bone Joint Surg Am 1971;53:891–903. [CrossRef]
  • Boos N, Weissbach S, Rohrbach H, Weiler C, Spratt KF, Nerlich AG. ClassiŞcation of age-related changes in lumbar intervertebral discs: 2002 Volvo Award in basic science. Spine 2002;27:2631–44. [CrossRef]
  • Battie MC, Videman T, Parent E. Lumbar disc degeneration: epidemiology and genetic influences. Spine (Phila Pa 1976) 2004;29:2679–90. [CrossRef]
  • Cummins J, Lurie JD, Tosteson TD, Hanscom B, Abdu WA, Birkmeyer NJ, et al. Descriptive epidemiology and prior healthcare utilization of patients in the Spine Patient Outcomes Research Trial’s (SPORT) three observational cohorts: disc herniation, spinal stenosis, and degenerative spondylolisthesis. Spine (Phila Pa 1976) 2006;31:806– 14. [CrossRef]
  • Lawrence JS, Molyneux MK, Dingwall-Fordyce I. Rheumatism in foundry workers. Occup Environ Med 1966;23:42–52. [CrossRef]
  • Jİrgensen S, Hein HO, Gyntelberg F. Heavy lifting at work and risk of genital prolapse and herniated lumbar disc in assistant nurse. Occup Med 1994;44:46–9. [CrossRef]
  • Seidler A, Bergmann A, Jager M, Ellegast R, Ditchen D, Elsner G, et al. Cumulative occupational lumbar load and lumbar disc disease- -results of a German multi-center case-control study (EPILIFT). BMC Musculoskelet Disord 2009;10:48. [CrossRef]

Lomber disk hernisinin radyolojik evrelemesi üzerine mesleksel faktörlerin etkisi

Year 2019, Issue: 3, 524 - 528, 01.09.2019

İskender Samet Daltaban Sultan Pınar Çetintepe Hakan Ak Engin Tutkun

Abstract

ET Giriş: Lomber disk hernisi LDH bel ve/veya bacak ağrısına, duyu kusuruna, kuvvet kaybına ve hatta idrar ve gayta inkontinansına yol açabilmektedir. Çeşitli çalışmalarda LDH ve meslek arasındaki ilişki ortaya konmaya çalışılmıştır. Bu çalışmada, manyetik rezonans görüntülemede MRG LDH’ın radyolojik evresi ile mesleksel faktörler arasındaki ilişki araştırılmıştır. Materyal metot: 895 hastanın sosyodemografik ve mesleksel faktörleri hastaların tıbbi dosyaları incelenerek toplanmıştır. Meslek grupları ev hanımı, inşaat işçisi, sağlık çalışanı ve öğretmenlerden oluşturuldu. Hastalar çalışma yılına göre 0-5, 5-10, 10-15 ve 15 yıl üzeri olarak gruplandırıldı. MRG’de lomber disk hernisi radyolojik evrelemesi Macnab sınıflamasına uygun olarak bulging, protrüzyon, ekstrüzyon ve sekestrasyon olarak gruplandırıldı. Bulgular: Lomber disk hernisinin radyolojik evrelemesi ile meslek p=0.2 ve cinsiyet p=0.4 arasında istatiksel olarak anlamlı farklılık tespit edilmedi. Çalışma yılı ve yaşın artması ile lomber disk hernisinin radyolojik evrelemesi arasında anlamlı ilişki varlığı belirlendi p

Keywords

Lomber disk hernisi manyetik rezonans görüntüleme meslek

References

  • Bono CM, Wisneski R, Garfin SR. Lumbar disc herniations. In: Herkowitz HN, Garfin SR, Eismont FJ, Bell GR, Balderston RA, editors. Rothman-Simeone the spine, 5th ed. Philadelphia: Saunders Elsevier; 2006.pp 979–80.
  • Schoenfeld AJ, Weiner BK. Treatment of lumbar disc herniation: Evidence-based practice. Int J Gen Med 2010;3:209–14.
  • Andersson GBJ, Deyo RA. History and physical examination in patients with herniated lumbar discs. Spine (Phila Pa 1976)1996;21:10S-8S. [CrossRef]
  • McCall IW. Lumbar herniated disks. Radiol Clin North Am 2000;38:1293–309. [CrossRef]
  • Jensen MC, Brant-Zawadzki MN, Obuchowski N, Modic MT, Malkasian D, Ross JS. Magnetic resonance imaging of the lumbar spine in people without back pain. N Engl J Med 1994;331:69–73. [CrossRef]
  • Spine (Phila Pa 1976) 1990;15:114–9. [CrossRef]
  • Mobbs RJ, Newcombe RL, Chandran KN. Lumbar discectomy and the diabetic patient: incidence and outcome. J Clin Neurosci 2001;8:10– 3. [CrossRef]
  • Longo UG, Denaro L, Spiezia F, Forriol F, Maffulli N, Denaro V. Symptomatic disc herniation and serum lipid levels. Eur Spine J 2011;20:1658–62. [CrossRef]
  • Jordan J, Konstantinou K, O’Dowd J. Herniated lumbar disc. BMJ Clin Evid 2009;2009. pii: 1118.
  • Seidler A, Bolm-Audorff U, Siol T, Henkel N, Fuchs C, Schug H, et al. Occupational risk factors for symptomatic lumbar disc herniation; a case-control study. Occup Environ Med 2003;60:821–30. [CrossRef]
  • Heliovaara M. Occupation and risk of herniated lumbar intervertebral disc or sciatica leading to hospitalization. J Chronic Dis 1987;40:259– 64. [CrossRef]
  • Battie MC, Videman T, Gibbons LE, Manninen H, Gill K, Pope M, Kaprio J. Occupational driving and lumbar disc degeneration: a case-control study. Lancet 2002;360:1369–74. [CrossRef]
  • Cramer GD, Darby SA, Frysztak RJ, Pain of Spinal Origin. In: Cramer GD, Darby SA. Basic and Clinical Anatomy of the Spine, Spinal Cord, and ANS, 2nd ed. Missouri: Mosby; 2005.
  • Milette PC. Classification, diagnostic imaging, and imaging characterization of a lumbar herniated disk. Radiol Clin North Am 2000;38:1267–92. [CrossRef]
  • Janardhana AP, Rajagopal, Rao S, Kamath A. Correlation between clinical features and magnetic resonance imaging findings in lumbar disc prolapse. Indian J Orthop 2010;44:263–9. [CrossRef]
  • Macnab I. Negative disc exploration. An analysis of the causes of nerve-root involvement in sixty-eight patients. J Bone Joint Surg Am 1971;53:891–903. [CrossRef]
  • Boos N, Weissbach S, Rohrbach H, Weiler C, Spratt KF, Nerlich AG. ClassiŞcation of age-related changes in lumbar intervertebral discs: 2002 Volvo Award in basic science. Spine 2002;27:2631–44. [CrossRef]
  • Battie MC, Videman T, Parent E. Lumbar disc degeneration: epidemiology and genetic influences. Spine (Phila Pa 1976) 2004;29:2679–90. [CrossRef]
  • Cummins J, Lurie JD, Tosteson TD, Hanscom B, Abdu WA, Birkmeyer NJ, et al. Descriptive epidemiology and prior healthcare utilization of patients in the Spine Patient Outcomes Research Trial’s (SPORT) three observational cohorts: disc herniation, spinal stenosis, and degenerative spondylolisthesis. Spine (Phila Pa 1976) 2006;31:806– 14. [CrossRef]
  • Lawrence JS, Molyneux MK, Dingwall-Fordyce I. Rheumatism in foundry workers. Occup Environ Med 1966;23:42–52. [CrossRef]
  • Jİrgensen S, Hein HO, Gyntelberg F. Heavy lifting at work and risk of genital prolapse and herniated lumbar disc in assistant nurse. Occup Med 1994;44:46–9. [CrossRef]
  • Seidler A, Bergmann A, Jager M, Ellegast R, Ditchen D, Elsner G, et al. Cumulative occupational lumbar load and lumbar disc disease- -results of a German multi-center case-control study (EPILIFT). BMC Musculoskelet Disord 2009;10:48. [CrossRef]
There are 22 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

İskender Samet Daltaban

Sultan Pınar Çetintepe

Hakan Ak

Engin Tutkun

Publication Date September 1, 2019
Published in Issue Year 2019Issue: 3

Cite

EndNote Daltaban İS, Çetintepe SP, Ak H, Tutkun E (September 1, 2019) The Impact of Occupational Features On Radiological Staging of The Lumbar Disc Herniation. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 3 524–528.