Lumbar Disc Herniation Cases in Herat Regional Hospital in 2021

A Descriptive Study

Authors

  • Mohammad Akram Nemati Medical faculty, Jami University
  • Ali Rahimi Scientific Research Center, Jami University, Herat, Afghanistan https://orcid.org/0000-0001-5821-9177

DOI:

https://doi.org/10.61438/jsrqj.v8i2.23

Keywords:

Lumbar Disc Herniation, Surgery, Incidence, Complications, Herat

Abstract

Background and Objective: Lumbar disc herniation is the most common reason for spine surgery in the working-age population. Understanding the epidemiological pattern of lumbar disc herniation helps identify predisposing factors for this type of injury. Since epidemiological studies on lumbar disc herniation surgery in Afghanistan are scarce, the aim of this study is to investigate the epidemiological aspects of these cases in the neurosurgical department of Herat city.

Methods: In this cross-sectional descriptive study conducted from March 2021 to March 2022 at the regional hospital in Herat, data on demographic information, occupation, symptoms, and complications related to lumbar disc herniation surgery were collected and analyzed for 68 patients.

Results: The findings indicate that the majority of lumbar disc herniation surgeries occurred in individuals over 30 years of age (70.6%) and among males (66.2%), with about two-thirds of cases (69.1%) occurring in construction workers. Based on the results, 76.4% of the cases involved the L4-L5 vertebral level, and 88.2% of patients, in addition to lower back pain, experienced sensory disturbances in their legs. Although the majority of patients (89.7%) had no complications, the most significant complication among the patients was urinary incontinence (5.9%).

Conclusion: The results of this study emphasize the higher prevalence of lumbar disc herniation surgeries in specific age and gender groups. Public and healthcare worker education regarding the factors and risks of lumbar disc herniation could be beneficial. Conducting broader studies nationwide to determine the exact occurrences and complications of lumbar disc herniation is crucial.

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References

A.I., H., A.G., B., Belarusian State Medical University, V.V., L., 1134 Military Clinical Medical Center of the Armed Forces of the Republic of Belarus, N.L., G., & Grodno University Clinic. (2021). DEGENERATIVE-DYSTROPHIC CHANGES IN THE SPINE: FROM HERNIATED DISC TO SPONTANEOUS RESORPTION. Military Medicine, 134–140. https://doi.org/10.51922/2074-5044.2021.4.134

Ali, A., Khan, S., Aurangzeb, A., Ahmed, E., Ali, G., Muhammad, G., & Mehmood, S. (2013). Lumbar disc herniation in patients with chronic backache. Journal of Ayub Medical College, Abbottabad : JAMC. https://www.semanticscholar.org/paper/Lumbar-disc-herniation-in-patients-with-chronic-Ali-Khan/bc0a196a04831783c6717ce739d27f0b693f5a7e

D, M., Y, L., D, W., Z, L., W, Z., T, M., L, Z., X, L., & Z, C. (2013). Trend of the incidence of lumbar disc herniation: Decreasing with aging in the elderly. Clinical Interventions in Aging, Volume 8, 1047–1050.

Dionne, C. E., Dunn, K. M., & Croft, P. R. (2006). Does back pain prevalence really decrease with increasing age? A systematic review. Age and Ageing, 35(3), 229–234.

Elshani, B., Krasniqi, S., & Gjyliqi, R. (2018). Herniated Lumbar Disc and Nursing Care. International Journal of Business & Technology, 6(2), 1–8. https://doi.org/10.33107/ijbte.2018.6.2.01

Gugliotta, M., da Costa, B. R., Dabis, E., Theiler, R., Jüni, P., Reichenbach, S., Landolt, H., & Hasler, P. (2016). Surgical versus conservative treatment for lumbar disc herniation: A prospective cohort study. BMJ Open, 6(12), e012938. https://doi.org/10.1136/bmjopen-2016-012938

Jeffries, L. J., Milanese, S. F., & Grimmer-Somers, K. A. (2007). Epidemiology of adolescent spinal pain: A systematic overview of the research literature. Spine, 32(23), 2630–2637.

Jette, A. M. (2006). Toward a common language for function, disability, and health. Physical Therapy, 86(5), 726–734.

Karovski, M., Zhu, J., Arsovska, B., & Kozovska, K. (2016, April 25). Acupuncture Treatment for Lumbar Disc Herniation. https://www.semanticscholar.org/paper/Acupuncture-Treatment-for-Lumbar-Disc-Herniation-Karovski-Zhu/98be4e27f97292af5843f6e0bda6d7bc03ebfaae

Kent, P. M., & Keating, J. L. (2005). The epidemiology of low back pain in primary care. Chiropractic & Osteopathy, 13(1), 1–7.

Kuppuswamy, Dr. S., George, Dr. J. C., & Chemmanam, Dr. M. (2017). Prevalence of lumbar disc herniation and disc degeneration in asymptomatic Indian subjects: An MRI based study. International Journal of Orthopaedics Sciences, 3(4e), 357–360. https://doi.org/10.22271/ortho.2017.v3.i4e.50

Lee, T. H., Kim, S. J., & Lim, S. M. (2013). Prevalence of disc degeneration in asymptomatic korean subjects. Part 2: Cervical spine. Journal of Korean Neurosurgical Society, 53(2), 89–95. https://doi.org/10.3340/jkns.2013.53.2.89

Lidgren, L. (2003). The bone and joint decade 2000-2010. In Bulletin of the World Health Organization (Vol. 81). SciELO Public Health.

Millennium, W. S. G. on the B. of M. C. at the S. of the N., & Organization, W. H. (2003). The burden of musculoskeletal conditions at the start of the new millennium: Report of a WHO Scientific Group. World Health Organization.

Nachemson, A. (1966). The load on lumbar disks in different positions of the body. Clinical Orthopaedics and Related Research, 45, 107–122.

Steenstra, I., Verbeek, J., Heymans, M., & Bongers, P. (2005). Prognostic factors for duration of sick leave in patients sick listed with acute low back pain: A systematic review of the literature. Occupational and Environmental Medicine, 62(12), 851–860.

Thelin, A., Holmberg, S., & Thelin, N. (2008). Functioning in neck and low back pain from a 12-year perspective: A prospective population-based study. Journal of Rehabilitation Medicine, 40(7), 555–561.

Walker, B., Muller, R., & Grant, W. (2003). Low back pain in Australian adults: The economic burden. Asia Pacific Journal of Public Health, 15(2), 79–87.

Walsh, N. (2002). Back pain matters. Karger Gazette.

Wenig, C. M., Schmidt, C. O., Kohlmann, T., & Schweikert, B. (2009). Costs of back pain in Germany. European Journal of Pain, 13(3), 280–286. https://doi.org/10.1016/j.ejpain.2008.04.005

Wilder, D. G., Pope, M. H., & Frymoyer, J. W. (1988). The biomechanics of lumbar disc herniation and the effect of overload and instability. Journal of Spinal Disorders, 1(1), 16–32.

Published

2023-06-01

How to Cite

Nemati , M. A., & Rahimi, A. (2023). Lumbar Disc Herniation Cases in Herat Regional Hospital in 2021: A Descriptive Study. Jami Scientific Research Quarterly Journal, 8(2), 5–14. https://doi.org/10.61438/jsrqj.v8i2.23

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