Growth and medical software of grading and classification standards of lumbar disc herniation.
Drugs (Baltimore). 2017 Nov;96(47):e8676
Authors: Hao DJ, Duan Ok, Liu TJ, Liu JJ, Wang WT
This research aimed to develop new grading and classification standards for lumbar disc herniation (LDH). First, from January 1993 to January 2003, we collected the detailed data of 1127 sufferers with LDH and, primarily based on that data, developed a brand new grading classification termed the 6-score-V-type standards whereby conservative therapy is beneficial for sufferers with kind I, II, or IIIA, surgical therapy is beneficial for kind IIIC, IV, and V, and three months of conservative adopted by surgical procedure if no enhancements are obtained in the course of the conservative therapy interval is beneficial for kind IIIBe. The distribution of varieties among the many 1,127 sufferers was: kind I (7.9%), kind II (22.9%), kind III (34.1%), kind IV (22.2%), and kind V (12.6%). Sort III circumstances have been subdivided into kind IIIA (9.9%), kind IIIB (13.three%), and IIIC (10.eight%). Second, from February 2003 to December 2009, we handled a separate group of 1130 sufferers with LDH in accordance with this 6-score-V-type classification rubric and monitored them for 24 months. Therapeutic efficacy was assessed in 1130 sufferers with a normal analysis for leg ache. General, 85.three% of the sufferers within the first 12 months and 84.1% within the second 12 months had good or glorious response scores. The inter-examiner reliability was 98%. Task of therapeutic protocols in accordance with the 6-score-V-type classification yielded passable outcomes, indicating that the 6-score-V-type standards are easy and sensible.
PMID: 29381945 [PubMed – indexed for MEDLINE]