Objectives: The purpose of this study was to evaluate the relations his between the features of herniated discs in
the patients with lumbar syndrome and the symptomatology which may help the clinician in making a decision
about atypical cases.
Methods: The files of 1083 operations scanned retrospectively. The data of the patients were evaluated
statistically.
Results: 979 of the 1083 were first operation for the patients. There were 424 females (43%) and 555 males (57
%). The average age of the patients was 42 years. The most frequent disc level was L4-L5 (62%). The proportion
of L4-L5 discopathies was 62%; L5-S1 discopathies was 30%. Contained herniation was 62%.
When neurogenic claudication exists, the proportions of disc herniations accompanying lumbar spinal stenosis
and high-level lumbar disc herniations were higher. When unilateral leg pain exists, the proportions of lumbar
spinal stenosis, high-level lumbar lesions, multi level lesions and bilateral-median lesions were low.
Conclusion: Age, sex and symptom features of the patient can provide us some information about localization,
level and accompanying pathologies of disc herniation.
Key Words: Lumbar Disc Herniation, Lumbar Discectomy, Surgery, Clinical Examination
|
