Correlation between spinous process deviation and lumbar disc herniation in young patients.
10.12200/j.issn.1003-0034.2023.06.010
- Author:
Zhi-Jie CHEN
1
;
Chun-Mei CHEN
2
;
Zhong-Sheng BI
1
;
Da LIU
1
;
Tao LIN
1
;
Ming LU
1
;
Rui WANG
2
Author Information
1. Department of Neurosurgery, Guangdong 999 Brain Hospital, Medical College of Jinan University, Guangzhou 510000, Guangdong, China.
2. Department of Neurosurgery, Fujian Medical University Union Hospital, Fuzhou 350001, Fujian, China.
- Publication Type:Journal Article
- Keywords:
Lumbar disc herniation;
Spinous process deviation;
Susceptibility factors;
Young patients
- MeSH:
Middle Aged;
Humans;
Intervertebral Disc Displacement/complications*;
Vertebral Body;
Spinal Diseases;
Spinal Fusion/adverse effects*;
Lumbar Vertebrae/diagnostic imaging*;
Intervertebral Disc Degeneration/etiology*
- From:
China Journal of Orthopaedics and Traumatology
2023;36(6):554-558
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the relationship between spinous process deviation and lumbar disc herniation in young patients.
METHODS:From March 2015 to January 2022, 30 treated young (under the age of 30) patients with lumbar disc herniation were included as the young group. In addition 30 middle-aged patients (quinquagenarian group) with lumbar disc herniation and 30 patients with non-degenerative spinal diseases (young non-degenerative group) were selected as control groups. The angle of the spinous process deviation was measured on CT and statistically analyzed by various groups. All the data were measured twice and the average value was taken and recorded.
RESULTS:The average angle of spinous process deviation in the degenerative lumbar vertebra of young patients were (3.89±3.77) degrees, similar to the (3.72±2.98) degrees of quinquagenarian patients(P=0.851). The average angle of s spinous process deviation young non-degenerative group were (2.20±2.28) degrees, significantly less than young group(P=0.040). The spinous process deviation angle of the superior vertebral of the degenerative lumbar in the young group was (4.10±3.44) degrees, which similar to the (3.47±2.87) degrees in the quinquagenarian group (P=0.447). A total of 19 young patients had the opposite deviation direction of the spinous process of the degenerative lumbar vertebra and upper vertebra, while only 7 quinquagenarian patients had this condition(P=0.02). The type of lumbar disc herniation in young patients had no significant relationship with the direction of spinous process deflection of the degenerative or upper lumbar vertebra (P>0.05).
CONCLUSION:Spinous process deviation is a risk factor of young lumbar disc herniation patients. If the deviation directions of adjacent lumbar spinous processes are opposite, it will increase the incidence of lumbar disc herniation in young patients. There was no significant correlation between the type of disc herniation and the deviation direction of the spinous process of the degenerative or upper lumbar vertebra. People with such anatomical variation can strengthen the stability of spine and prevent lumbar disc herniation through reasonable exercise.
