Clinical and radiological study of single-level degenerative lumbar disc disease in Eastern India Medical College

Background: Low back pain secondary to lumbar disc degenerative disease (LDDD) usually affects young to middle-aged persons. It presents as a sharp shooting type of pain, mild tingling sensation, and a dull ache. There are many risk factors associated with the LDDD, such as advancing age, smoking, a...

Full description

Saved in:
Bibliographic Details
Main Authors: Krishnendu Sardar, Md Salim Uz Zaman, Soumedhik Dey, Sumana Baidya
Format: Article
Language:English
Published: Manipal College of Medical Sciences, Pokhara 2025-07-01
Series:Asian Journal of Medical Sciences
Subjects:
Online Access:https://ajmsjournal.info/index.php/AJMS/article/view/4605
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850093076140261376
author Krishnendu Sardar
Md Salim Uz Zaman
Soumedhik Dey
Sumana Baidya
author_facet Krishnendu Sardar
Md Salim Uz Zaman
Soumedhik Dey
Sumana Baidya
author_sort Krishnendu Sardar
collection DOAJ
description Background: Low back pain secondary to lumbar disc degenerative disease (LDDD) usually affects young to middle-aged persons. It presents as a sharp shooting type of pain, mild tingling sensation, and a dull ache. There are many risk factors associated with the LDDD, such as advancing age, smoking, and obesity. The annual incidence of prolapsed lumbar intervertebral disc is about 5–10%. Lumbar disc herniation is the pathological condition for which spinal surgery is most often performed. Treatment for lumbar disc herniation can be conservative or surgical, and which one is effective is always controversial. The purpose of conducting this study is to assess different clinical features, magnetic resonance imaging (MRI) characteristics, and postsurgical outcome of single-level lumbar disc disease. Aims and Objectives: To evaluate the clinical symptoms, functional status, and most commonly affected lumbar level in patients with single-level LDDD along with post-operative outcome of that level. Materials and Methods: 50 symptomatic patients who were diagnosed as single-level disc degenerative disease by MRI, not responding to conservative treatment, were included in our study. It is conducted over a period of 2 years in Bangur Institute of Neuroscience. Any patient having previous surgery is excluded from our study. Results: It has been found that L4-L5 level disc herniation and posterolateral site is more common. The most common type is protrusion. Conclusion: It helps surgeons to locate the level, type, and site of degenerative disc disease in symptomatic patients who fail to respond to conservative management. Surgical outcome is better than conservative management.
format Article
id doaj-art-3ee95cd8e1b24cb59c437e97dda6763b
institution DOAJ
issn 2467-9100
2091-0576
language English
publishDate 2025-07-01
publisher Manipal College of Medical Sciences, Pokhara
record_format Article
series Asian Journal of Medical Sciences
spelling doaj-art-3ee95cd8e1b24cb59c437e97dda6763b2025-08-20T02:42:00ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762025-07-01167152159https://doi.org/10.71152/ajms.v16i7.4605Clinical and radiological study of single-level degenerative lumbar disc disease in Eastern India Medical CollegeKrishnendu Sardar 0https://orcid.org/0009-0009-1783-3408Md Salim Uz Zaman 1https://orcid.org/0009-0009-5482-9897Soumedhik Dey 2https://orcid.org/0000-0001-8875-3047Sumana Baidya3https://orcid.org/0009-0001-4734-6071Assistant Professor, Department of Neurosurgery, NRS Medical College and Hospital, Kolkata, West Bengal, India Associate Professor, Department of Physiology, NRS Medical College and Hospital, Kolkata, West Bengal, India Associate Professor, Department of Anatomy, Malda Medical College, Malda, West Bengal, India Assisstant Professor, Department of Biochemistry, Diamond Harbour Government Medical College and Hospital, South 24 Parganas, West Bengal, India Background: Low back pain secondary to lumbar disc degenerative disease (LDDD) usually affects young to middle-aged persons. It presents as a sharp shooting type of pain, mild tingling sensation, and a dull ache. There are many risk factors associated with the LDDD, such as advancing age, smoking, and obesity. The annual incidence of prolapsed lumbar intervertebral disc is about 5–10%. Lumbar disc herniation is the pathological condition for which spinal surgery is most often performed. Treatment for lumbar disc herniation can be conservative or surgical, and which one is effective is always controversial. The purpose of conducting this study is to assess different clinical features, magnetic resonance imaging (MRI) characteristics, and postsurgical outcome of single-level lumbar disc disease. Aims and Objectives: To evaluate the clinical symptoms, functional status, and most commonly affected lumbar level in patients with single-level LDDD along with post-operative outcome of that level. Materials and Methods: 50 symptomatic patients who were diagnosed as single-level disc degenerative disease by MRI, not responding to conservative treatment, were included in our study. It is conducted over a period of 2 years in Bangur Institute of Neuroscience. Any patient having previous surgery is excluded from our study. Results: It has been found that L4-L5 level disc herniation and posterolateral site is more common. The most common type is protrusion. Conclusion: It helps surgeons to locate the level, type, and site of degenerative disc disease in symptomatic patients who fail to respond to conservative management. Surgical outcome is better than conservative management.https://ajmsjournal.info/index.php/AJMS/article/view/4605lumbar disc degenerative disease; visual analog scale score; oswestry disability index score; site; type
spellingShingle Krishnendu Sardar
Md Salim Uz Zaman
Soumedhik Dey
Sumana Baidya
Clinical and radiological study of single-level degenerative lumbar disc disease in Eastern India Medical College
Asian Journal of Medical Sciences
lumbar disc degenerative disease; visual analog scale score; oswestry disability index score; site; type
title Clinical and radiological study of single-level degenerative lumbar disc disease in Eastern India Medical College
title_full Clinical and radiological study of single-level degenerative lumbar disc disease in Eastern India Medical College
title_fullStr Clinical and radiological study of single-level degenerative lumbar disc disease in Eastern India Medical College
title_full_unstemmed Clinical and radiological study of single-level degenerative lumbar disc disease in Eastern India Medical College
title_short Clinical and radiological study of single-level degenerative lumbar disc disease in Eastern India Medical College
title_sort clinical and radiological study of single level degenerative lumbar disc disease in eastern india medical college
topic lumbar disc degenerative disease; visual analog scale score; oswestry disability index score; site; type
url https://ajmsjournal.info/index.php/AJMS/article/view/4605
work_keys_str_mv AT krishnendusardar clinicalandradiologicalstudyofsingleleveldegenerativelumbardiscdiseaseineasternindiamedicalcollege
AT mdsalimuzzaman clinicalandradiologicalstudyofsingleleveldegenerativelumbardiscdiseaseineasternindiamedicalcollege
AT soumedhikdey clinicalandradiologicalstudyofsingleleveldegenerativelumbardiscdiseaseineasternindiamedicalcollege
AT sumanabaidya clinicalandradiologicalstudyofsingleleveldegenerativelumbardiscdiseaseineasternindiamedicalcollege