Abstract
Introduction: Lumbar disc herniation is a common pathology of young and middle-aged patients. Fissures and tears in the annulus fibrosus become weak points that facilitate herniation of the nucleus pulposus, especially when extreme forces ‘attack’ the intervertebral disc. A significant biomechanical force applied to a healthy (‘normal’) disc can have the same effect. Disc protrusions and herniations to varying degrees penetrate the spinal canal.
Aim: This study aims to present features of lumbar disc herniation in pediatric and elderly patients and evaluate them with respect to data reported in the literature.
Materials and methods: Five hundred eighty-nine patients were assessed, 64 of whom were children (0-18 years), and 98 were elderly patients (>60 years). The operated patients were followed up for at least three years. All data were recorded at the regular follow-ups (at 1 and 3 months, and at 1 and 3 years after surgery). We used chi-square tests and directional measures to determine statistically significant data. Operative treatment in children and elderly patients was 28% (162) of our cohort’s total number of patients.
Results: Analyzing postoperative MacNaB, our result showed that children have 23.4% excellent and 76.6 good self-assessment, while in elderly patients, on the one hand, MacNaB used to be excellent or good in 78.5%, and on the other hand, 21.5% had fair or poor self-assessment (p<0.05).
Conclusions: Long-term postoperative outcomes were worse in elderly patients than in children. This was mainly due to the poor status of the intervertebral discs according to the Phirman scale and the associated pathologies at other levels.