Ultrasonography in the diagnosis of lumbar disc herniation in young adult

Authors

DOI:

https://doi.org/10.15587/2519-4798.2022.255487

Keywords:

hernia of the intervertebral discs of the lumbar spine, ultrasound diagnostics, young adult

Abstract

The aim: to assess the value of ultrasonography in the diagnosis of a lumbar herniation disc in young adults.

Material and methods: 27 patients aged 17-21 years (8 girls, 19 boys) were included in our study. During the examination by a neurologist, all patients reported pain in the lower back. The results of the ultrasound investigation were compared with MRI. Ultrasonography (USG) was conducted on a Philips HD 11XE device using a convection transducer in the frequency range 2-5 MHz; MRI - General Electric, Signa HDI, 1.5T.

Results: at the L3-L4 segment, hernia was diagnosed in 2 (7.4±5.0 %) cases, at the L4-L5 segment - in 14 (51.9±9.6 %) cases, and at the L5-S1 segment - in 11 (40.7±9.5 %) cases, respectively. The hernia at the segments of L5-S1 and L4-L5 was diagnosed significantly (P<0.001) more often than at the segment of L3-L4. Median hernia was diagnosed in 12 (44.4±9.6 %) cases, paramedian - in 11 (40.7±9.5 %) cases and posterolateral - in 4 ( 14.8±6.8 %) cases, respectively. The median and paramedian hernia was diagnosed significantly (P<0.05) more than the posterolateral. In ultrasound, only in one case, a posterolateral hernia was interpreted as paramedian

Conclusions: 1) The lumbar hernia are localized at the segments of L5-S1 and L4-L5 significantly (P<0.001) more often than at the other segments; 2) Sciatica is significantly more common in posterolateral localization of lumbar disc herniation; 3) The ultrasonography couldbe used to find out the causes of back pain in young adult

Author Biographies

Rizvan Abdullaeiv, Kharkiv Medical Academy of Postgraduate Education

Doctor of Medical Sciences, Professor

Department of "Ultrasound and Functional Diagnostics"

Ilgar Mamedov, Kharkiv Medical Academy of Postgraduate Education

Postgraduate Student

Department "Ultrasound and Functional Diagnostics"

References

  1. Kadow, T., Sowa, G., Vo, N., Kang, J. D. (2015). Molecular Basis of Intervertebral Disc Degeneration and Herniations: What Are the Important Translational Questions? Clinical Orthopaedics & Related Research, 473 (6), 1903–1912. doi: http://doi.org/10.1007/s11999-014-3774-8
  2. Paul, C. P. L., Smit, T. H., de Graaf, M., Holewijn, R. M., Bisschop, A., van de Ven, P. M. et. al. (2018). Quantitative MRI in early intervertebral disc degeneration: T1rho correlates better than T2 and ADC with biomechanics, histology and matrix content. PLOS ONE, 13 (1), e0191442. doi: http://doi.org/10.1371/journal.pone.0191442
  3. Urban, J. P. G., Fairbank, J. C. T. (2020). Current perspectives on the role of biomechanical loading and genetics in development of disc degeneration and low back pain; a narrative review. Journal of Biomechanics, 102, 109573. doi: http://doi.org/10.1016/j.jbiomech.2019.109573
  4. Splendiani, A., Bruno, F., Marsecano, C., Arrigoni, F., Di Cesare, E., Barile, A., Masciocchi, C. (2019). Modic I changes size increase from supine to standing MRI correlates with increase in pain intensity in standing position: uncovering the “biomechanical stress” and “active discopathy” theories in low back pain. European Spine Journal, 28 (5), 983–992. doi: http://doi.org/10.1007/s00586-019-05974-7
  5. Castro, A. P. G. (2021). Computational Challenges in Tissue Engineering for the Spine. Bioengineering, 8 (2), 25. doi: http://doi.org/10.3390/bioengineering8020025
  6. Wang, H., Cheng, J., Xiao, H., Li, C., Zhou, Y. (2013). Adolescent lumbar disc herniation: Experience from a large minimally invasive treatment centre for lumbar degenerative disease in Chongqing, China. Clinical Neurology and Neurosurgery, 115 (8), 1415–1419. doi: http://doi.org/10.1016/j.clineuro.2013.01.019
  7. Teraguchi, M., Yoshimura, N., Hashizume, H., Yamada, H., Oka, H., Minamide, A. et. al. (2017). Progression, incidence, and risk factors for intervertebral disc degeneration in a longitudinal population-based cohort: the Wakayama Spine Study. Osteoarthritis and Cartilage, 25 (7), 1122–1131. doi: http://doi.org/10.1016/j.joca.2017.01.001
  8. Schistad, E. I., Bjorland, S., Røe, C., Gjerstad, J., Vetti, N., Myhre, K., Espeland, A. (2018). Five-year development of lumbar disc degeneration – a prospective study. Skeletal Radiology, 48 (6), 871–879. doi: http://doi.org/10.1007/s00256-018-3062-x
  9. Risbud, M. V., Shapiro, I. M. (2013). Role of cytokines in intervertebral disc degeneration: pain and disc content. Nature Reviews Rheumatology, 10 (1), 44–56. doi: http://doi.org/10.1038/nrrheum.2013.160
  10. Meiliana, A., Dewi, N. M., Wijaya, A. (2018). Intervertebral Disc Degeneration and Low Back Pain: Molecular Mechanisms and Stem Cell Therapy. The Indonesian Biomedical Journal, 10 (1), 1. doi: http://doi.org/10.18585/inabj.v10i1.426
  11. Karademir, M., Eser, O., Karavelioglu, E. (2017). Adolescent lumbar disc herniation: Impact, diagnosis, and treatment. Journal of Back and Musculoskeletal Rehabilitation, 30 (2), 347–352. doi: http://doi.org/10.3233/bmr-160572
  12. Mueller, S., Mueller, J., Stoll, J., Prieske, O., Cassel, M., Mayer, F. (2016). Incidence of back pain in adolescent athletes: a prospective study. BMC Sports Science, Medicine and Rehabilitation, 8 (1). doi: http://doi.org/10.1186/s13102-016-0064-7
  13. Kh. Hammood, E. (2017). Lumbar Disc Herniation in Adolescents and Young Adults in Erbil Teaching Hospital: A clinical, Radiological and Surgical Study. Diyala Journal of Medicine, 13 (1), 94–102. doi: http://doi.org/10.26505/djm.13013380418
  14. Lin, R.-H., Chen, H.-C., Pan, H.-C., Chen, H.-T., Chang, C.-C., Tzeng, C.-Y. et. al. (2021). Efficacy of percutaneous endoscopic lumbar discectomy for pediatric lumbar disc herniation and degeneration on magnetic resonance imaging: case series and literature review. Journal of International Medical Research, 49 (1). doi: http://doi.org/10.1177/0300060520986685
  15. Kanno, H., Ozawa, H., Koizumi, Y., Morozumi, N., Aizawa, T., Ishii, Y., Itoi, E. (2015). Changes in lumbar spondylolisthesis on axial-loaded MRI: do they reproduce the positional changes in the degree of olisthesis observed on X-ray images in the standing position? The Spine Journal, 15 (6), 1255–1262. doi: http://doi.org/10.1016/j.spinee.2015.02.016
  16. Kommana, S. S., Machavaram, V., Kaki, R., Bonthu, A., Kari, S., Rednam, I. S., & Gandi, S. (2019). Evaluation of paediatric spinal dysraphisms by ultrasonography and magnetic resonance imaging. Journal of Evidence Based Medicine and Healthcare, 6 (2), 111–115. doi: http://doi.org/10.18410/jebmh/2019/21
  17. Brinjikji, W., Diehn, F. E., Jarvik, J. G., Carr, C. M., Kallmes, D. F., Murad, M. H., Luetmer, P. H. (2015). MRI Findings of Disc Degeneration are More Prevalent in Adults with Low Back Pain than in Asymptomatic Controls: A Systematic Review and Meta-Analysis. American Journal of Neuroradiology, 36 (12), 2394–2399. doi: http://doi.org/10.3174/ajnr.a4498
  18. Loizides, A., Gruber, H., Peer, S., Galiano, K., Bale, R., Obernauer, J. (2012). Ultrasound Guided Versus CT-Controlled Pararadicular Injections in the Lumbar Spine: A Prospective Randomized Clinical Trial. American Journal of Neuroradiology, 34 (2), 466–470. doi: http://doi.org/10.3174/ajnr.a3206
  19. Marshburn, T. H., Hadfield, C. A., Sargsyan, A. E., Garcia, K., Ebert, D., Dulchavsky, S. A. (2014). New Heights in Ultrasound: First Report of Spinal Ultrasound from the International Space Station. The Journal of Emergency Medicine, 46 (1), 61–70. doi: http://doi.org/10.1016/j.jemermed.2013.08.001
  20. Micu, R., Chicea, A. L., Bratu, D. G., Nita, P., Nemeti, G., Chicea, R. (2018). Ultrasound and magnetic resonance imaging in the prenatal diagnosis of open spina bifida. Medical Ultrasonography, 20 (2), 221–227. doi: http://doi.org/10.11152/mu-1325
  21. Abdullaev, R. Ya., Ibragimova, K. N., Kalashnikov, V. I., Abdullaev, R. R. (2017). The Role of B-mode Ultrasonography in the Anatomical Evaluation of the Cervical Region of the Spine in Adolescents. Journal of Spine, 6 (4). doi: http://doi.org/10.4172/2165-7939.1000386
  22. Cohen, S. P. (2015). Epidemiology, Diagnosis, and Treatment of Neck Pain. Mayo Clinic Proceedings, 90 (2), 284–299. doi: http://doi.org/10.1016/j.mayocp.2014.09.008
  23. Panta, O. B., Songmen, S., Maharjan, S. Subedi, K., Ansari, M. A., Ghimire, R. K. (2015). Morphological Changes in Degenerative Disc Disease on Magnetic Resonance Imaging: Comparison Between Young and Elderly. Journal of Nepal Health Research Council, 13 (31), 209–213.
  24. Abdullaev RYa, Kalashnikov VI, Ibragimova KN, et al. (2017). The Role of Two-Dimensional Ultrasonography in the Diagnosis of Protrusion of Cervical Intervertebral Discs in Adolescents. American Journal of Clinical and Experimental Medicine, 5 (5), 176–180. doi: http://doi.org/10.11648/j.ajcem.20170505.14

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Published

2022-03-31

How to Cite

Abdullaeiv, R., & Mamedov, I. (2022). Ultrasonography in the diagnosis of lumbar disc herniation in young adult. ScienceRise: Medical Science, (2(47), 28–32. https://doi.org/10.15587/2519-4798.2022.255487

Issue

No. 2(47) (2022)

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Medical Science

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Copyright (c) 2022 Rizvan Abdullaeiv, Ilgar Mamedov

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