19 Harley St, London, W1G 9QJ, UK

Clinical and radiographic characteristics of upper lumbar disc herniation: ten-year microsurgical experience

Upper and lower lumbar disc herniation apparently have different background, symptoms, and operative results. This retrospective study reviewed the clinical records of 403 patients (409 discs) who underwent lumbar microdiscectomy performed by different surgeons at our institute between 1999 and 2009. The 290 male (72.0%) and 113 female (28.0%) patients were aged from 19 to 77 years (mean 44 years). Demographics, symptoms, and static and dynamic radiographic and magnetic resonance images obtained at the L1-2, L2-3, L3-4, L4-5, and L5-S1 intervertebral levels were analyzed. Of the 409 herniations, 3 were at L1-2, 9 at L2-3, 21 at L3-4, 166 at L4-5, and 210 at L5-S1. The mean age at herniation at L1-2 and L2-3 levels was 55.7 years. Patients with herniation of discs at L3-4 or above were significantly older than patients who suffered herniation at L4-5 or below (p < 0.0001), and the incidence of urinary disturbance was significantly higher in patients with herniation at L1-2 and L2-3 levels (p = 0.0013). The incidence of degenerative scoliosis was significantly higher in patients with herniation at L1-2 and L2-3 than in those with herniated discs at L3-4 or below (p < 0.0001). Patients with upper lumbar disc herniation were older and manifested a higher incidence of urinary disturbance. A high incidence of degenerative scoliosis was noted in the course of prolonged degenerative processes Keywords : Adult,Aged,Aged,80 and over,diagnostic imaging,Diskectomy,Female,Humans,Incidence,Intervertebral Disc Displacement,Japan,Longitudinal Studies,Lumbar Vertebrae,Male,Microsurgery,Middle Aged,pathology,Patients,Radiography,Retrospective Studies,Scoliosis,surgery,Treatment Outcome,Young Adult,, Radiographic,Characteristics,Upper, botox in the masseter muscle

Date of Publication : 2011

Authors : Iwasaki M;Akino M;Hida K;Yano S;Aoyama T;Saito H;Iwasaki Y;

Organisation : Sapporo Azabu Neurosurgical Hospital, Hokkaido, Japan

Journal of Publication : Neurol Med Chir (Tokyo)

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/21701105

The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery

Make an Appointment 

Trustpilot Reviews
Doctify Reviews
Top Doctor Reviews

Clinical and radiographic characteristics of upper lumbar disc herniation ten-year microsurgical experience | Renal colic meaning

What our patients say ...

Consultant Spine Surgeon
Consultant Spine Surgeon
Consultant Spine Surgeon

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810