Author
AL-Imamein Al-Kadhemein Medical City, Baghdad/ Iraq.
Abstract
BACKGROUND:
Endplate lesions connect in lumbar disc herniation (LDH) evolution, yet correlated clinical course scarcely comprehended.
AIM OF STUDY:
To examine the varieties of endplate failure (EPF) in LDH and their clinical outcome correspondence.
PATIENTS AND METHODS:
A study of sixty-seven cases that have single-level LDH conducted. Magnetic Resonance Imaging (MRI) and computed tomography (CT) scans distinguish EPF. Twenty-five patients have a laminectomy, and forty-two managed conservatively. Pursue of pain scores and clinical outcomes.
RESULTS:
Endplate pathology remarked in 65(97.01%), osseous endplate breakdown (Osseous failure) in 48(73.8%), and confined cartilaginous endplate lesions in 17 patients (26.2%). The group with bone failure possesses comparable pain and outcome scores yet worse neurological shortfall at the primary assessment. The clinical picture ameliorates in all groups, though the resurrection was minor in non-operative osseous failure cases.
CONCLUSION:
Endplate lesions are usually associated with symptomatic LDH. Osseous failure attendance progresses the neurological deficit and lessens the odds of rehabilitation with non-operatively planned cases. The fat-suppressed 3-dimensional fast spoiled gradient (3D FSPGR) mode of MRI efficiently uses for endplate ailment apprehension in the herniated disc.
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