Table XVI shows that multiple
localization is quite common in our environment.
ASSOCIATED PATHOLOGIES
Figure 3 below shows the pathologies associated with
hernia in this study.
Figure 3. Pathologies associated with operated lumbar
disc herniation.
Figure 3 indicates that hypertrophy of the yellow
ligament was frequently associated with lumbar disc herniation (62.5%).
STATISTICAL ANALYSIS
* RELATIONSHIP BETWEEN THE SUB-TYPES OF HERNIA AND
SEX
Table XVII represents a comparative study of the
subtypes of the encountered LDH and sex.
Table XVII. Cross representation between subtypes of
hernia and sex
|
Hernia sub type
|
Sex
|
P
|
OR (IC à 95%)
|
|
Male
|
Female
|
|
Median hernia
|
|
|
|
|
|
Yes
No
|
37 (52, 1%)
34 (37, 9%)
|
43 (48, 3%)
46 (51, 7%)
|
0,633
|
0,859 (0,460 - 1,604)
|
|
Posterolateral hernia
|
|
|
|
|
|
Yes
No
|
41 (57, 74%)
30 (42, 3%)
|
44 (49, 4%)
45 (50, 6%)
|
0,295
|
0,715 (0,382 - 1,381)
|
|
Foraminal hernia
|
|
|
|
|
|
Yes
No
|
1 (1, 4%)
70 (98, 6%)
|
4 (4, 5%)
85 (95, 5%)
|
0,265
|
3,294 (0,360 - 30,149)
|
|
Extraforaminal hernia
|
|
|
|
|
|
yes
No
|
2 (2, 8%)
69 (97, 2%)
|
3 (3, 4%)
86 (96, 6%)
|
0,841
|
1,203 (0,196 - 7,406)
|
Table XVII reveals that
there was no statistically significant relationship between subtypes and sex.
In contrast, the risk was 3 times higher in women with foraminal hernias and 1
time higher in men with extra foraminal hernias.RELATIONSHIP BETWEEN THE
SUBTYPES OF LDH AND THE LIFTING EFFORT AS A TRIGGER FACTOR.
The notion of lifting force as a triggering factor was
found in 16.3% of the patients. Below is the distribution of these cases
according to this triggering factor.
Table XVIII. Relationship between the subtypes of the
hernia and the effort of uplift.
|
Hernia subtype
|
Uplifting effort
|
|
|
|
Yes
|
No
|
P
|
OR (IC à 95%)
|
|
Median hernia
|
|
|
|
|
|
Yes
No
|
14 (53, 8%)
12 (46, 2%)
|
66 (49, 3%)
68 (50, 7%)
|
0,668
|
1,202 (0,518 - 2,790)
|
|
Posterolateral hernia
|
|
|
|
|
|
Yes
No
|
14 (53, 8%)
12 (46, 2%)
|
71 (53, 0%)
63 (47, 0%)
|
0,936
|
1,035 (0,446 - 2,444)
|
|
Foraminal hernia
|
|
|
|
|
|
Yes
No
|
25 (96, 2%)
1 (3, 8%)
|
130 (97, 0%)
4 (3, 0%)
|
0,817
|
1,300 (0,139 - 12,123)
|
|
Extraforaminal hernia
|
|
|
|
|
|
yes
No
|
0 (0, 0%)
26 (100, 0%)
|
129 (96, 3%)
5 (3, 7%)
|
0,317
|
0,963 (0,931 - 0,995)
|
|
|
