Correlation of magnetic resonance Imaging with clinical symptoms in disc herniation

Dr Le Thi Hoang Lien1, Professor Pham Minh Thong2, Dr Tran Anh Tuan3
1 Lao Provincial General Hospital Cai, Department of Diagnostic Imaging photo, Hanoi Medical University
2 Bach Mai Hospital, Ministry of diagnostic imaging, Hanoi Medical University
3 Bach Mai Hospital

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Abstract

Abtracts: Retrospective study of patients diagnosed with clinical disc herniation and magnetic resonance and had surgery at the Orthopedic and Spinal Trauma Department, Bach Mai Hospital.
Results: 29.5% of patients in this study involved L5 - S1 disc herniation and 45.5% of patients with L4 - L5 disc herniation. Spinal
Syndrome, Nerve Root Syndrome and Sensory Disorders are the most common symptoms. Nutritional disorders and sphincter disorders are found in posterior disc herniations and in the graft holes, in the L4-L5 and L5-S1 layers. Magnetic resonance is of high value in the diagnosis of lumbar spinal disc hernias and hernias, in diagnosing hernias, sensitivity from 97.9 %% - 100%, specificity from 98.1% - 100% accuracy from 98.2% - 100%; In the diagnosis of a specific herniation layer, the sensitivity ranges from 95.5% - 100%, the specificity is 90% - 100%, the accuracy is 94.2% - 100%.
Conclusion: In our study, correlation in shown between clinical findings and MRI results. The most common clinical symptoms are spinal syndrome and nerve root syndrome. Disc herniation often protrusions, herniated backwards and in the L4-L5 layer.
Magnetic resonance is of high value in diagnosing types and layer lumbar spinal disc hernias with accuracy from 94.2%-100%.

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