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Which is the Most Effective Radiological Parameter for Predicting Early Regression in Acute Lumbar Disc Herniation?

Yıl 2022, Cilt 44, Sayı 1, 110 - 116, 30.03.2022
https://doi.org/10.7197/cmj.1054817

Öz

Objective: The aim of this study is to investigate the effectiveness of radiological parameters that can predict early regression in symptomatic lumbar disc herniation by quantitatively measuring the regression.
Method: This cross-sectional study included 39 patients (23 males and 16 females) admitted to neurosurgery outpatient clinics with lumbar and leg pain between 2018-2019 who had been diagnosed with lumbar disc herniation via MRI, and underwent conservative treatment due to the absence of sphinctre urinary-fecal incontinence and foot drop in their neurological examination. The type, density, relationship with posterior longitunidal ligament (PLL), size and degree of migration of disc herniation that could be predictive for regression were recorded.
Results: Sequestration&extrusion cases had significantly higher regression than protrusion cases (p=0.018). Hyperintense cases had significantly higher regression than the others (iso-hipointens) (p=0.042). Cases with migration had significantly higher regression than the non-migration (p=0.017). Among all parameters, migration was the most strongly associated parameter with early regression of lumbar disc herniations.
Conclusions: Our study showed that sequestered-extruded, hyperintense, and highly migrated disc herniations in the early period of symptomatic lumbar disc herniation are more associated with regression and migration is the strongest radiological parameter.

Kaynakça

  • 1. Battié MC, Videman T, Parent E. Lumbar disc degeneration: epidemiology and genetic influences. Spine (Phila Pa 1976) 2004;29:2679-90.
  • 2. Gibson JN, Waddell G. Surgical interventions for lumbar disc prolapse: updated Cochrane Review. Spine (Phila Pa 1976) 2007;32:1735-47.
  • 3. Chiu CC, Chuang TY, Chang KH, et al. The probability of spontaneous regression of lumbar herniated disc: a systematic review. Clin Rehabil 2015;29:184-95.
  • 4. Fardon DF, Williams AL, Dohring EJ, et al. Lumbar disc nomenclature: version 2.0: Recommendations of the combined task forces of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology. Spine J 2014;14:2525-45.
  • 5. Deyo RA, Mirza SK. CLINICAL PRACTICE. Herniated Lumbar Intervertebral Disk. N Engl J Med 2016;374:1763-72.
  • 6. Autio RA, Karppinen J, Niinimäki J, et al. Determinants of spontaneous resorption of intervertebral disc herniations. Spine (Phila Pa 1976) 2006;31:1247-52.
  • 7. Ahn SH, Ahn MW, Byun WM. Effect of the transligamentous extension of lumbar disc herniations on their regression and the clinical outcome of sciatica. Spine (Phila Pa 1976) 2000;25:475-80.
  • 8. Takada E, Takahashi M, Shimada K. Natural history of lumbar disc hernia with radicular leg pain: Spontaneous MRI changes of the herniated mass and correlation with clinical outcome. J Orthop Surg (Hong Kong) 2001;9:1-7.
  • 9. Erly WK, Munoz D, Beaton R. Can MRI signal characteristics of lumbar disk herniations predict disk regression? J Comput Assist Tomogr 2006;30:486-9.
  • 10. Buttermann GR. Lumbar disc herniation regression after successful epidural steroid injection. J Spinal Disord Tech 2002;15:469-76.
  • 11. Splendiani A, Puglielli E, De Amicis R, et al. Spontaneous resolution of lumbar disk herniation: predictive signs for prognostic evaluation. Neuroradiology 2004;46:916-22.
  • 12. Henmi T, Sairyo K, Nakano S, et al. Natural history of extruded lumbar intervertebral disc herniation. J Med Invest 2002;49:40-3.
  • 13. Bozzao A, Gallucci M, Masciocchi C, et al. R. Lumbar disk herniation: MR imaging assessment of natural history in patients treated without surgery. Radiology 1992;185:135-41.
  • 14. Virri J, Grönblad M, Seitsalo S, et al. E. Comparison of the prevalence of inflammatory cells in subtypes of disc herniations and associations with straight leg raising. Spine (Phila Pa 1976) 2001;26:2311-5.
  • 15. Komori H, Shinomiya K, Nakai O, et al. The natural history of herniated nucleus pulposus with radiculopathy. Spine (Phila Pa 1976) 1996;21:225-9.
  • 16. Iwabuchi M, Murakami K, Ara F, Otani K, Kikuchi S. The predictive factors for the resorption of a lumbar disc herniation on plain MRI. Fukushima J Med Sci 2010;56:91-7.

Yıl 2022, Cilt 44, Sayı 1, 110 - 116, 30.03.2022
https://doi.org/10.7197/cmj.1054817

Öz

Kaynakça

  • 1. Battié MC, Videman T, Parent E. Lumbar disc degeneration: epidemiology and genetic influences. Spine (Phila Pa 1976) 2004;29:2679-90.
  • 2. Gibson JN, Waddell G. Surgical interventions for lumbar disc prolapse: updated Cochrane Review. Spine (Phila Pa 1976) 2007;32:1735-47.
  • 3. Chiu CC, Chuang TY, Chang KH, et al. The probability of spontaneous regression of lumbar herniated disc: a systematic review. Clin Rehabil 2015;29:184-95.
  • 4. Fardon DF, Williams AL, Dohring EJ, et al. Lumbar disc nomenclature: version 2.0: Recommendations of the combined task forces of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology. Spine J 2014;14:2525-45.
  • 5. Deyo RA, Mirza SK. CLINICAL PRACTICE. Herniated Lumbar Intervertebral Disk. N Engl J Med 2016;374:1763-72.
  • 6. Autio RA, Karppinen J, Niinimäki J, et al. Determinants of spontaneous resorption of intervertebral disc herniations. Spine (Phila Pa 1976) 2006;31:1247-52.
  • 7. Ahn SH, Ahn MW, Byun WM. Effect of the transligamentous extension of lumbar disc herniations on their regression and the clinical outcome of sciatica. Spine (Phila Pa 1976) 2000;25:475-80.
  • 8. Takada E, Takahashi M, Shimada K. Natural history of lumbar disc hernia with radicular leg pain: Spontaneous MRI changes of the herniated mass and correlation with clinical outcome. J Orthop Surg (Hong Kong) 2001;9:1-7.
  • 9. Erly WK, Munoz D, Beaton R. Can MRI signal characteristics of lumbar disk herniations predict disk regression? J Comput Assist Tomogr 2006;30:486-9.
  • 10. Buttermann GR. Lumbar disc herniation regression after successful epidural steroid injection. J Spinal Disord Tech 2002;15:469-76.
  • 11. Splendiani A, Puglielli E, De Amicis R, et al. Spontaneous resolution of lumbar disk herniation: predictive signs for prognostic evaluation. Neuroradiology 2004;46:916-22.
  • 12. Henmi T, Sairyo K, Nakano S, et al. Natural history of extruded lumbar intervertebral disc herniation. J Med Invest 2002;49:40-3.
  • 13. Bozzao A, Gallucci M, Masciocchi C, et al. R. Lumbar disk herniation: MR imaging assessment of natural history in patients treated without surgery. Radiology 1992;185:135-41.
  • 14. Virri J, Grönblad M, Seitsalo S, et al. E. Comparison of the prevalence of inflammatory cells in subtypes of disc herniations and associations with straight leg raising. Spine (Phila Pa 1976) 2001;26:2311-5.
  • 15. Komori H, Shinomiya K, Nakai O, et al. The natural history of herniated nucleus pulposus with radiculopathy. Spine (Phila Pa 1976) 1996;21:225-9.
  • 16. Iwabuchi M, Murakami K, Ara F, Otani K, Kikuchi S. The predictive factors for the resorption of a lumbar disc herniation on plain MRI. Fukushima J Med Sci 2010;56:91-7.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Bilimleri ve Hizmetleri
Bölüm Cerrahi Tıp Bilimleri Araştırma Yazıları
Yazarlar

Tuncer TAŞCIOĞLU (Sorumlu Yazar)
SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ
0000-0002-0359-7274
Türkiye


Aykut AKPINAR
SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL HASEKİ SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ
0000-0002-5049-3259
Türkiye

Yayımlanma Tarihi 30 Mart 2022
Yayınlandığı Sayı Yıl 2022, Cilt 44, Sayı 1

Kaynak Göster

APA Taşcıoğlu, T. & Akpınar, A. (2022). Which is the Most Effective Radiological Parameter for Predicting Early Regression in Acute Lumbar Disc Herniation? . Cumhuriyet Medical Journal , 44 (1) , 110-116 . DOI: 10.7197/cmj.1054817