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Influence of age on symptoms and signs in lumbar disc herniation

Summary

In a prospective and consecutive study we evaluated the prevalence of pain-related symptoms, the results of the strainght leg raising (SLR) test and neurological disturbances by age group in a total of 150 patients operated on due to lumbar disc herniation. On admission, all patients were interviewed, and pain at rest, at night and on coughing was recorded. Walking capacity was recorded under four categories:1–5 km, 0.5<1 km and<0.5 km. Results of the SLR test were also registered as category data: positive 0–30°, positive 30–60°, positive >60° or negative. Findings from examination of tendon reflexes and power of the extensor hallucis longus (EHL) muscle were registered, as were sensory disturbances. The above mentioned parameters were analysed separtely for five different age groups: 20–29 years, 30–39 years, 40–49 years, 50–59 years and above 60 years of age. There was an age-related change in the prevalence of certain parameters. Highly restricted positive SLR test results and pain on coughing was most commonly found in the youngest patient group. With increasing age there was a decreasing prevalence of highly restricted positive SLR test results, while the prevalence of severe reduction of walking capacity increased. In short, the youngest patient group showed the most obvious clinical picture of disc herniation and, with increasing age, the clinical picture gradually changed towards the picture associated with spinal stenosis.

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References

  1. 1.

    Butler D, Trafimon JH, Anderson GBJ, McNeil TW, Huckman MS (1990) Dises degenerate before facets. Spine 15: 111–113

    Google Scholar 

  2. 2.

    Eyre D (1989) Intervertebral disk. Basic science perspectives. In: Frymoyer JW, Gordon SL (eds) New perspectives on lowback pain. American Academy of Orthopaedic Surgeons, Park Ridge, Illinois, pp 147–207

    Google Scholar 

  3. 3.

    Jönsson B, Strömqvist B (1993) Symptoms and signs in degeneration of the lumbar spine. J Bone Joint Surg [Br] 75: 381–385

    Google Scholar 

  4. 4.

    Miller JA, Schmalz C, Schultz AB (1987) Lumbar disc degeneration: correlation with age, sex and level in 600 autopsy specimens. Spine 13: 173–178

    Google Scholar 

  5. 5.

    Olmarker K, Rydevik B, Nordborg C (1993) Autologous nucleus pulposus induces neurophysiologic and histologic changes in porcine cauda equina nerve roots. Spine 18: 1425–1432

    Google Scholar 

  6. 6.

    Spangfort EV (1972) The lumbar disc herniation. A computeraided analysis of 2504 operations. Acta Orthop Scand [Suppl] 142

  7. 7.

    Vernon-Roberts B, Pirie C (1977) Degenerative changes in the intervertebral discs of the lumbar spine and their sequelae. Rheum Rehab: 1613–1621

  8. 8.

    Weinreb JC, Wolbarsht LB, Cohen JM, Brown CEL, Maravilla KR (1989) Prevalence of lumbosacral intervertebral disk abnormalities on MR images in pregnant and asymptomatic nonpregnant women. Radiology 170: 125–128

    Google Scholar 

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Correspondence to B. Jönsson.

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Jönsson, B., Strömqvist, B. Influence of age on symptoms and signs in lumbar disc herniation. Eur Spine J 4, 202–205 (1995). https://doi.org/10.1007/BF00303410

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Key words

  • Lumbar disc herniation
  • Sciatica
  • Interver tebral disc
  • Lumbar spine