Exploring Gender-Specific Correlations: Clinical Features and Magnetic Resonance Imaging Findings in Lumbar Disc Prolapse رسالة ماجستير

Abstract

Introduction Low back pain is one of the most common issues experienced by people worldwide, often caused by lumbar disc prolapse. To effectively diagnose and treat this condition, it's essential to understand the relationship between demographics, such as age and gender, and any abnormalities in the lumbar spine. Magnetic Resonance Imaging (MRI) is considered the gold standard for diagnosing lumbar disc prolapse because it provides superior images of spinal structures with greater detail than other imaging modalities. Purpose This study aims to evaluate the relationship between gender and age with lumbar disc prolapse, along with its clinical and imaging characteristics. Additionally, the research assesses how the use of MRI with and without contrast media affects the sensitivity and specificity in identifying abnormalities in the lumbar spine. Methods This study conducted a retrospective analysis involving 303 patients diagnosed with Lumbar Disc Prolapse (LDP). Data on demographics, clinical characteristics, and MRI findings were obtained from the Patients records database. Statistical tests were performed on these datasets to identify statistically significant associations between demographic factors, pain characteristics, and imaging results. Additionally, the study evaluated the role of contrast-enhanced MRI in diagnosing spinal pathologies. Results Most participants were aged 40–59 years (50.8%) MRI findings showed herniated discs (100%), degenerative disc disease (54.1%), and spinal stenosis (27.1%) as the most common pathologies. Females were more likely to experience chronic LBP, while males reported subacute pain. Gender differences were noted in lumbar scoliosis and bone abnormalities, including spurs. Contrast-enhanced was useful for detecting lesions in post operative patients. V Conclusion The study highlights significant gender disparities in the clinical presentation and occurrence of lumbar spine anomalies. While age-related changes were less pronounced, elderly patients from 65years and older showed more severe degeneration in imaging. MRI remains the primary method for assessing lumbar disc issues, providing detailed visualization. Recognizing the interplay between demographic factors and imaging criteria is essential for developing effective diagnostic strategies