Ghulam Musfafa Wardak, Hameedullah Kakar Panizai, Naqeebullah Achakzai.
Underlying Causes of Lumbar Disc Disease in Young Adults.
Pak J Neuro Surg Jan ;19(2):116-20.

Background: Rationale of the study was to gather data about the underlying causes of lumbar disc herniation in young adults as awareness of these etiological factors will help the clinician extract a relevant medical history, perform a directed physical examination, and order appropriate imaging studies. This will aid in initiating early intervention, be it conservative or operative, and achieving a favorable outcome.Purpose: To determine the underlying causes of lumbar disc herniation in young patients.Materials and Methods: This Descriptive Cross – sectional study was conducted at Department of Neuro-surgery, Sandeman Provincial Hospital, Quetta. A total of seventy five (n = 75) adult patients of either gender less than 30 years of age with chronic back pain were included in the study. Underlying causes were ascertained through detailed history and clinical examination. Subsequently, all patients underwent MRI for the detection of the prolapse.Results: 72% (n = 54) of patients were males and 28% (n = 21) were females 81.3% (n = 61) were found to have disc herniation due to mechanical load (trauma, RTA, weight lifting). 16.0% (n = 12) had systemic disease and 2.7% (n = 2) had a positive family history indicating genetic etiology. Out of 61 patients where underlying cause was mechanical load, 21 patients gave history of trauma, 19 had history of RTA. 14 were long distant drivers and 7 had history of heavy weight lifting.Conclusion: In this study, mechanical load (trauma, RTA, long distant drivers and weight lifting) was found to be the major underlying cause of lumbar disc herniation in young adults.

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