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- W2189103697 abstract "Objective: To assess the correlation between the side of the annular pathology and the radicular symptoms, in the absence of a compressive root lesion.Materials and Methods: 121 patients underwent MRI scan fro axial back and radicular symptoms. The mean age was 49.9 yrs (24–80). The sex distribution was equal. We excluded the patients that had a compressive lesion, previous operations, spinal deformity, spondylolyses, an underlying pathology (tumour, trauma or infection) or a peripheral neuropathy. Annular pathology was documented as annular tear or a non-compressive disc bulge with its location and side. We also recorded marrow endplate changes and facet arthrosis.Results: Bilateral radicular symptoms were reported in 16 (13.2%): right side in 33 (27.3%) and left in 47 (38.8%) patients. Additionally, 82 patients (67.8%) had axial back pain. 33 patients (27.3%) were noted to have a right sided annular pathology (tear or bulge) and 72 (59.5%) had a left sided annular lesion. 21 patients (17.4%) had a central annular tear and 43 (35.5%) had a generalised disc bulge. 14 patients (11.6%) with right sided symptoms also had annular pathology, while 38 patients (31.4%) with left sided symptoms had a left sided annular lesion. There was no statistical correlation between the side of symptoms and the side of the lesion ( r = − 0.00066, p=0.994), any particular annular pathology ( annular tear r=0.085, p=0.35; disc bulge r-0.083, p=0.36 ). There was no correlation between the axial back pain and the annular pathology ( r=0.004; p=0.97 ) and facet joint or marrow end plate changes ( r = −, 29, p=0.76 ).Conclusions: Although annular pathology can cause the radicular symptoms, our results suggest that they do not influence the side of the symptoms." @default.
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- W2189103697 date "2008-08-01" @default.
- W2189103697 modified "2023-09-27" @default.
- W2189103697 title "DOES THE ANNULAR PATHOLOGY INFLUENCE THE SIDE OF THE RADICULAR SYMPTOMS" @default.
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