Stages III and IV of intervertebral hernias

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Volume 8|May, 2022 
ISSN: 2795-7365 
Eurasian Research Bulletin 
www.geniusjournals.org 
P a g e
| 6 
 
The purpose of this work
was to analyze 
clinical manifestations and to develop, based on 
the analysis of optimal indications and tactics of 
surgical treatment of patients with lumbar 
intervertebral hernias. 
It is known that most patients with 
manifestations of intervertebral lumbar hernias 
are treated with conservative methods, 
however, surgical intervention is required in 
stages III and IV of intervertebral hernias. In the 
neurosurgical department of the Andijan 
branch of the RNCEMP from 2016 to 2019, 724 
patients were treated for radicular syndromes 
of lumbar osteochondrosis. Of this number, 426 
patients (58.8%) were operated on in the 
neurosurgical department. 
A slight predominance of male patients 
(55.3%) and women (44.7%) was revealed. 
Among them, the age distribution was 
dominated by patients 30-49 years old 
—
64.9%. The average age of operated men was 
44.5 years, women 
—
41.2 years. 
In all patients with lumbar intervertebral 
hernias who underwent surgery, radicular pain 
syndrome prevailed in the clinical picture. We 
assessed the intensity of pain on a visual-analog 
scale (VAS-100%). The intensity of pain at the 
time of admission of patients ranged from 30 to 
100% and averaged 67.4%. Moreover, severe 
pain syndrome (90-100%) was observed in 
9.2% of patients (among them there were 2 
times more men than women). 
In 58.3% of patients, in addition to 
radicular pain, pain in the lumbar region was 
recorded. At the same time, 27.7% of patients 
had lumbar pain with signs of instability in the 
lumbar spine. Somewhat more often, instability 
in the lumbar region was noted among women 
—
33.3% of cases against 23.1% in men. 
Sensitivity disorders were reported in 
92.4% of patients. A decrease in strength in the 
indicator muscles was noted in 47.2% (a 
decrease in strength was also accompanied by a 
decrease or loss of corresponding reflexes).