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Characteristics and Neurological Manifestations of Patients with Operated Lumbar Disc Herniation

机译:腰椎间盘突出症患者的特征和神经学表现

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Background and aim: Lumbar disk herniation is one of the most common causes of surgery in the spine with a variety of signs and symptoms. Sensory and motor deficits, as well as reflex and autonomic abnormalities may be seen. This study aimed to investigate characteristics and neurological manifestations in a series of operated cases with lumbar disc herniation. Methods: In a retrospective setting, profiles of 163 operated cases with lumbar disc herniation were reviewed. Demographics as well as preoperational sign and symptoms were extracted and evaluated. Results: There were 86 females and 77 males with a mean age of 44.85±0.91 (range: 23-78) years in the studied population. The most common involved levels were L4-L5 and L5-S1, respectively. Low back pain, radicular pain, and positive Lasegue test were documented in 98.2%, 96.9% and 77.3% of the patients, respectively. Sensory, motor and reflexive abnormalities were documented in 66.3%, 51.5% and 19.6% of the cases, respectively. Sphincter and sexual dysfunction was presented in 4.9% and 1.2%, respectively. Conclusion: Clinical and neurological signs of operated patients with lumbar disc herniation in the studied center are not far different from available reports in this regard.
机译:背景与目的:腰椎间盘突出症是脊柱外科手术最常见的原因之一,具有各种体征和症状。可能会出现感觉和运动缺陷,以及反射和自主神经异常。本研究旨在探讨一系列腰椎间盘突出症手术病例的特征和神经系统表现。方法:回顾性分析163例腰椎间盘突出症的手术病例。人口统计以及术前体征和症状均已提取并评估。结果:研究人群中女性86例,男性77例,平均年龄为44.85±0.91(范围:23-78)岁。最常见的级别分别是L4-L5和L5-S1。分别有98.2%,96.9%和77.3%的患者记录了下背部疼痛,神经根疼痛和Lasegue试验阳性。感觉,运动和反射异常分别记录在66.3%,51.5%和19.6%的病例中。括约肌和性功能障碍的比例分别为4.9%和1.2%。结论:在研究中心,手术治疗的腰椎间盘突出症患者的临床和神经学症状与这方面的现有报道相差无几。

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