Ali Asghar, Khan Shahbaz Ali, Aurangzeb Ahsan, Ahmed Ehtisham, Ali Gohar, Muhammad Gul, Mehmood Shakir
J Ayub Med Coll Abbottabad. 2013 Jul-Dec;25(3-4):68-70.
Low back pain with or without lower extremity pain is the most common problem among chronic pain disorders with significant economic, social, and health impact. This study was conducted to determine the frequency of lumbar disc herniation and its different levels, among patients with chronic backache.
This cross sectional study was conducted in the department of Neurosurgery, Ayub Medical College Abbottabad from January 2011 to January 2013. All the patients presenting with chronic low backache of either gender above the age 14 years were included in the study. Magnetic resonance imaging (MRI) was done in all the patients included in the study to look for lumbar disc herniation.
A total of 477 patients with chronic low backache were included in the study out of which 274 (57.4%) were males. Age of the patients ranged from 19 to 75 (39.92 +/- 12.31) years. Out of 477 patients 38 (7.9%) had significant radiological evidence of disc prolapse at lumbar vertebral levels, with 26 (9.5%) males and 12 (5.9%) females. Among these 38 patients with inter-vertebral disc, 20 (52.6%) of patients had disc herniation at L5-S1, 15 (39.5%) at L4-L5, 2 (5.26%) cases at L3-L4 level and only one case (2.6%) had the involvement of L2-L3 level. No cases of L1-L2 disc prolapse were found.
Patients with chronic backache can have inter-vertebral lumbar disc prolapsed disease. Middle age group are more affected by lumbar disc disease especially at the lower lumbar regions.
伴有或不伴有下肢疼痛的腰痛是慢性疼痛疾病中最常见的问题，对经济、社会和健康都有重大影响。本研究旨在确定慢性背痛患者中腰椎间盘突出症的发生率及其不同节段情况。
本横断面研究于2011年1月至2013年1月在阿伯塔巴德阿尤布医学院神经外科进行。所有14岁以上出现慢性腰痛的男女患者均纳入本研究。对所有纳入研究的患者进行磁共振成像（MRI）检查以寻找腰椎间盘突出症。
本研究共纳入477例慢性腰痛患者，其中男性274例（57.4%）。患者年龄范围为19至75岁（39.92±12.31）。在477例患者中，38例（7.9%）有腰椎间盘突出的明显影像学证据，其中男性26例（9.5%），女性12例（5.9%）。在这38例椎间盘突出患者中，20例（52.6%）为L5-S1椎间盘突出，15例（39.5%）为L4-L5椎间盘突出，2例（5.26%）为L3-L4节段突出，仅1例（2.6%）为L2-L3节段受累。未发现L1-L2椎间盘突出病例。
慢性背痛患者可能患有腰椎间盘突出症。中年人群受腰椎间盘疾病影响更大，尤其是在下腰椎区域。
