CLINICAL PARAMETERS
*. TRIGGERING FACTORS
Figure 2 below describes the triggers for lumbar disc
herniation in this study.
Figure 2. Patient Distribution by Triggering Factors
Reading this figure indicates that in most cases, the
triggering factor was unknown. However, the uplift effort was the main
triggering factor in this study with 16.3%.
* INSTALLATION MODE
Table V below shows the various
installation modes of lumbar disc herniation.
Table V. Distribution of patients according to the mode
of installation of the herniated disc
|
Mode of installation
|
Number of patients
|
%
|
|
Sharp
|
40
|
25,0
|
|
Progressive
|
71
|
44,4
|
|
unspecified
|
49
|
30,6
|
Table V shows that 71 patients (44.4%) had a progressive mode
of installation.
* ADMISSION delay
The median time from diagnosis to actual patient
hospitalization for hernia cure was 17.5 days. This period was divided into age
groups: 1-7 months, 8-16 months and ? 16 months. Table VI below gives a
summarization.
Table VI. Distribution of patients according to the
admission delay
|
Admission delay (months )
|
Number of patients
|
%
|
|
1 - 7
|
143
|
89,4
|
|
8 - 16
|
15
|
9,4
|
|
?16
|
2
|
1,3
|
It can be seen from this table
that 89.4% of patients were admitted within 1 to 7 months and 1.3% were more
than 16 months old. The median admission time was 17.5 days.
*. RADICULAR PATH
The analysis of the various root paths is summarized in
Table VII.
Table VII. Distribution of patients by root path
|
Root paths
|
Number of patients
|
%
|
|
L5
|
|
|
|
- Left
|
23
|
14,4
|
|
- right
|
15
|
9,4
|
|
- Bilateral
|
8
|
5,0
|
|
S1
|
|
|
|
- Left
|
12
|
7,5
|
|
- right
|
8
|
5,0
|
|
- Bilateral
|
5
|
3,1
|
|
Poorly systematized
|
|
|
|
- Left
|
35
|
21,9
|
|
- Right
|
20
|
12,5
|
|
- Bilateral
|
9
|
5,6
|
|
Truncated
|
|
|
|
- Left
|
7
|
4,4
|
|
- Right
|
3
|
1,9
|
|
- Bilateral
|
5
|
3,1
|
|
Cruralgia
|
10
|
6,3
|
Table VII indicates that the left side was the most affected.
Poorly systematized lumbosciatica were the most common with 64 cases (40.0%),
while 10 patients (6.3%) had cruralgia.
CLINICAL EXAMINATION
*. SPINAL SYNDROME
Limitation of spinal mobility
Table VIII. Distribution of patients according to
spinal mobility
|
Hand-ground distance in cm
|
n=140
|
%
|
|
< 30
|
24
|
17,1
|
|
31 - 50
|
35
|
25
|
|
51+
|
81
|
57,9
|
| 
