NHẬN XÉT ĐẶC ĐIỂM LÂM SÀNG VÀ CỘNG HƯỞNG TỪ Ở NHỮNG BỆNH NHÂN THOÁT VỊ ĐĨA ĐỆM CỘT SỐNG THẮT LƯNG - CÙNG ĐƯỢC PHẪU THUẬT TẠI BỆNH VIỆN QUÂN Y 4, QUÂN KHU 4

Abstract

Objective: Review on clinical and magnetic resonance imaging in patients with lumbar-sacral disc herniation at 4 military hospital of 4 military region. Methods: Prospective and retrospective descriptive study on 25 patients with lumbar – sacral disc herniation at the Department of Orthopedics of 4 Military Hospital of 4 Military Region, from March 2022 to April 2024. Results: Male/female ratio: 2.83/1, most common in the age group of 30-50 years old accounting for 48%. The onset time is mainly from 6-12 months accounting for 60%. All patients have lumbar spine pain with mechanical nature and pain radiating along the nerve roots. Lasegue sign (+) in 96% of patients and Schober index < 14/10 in 96% of patients. On magnetic resonance imaging, lumbar-sacral disc herniation is common at the L4-L5 level (60%), lateral herniation is common (84%), the common level of disc degeneration is level III (72%). Conclusion: Clinical features of lumbar disc herniation are mainly lumbar pain with mechanical nature and pain radiating along the nerve roots. Lasegue sign (+) and Schober index < 14/10 are the 2 most common symptoms. On magnetic resonance imaging, herniation is often found at the L4-L5 level with lateral herniation and the common level of disc degeneration is level III.