RELATIONSHIP BETWEEN THE SUB-TYPES AND THE Lumbar spinal
stenosis AS ASSOCIATED PATHOLOGY
The Lumbar spinal stenosiswas found as an associated
pathology in 21.9% of cases. Table XXIII below illustrates the relationship
with the various subtypes.
Table XXIII. Relationship between the subtypes of the
hernia and the Lumbar spinal stenosis
|
Hernia subtypes
|
Lumbar spinal stenosis
|
P
|
|
No
|
yes
|
|
Number of patients
|
%
|
Number of patients
|
%
|
|
|
Median hernia
|
|
|
|
|
|
|
Yes
No
|
61
|
48,8
|
19
|
54,3
|
0,566
|
|
64
|
51,2
|
16
|
45,7
|
|
Posterolateral hernia
|
|
|
|
|
|
|
Yes
No
|
60
|
48,0
|
15
|
42,9
|
0,590
|
|
65
|
52,0
|
20
|
57,1
|
|
Foraminal hernia
|
|
|
|
|
|
|
Yes
No
|
120
|
96,0
|
35
|
100,0
|
0,229
|
|
5
|
4,0
|
0
|
0,0
|
|
Extraforaminal hernia
|
|
|
|
|
|
|
yes
No
|
120
|
96,0
|
35
|
100,0
|
0,229
|
|
5
|
4,0
|
0
|
0,0
|
We conclude from the table XXIII that there is no
statistically significant link between the Lumbar spinal stenosis and the
different subtypes.
RELATIONSHIP BETWEEN DIAGNOSIS OF MEDICAL IMAGING AND
INFLAMMATORY BALANCE SHEET
A relationship between the result of the inflammatory
balance sheet and the various subtypes of LDH has been sought. Table XIV below
generates a summarization.
Table XXIV. Imaging diagnosis and results of
inflammatory balance sheet
|
Imaging diagnosis
|
Inflammatory balance sheet
|
Total
|
P
|
|
disturbed
|
Normal
|
|
Number of patients
|
%
|
Number of patients
|
%
|
Number of patients
|
%
|
|
|
Median hernia
|
10
|
5,7
|
70
|
40,0
|
80
|
45,7
|
?0,001
|
|
Posterolateral hernia
|
15
|
8,6
|
70
|
40,0
|
85
|
48,6
|
|
Foraminal hernia
|
5
|
2,8
|
0
|
0,0
|
5
|
2,8
|
|
Extraforaminal hernia
|
0
|
0,0
|
5
|
2,8
|
5
|
2,8
|
|
Total
|
30
|
17,1
|
145
|
82,9
|
175
|
100,0
|
|
Table XXIV indicates that the inflammatory balance was only
disturbed in 30 of the 160 patients. A statistically significant link was noted
between the result of the imaging and the result of the inflammatory balance
sheet (p = 0.001).
MANAGEMENT
All 160 patients underwent laminectomy with hernia
repair. Table XXV below reports the concordances and discrepancies found
between the diagnosis of imaging and the intraoperative results.
Table XXV. Comparative illustration between the
diagnosis of imaging and the intraoperative results.
|
diagnosis of imaging
|
intraoperative diagnosis
|
n/%
|
P
|
|
Median hernia
|
Posterolateral hernia under ligament
|
5 (6,3)
|
<0,001
|
|
|
Medial hernia under ligament
|
75 (93,7)
|
|
|
Total
|
80 (100,0)
|
|
Posterolateral hernia
|
Bony outgrowth compressing the roots
|
1 (1,2)
|
<0,001
|
|
|
Ejected posterolateral hernia
|
5 (5,8)
|
|
|
Posterolateral hernia under ligament
|
60 (69,8)
|
|
|
Ejected median hernia
|
10 (11,6)
|
|
|
Median hernia under ligament
|
10 (11,6)
|
|
|
Total
|
85 (100,0)
|
|
Foraminal hernia
|
Foraminal hernia
|
5 (100,0)
|
<0,001
|
|
|
Total
|
5 (100,0)
|
|
Extraforaminal hernia
|
Extraforaminal hernia
|
5 (100,0)
|
<0,001
|
|
|
Total
|
5 (100,0)
|
|
|
