Ultrasonography in the diagnosis of lumbar disc herniation in young adult
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
How to cite paper:
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