Herniation of Upper Lumbar Disc - Clinical Finding &amp; Surgical Result - (상요추부 추간판 탈출증 - 임상 양상과 수술적 치료 결과 -)

Dongeun Shin (신동은); 안창수; 조덕연; 윤형구; 김태형; Jin-Young Bang (방진영); 차윤식

Herniation of Upper Lumbar Disc - Clinical Finding & Surgical Result -

Journal of Korean Society of Spine Surgery
Abbr : J Kor Spine Sur
2012, 19(3), pp.103-109
Publisher : Korean Society Of Spine Surgery
Research Area : Medicine and Pharmacy > Orthopedic Surgery

Dongeun Shin ¹, 안창수 ¹, 조덕연 ¹, 윤형구 ¹, 김태형 ², Jin-Young Bang ¹, 차윤식 ¹

¹차의과학대학교
²가톨릭대학교

Accredited

ABSTRACT

Study Design: A retrospective study. Objectives: We attempted to establish an efficient diagnosis and treatment modality by analyzing clinical manifestations and operative results of upper lumbar disc herniations. Summary of Literature Review: Upper lumbar disc herniations represented a lower incidence but have become easier to diagnose by predictable clinical aspects and an MRI scan. The operative results have been satisfactory. Materials and Methods: We evaluated 41 cases, which were operated with posterior laminectomy and discectomy from September,1996 to November, 2009. We analyzed pre-operative history, clinical and MRI findings, and then assessed operative results by Kim’s criteria and functional change in the follow up. Results: The prevalence of upper lumbar disc herniations in all disc herniations was 8.8%. Pre-operative manifestations were lower back pain (85.4%), radiating pain (80.5%), sensory deficit (53.7%), motor deficit (53.7%), and depressed knee jerk (65.9%). The positive rate of the femoral stretching test (78.0%) was higher than the straight leg raising test (39.0%). The VAS score changed from preoperative 9.0±0.8into postoperative 1.4±1.3 points. The operative results were excellent or good in 82.9%. The rate of resuming previous work, including slight modification was 90.2%. Conclusions: Predictable clinical aspects of the upper lumbar disc herniations are anterior thigh pain with lower back pain, variable motor deficit, sensory deficit, depressed knee jerk and the positive femoral nerve stretching test. Through careful examination and radiological evaluations such as MRI, operative treatment can obtain a symptomatic improvement and satisfactory results.

KEYWORDS

Upper lumbar disc, Herniation, Operative treatment, Results

Citation status

* References for papers published after 2023 are currently being built.

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Journal of Korean Society of Spine Surgery 2023 KCI Impact Factor : 0.03

Herniation of Upper Lumbar Disc - Clinical Finding & Surgical Result -

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* References for papers published after 2023 are currently being built.

Journal of Korean Society of Spine Surgery 2023 KCI Impact Factor : 0.03

Herniation of Upper Lumbar Disc - Clinical Finding & Surgical Result -

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