Implications of Age, Gender and Lumbar Disc Level on Symptomatic Herniated Nucleus Pulposus
Muhammad Tayyab Naeem, Muhammad Aslam Shaikh, Muhammad Ahmad, Adeel Ijaz, Mohammad Huzefa Abid, Mohammad Abid, Hasan Raza
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ABSTRACT
Background: A
herniated-disc inside the spinal column is a condition applying displacement of
nucleus pulposus from intervertebral space causing back pain.
Objective: To
analyse the association of age, gender and lumbar disc level with herniated
nucleus pulposus.
Study Design:
Retrospective study
Place and Duration of Study: Department
of Neurosurgery, Shaikh Zayed Hospital, Lahore from 1st January 2011 to 31st January 2020.
Methodology: One hundred and twenty patients to investigate association of
herniated nucleus pulposus with age, gender and lumbar disc level were enrolled.
Patient’s demographic, clinical and radiological assessments were completed for
categorizing their condition and level of lumbar disc involvement.
Results: There
were 72.5% males and 27.5% females with a mean age of 48.6±1.26 years. The study revealed
that 72.5% nucleus pulposus herniation cases were within the age group of 51-70
years. L5-S1 is more susceptible to nucleus pulposus herniation (62.5%)
followed by L4-L5 (34.2%), L3-L4 (2.5%) and L1-L2 (0.8%).
Conclusion: Elderly
population with >51 years in males is highly prone for nucleus pulposus
herniation with L5-S1 to be most affected lumbar spinal segments.
Key words:
Nucleus pulposus herniation, Vertebral column level, Lumbar disc level