A New radiographic feature of lower lumbar disc herniation in young patients. 2018

Shiwu Tao, and Lin Jin, and Zhiyong Hou, and Wei Zhang, and Tao Chen, and Yingze Zhang
Department of Orthopaedic Surgery, Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, 050051, China.

In our study, we assessed the condition of the lumbar laminae defect of L5, other than the defect of spina bifida, in a group of different ages with lower lumbar disc herniation (LDH). We hypothesize that the laminae defect of L5 may be a radiographic feature in young patients with lower LDH. We analyzed the features of the laminae of L5 from the anteroposterior X-rays of the lumbosacral spine in 342 patients suffering from lower LDH. The patients were divided into three groups depending on age: age <45 (group A), 45 ≤ age ≤ 59 (group B) and age>59 (group C). The width of the unilateral laminae of L5 was measured by drawing a line named "a" from the upper margin to the lower margin. Then the line "a" was extended downward to the bottom of the laminae interval space to perform a new line named "b". We assessed the condition of the laminae defect of L5 using the ratio "a/b" in each group. The average ratio "a/b" in each group was: 0.47 ± 0.06 in group A, 0.51 ± 0.06 in group B, and 0.52 ± 0.06 in group C. The average ratio "a/b" of group A was significantly smaller than group B and group C (P<0.05). However, there was no statistical difference of the average ratio "a/b" between group B and group C (P>0.05). Laminae defects of L5 may be a congenitally potential risk factor leading to lower LDH in the young and this radiographic clue could be used for the diagnosis of symptomatic lower LDH patients. For asymptomatic people who encounter this radiographic feature, preventive advice could be provided.

UI MeSH Term Description Entries
D007405 Intervertebral Disc Displacement An INTERVERTEBRAL DISC in which the NUCLEUS PULPOSUS has protruded through surrounding ANNULUS FIBROSUS. This occurs most frequently in the lower lumbar region. Disc Herniation,Disc Protrusion,Disc, Herniated,Disk Herniation,Disk Protrusion,Disk, Herniated,Intervertebral Disc Herniation,Intervertebral Disc Protrusion,Intervertebral Disk Displacement,Intervertebral Disk Herniation,Intervertebral Disk Protrusion,Prolapsed Disk,Protruded Disc,Protruded Disk,Slipped Disk,Disk Prolapse,Herniated Disc,Herniated Disk,Prolapsed Disc,Slipped Disc,Disc Displacement, Intervertebral,Disc Herniations,Disc Protrusion, Intervertebral,Disc Protrusions,Disc Protrusions, Intervertebral,Disc, Prolapsed,Disc, Protruded,Disc, Slipped,Discs, Protruded,Disk Displacement, Intervertebral,Disk Herniations,Disk Prolapses,Disk Protrusion, Intervertebral,Disk Protrusions,Disk, Prolapsed,Disk, Protruded,Disk, Slipped,Herniated Discs,Herniated Disks,Herniation, Disc,Herniation, Disk,Herniation, Intervertebral Disc,Herniation, Intervertebral Disk,Intervertebral Disc Displacements,Intervertebral Disc Herniations,Intervertebral Disc Protrusions,Intervertebral Disk Displacements,Intervertebral Disk Herniations,Intervertebral Disk Protrusions,Prolapse, Disk,Prolapsed Discs,Prolapsed Disks,Prolapses, Disk,Protruded Discs,Protruded Disks,Protrusion, Disc,Protrusion, Disk,Protrusion, Intervertebral Disc,Protrusion, Intervertebral Disk,Protrusions, Intervertebral Disk,Slipped Discs,Slipped Disks
D008159 Lumbar Vertebrae VERTEBRAE in the region of the lower BACK below the THORACIC VERTEBRAE and above the SACRAL VERTEBRAE. Vertebrae, Lumbar
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D012189 Retrospective Studies Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons. Retrospective Study,Studies, Retrospective,Study, Retrospective
D012307 Risk Factors An aspect of personal behavior or lifestyle, environmental exposure, inborn or inherited characteristic, which, based on epidemiological evidence, is known to be associated with a health-related condition considered important to prevent. Health Correlates,Risk Factor Scores,Risk Scores,Social Risk Factors,Population at Risk,Populations at Risk,Correlates, Health,Factor, Risk,Factor, Social Risk,Factors, Social Risk,Risk Factor,Risk Factor Score,Risk Factor, Social,Risk Factors, Social,Risk Score,Score, Risk,Score, Risk Factor,Social Risk Factor
D055815 Young Adult A person between 19 and 24 years of age. Adult, Young,Adults, Young,Young Adults

Related Publications

Shiwu Tao, and Lin Jin, and Zhiyong Hou, and Wei Zhang, and Tao Chen, and Yingze Zhang
January 2010, Acta paediatrica (Oslo, Norway : 1992),
Shiwu Tao, and Lin Jin, and Zhiyong Hou, and Wei Zhang, and Tao Chen, and Yingze Zhang
January 2020, Journal of back and musculoskeletal rehabilitation,
Shiwu Tao, and Lin Jin, and Zhiyong Hou, and Wei Zhang, and Tao Chen, and Yingze Zhang
April 1978, Acta orthopaedica Scandinavica,
Shiwu Tao, and Lin Jin, and Zhiyong Hou, and Wei Zhang, and Tao Chen, and Yingze Zhang
May 2020, Journal of experimental orthopaedics,
Shiwu Tao, and Lin Jin, and Zhiyong Hou, and Wei Zhang, and Tao Chen, and Yingze Zhang
June 1994, AORN journal,
Shiwu Tao, and Lin Jin, and Zhiyong Hou, and Wei Zhang, and Tao Chen, and Yingze Zhang
August 1997, Spine,
Shiwu Tao, and Lin Jin, and Zhiyong Hou, and Wei Zhang, and Tao Chen, and Yingze Zhang
January 2017, Medical journal of the Islamic Republic of Iran,
Shiwu Tao, and Lin Jin, and Zhiyong Hou, and Wei Zhang, and Tao Chen, and Yingze Zhang
January 2010, Revista brasileira de ortopedia,
Shiwu Tao, and Lin Jin, and Zhiyong Hou, and Wei Zhang, and Tao Chen, and Yingze Zhang
December 2017, Current reviews in musculoskeletal medicine,
Shiwu Tao, and Lin Jin, and Zhiyong Hou, and Wei Zhang, and Tao Chen, and Yingze Zhang
January 2007, Chirurgia narzadow ruchu i ortopedia polska,
Copied contents to your clipboard!