Your browser doesn't support javascript.
loading
Clinical Analysis Between Surgically Proven Contained and Ruptured HIVD / 대한척추외과학회지
Journal of Korean Society of Spine Surgery ; : 94-101, 1998.
Article in Korean | WPRIM | ID: wpr-154857
ABSTRACT
STUDY

DESIGN:

The authors retrospectively analysed the difference of clinical natures in contained vs. ruptured HIVD.

OBJECTIVE:

To compare contained HIVD with ruptured HIVD in respect of clinical symptoms, signs and the result after surgery. SUMMARY OF LITERATURE REVIEW In contained disc herniation, the disc material remains beneath tile intact outer annulus. But, once disc material penetrates through the limit of posterior annulus, it is a ruptured herniation or disc extrusion/sequestration. There is few report concerning the clinical characteristics related to type of herniation. MATERIALS AND

METHODS:

Forty-six patients, treated by open discectomy from March 1990 to December 1994, were followed up for minimum two years. The clinical symptoms and signs including SLR, motor deficit, sensory deficit, change of DTR, and severity of radiating pain were periodically followed up on the predesigned protocol.

Result:

Twenty patients had contained disc and remaining 26 had ruptured disc. The mean age of contained disc was 31.4 years and that of ruptured disc was 43.3 years. In preoperative examination, 18/26 cases of patients with ruptured discs, developed pain in less than 3 months, compared with 7/20 cases of does with contained ones. Motor deficit was positive in 25/26 cases (96.2%) of ruptured discs and 12/20 cases (60%) of contained ones. 23/26 cases (80.8%) of patients with ruptured discs, had sensory deficit compared with 12/20 cases (60%) of those with contained ones. There was no significant difference in SLR and DTR change between ruptured and contained disc.

CONCLUSIONS:

Factors such as age, motor and sensory deficits and duration of symptoms had correlation with the type of herniation, but SLR and DTR change showed no statistical difference in this study. Clinical outcome showed no significant difference between two groups, but in ruptured group, the results were getting worse with the time goes. On the basis of this study, we concluded that the clinical symptoms and signs were different between the two groups, but surgical results showed no statistical difference.
Subject(s)
Full text: Available Index: WPRIM (Western Pacific) Main subject: Retrospective Studies / Diskectomy Type of study: Practice guideline / Observational study Limits: Humans Language: Korean Journal: Journal of Korean Society of Spine Surgery Year: 1998 Type: Article

Similar

MEDLINE

...
LILACS

LIS

Full text: Available Index: WPRIM (Western Pacific) Main subject: Retrospective Studies / Diskectomy Type of study: Practice guideline / Observational study Limits: Humans Language: Korean Journal: Journal of Korean Society of Spine Surgery Year: 1998 Type: Article