Comparative study between clinical features and mri finding in lumbo-sacral disc prolapsed

The Lumbar disc prolapse is considered one of the most common causes of low back pain. As it may affecting the working population that’s way it is regarded as major socioeconomic problem. The advances of MRI it become the first choice modality in assessment of patients with disc prolapse . As it is non invasive, non ionizing imaging modality.Eighty three patients 47 male and 36 female was included in this study and all patients were examined clinically and there MRI result was evaluated from January 2013 till January 2017. The pain distribution with respect to dermatome level were recorded. So total (58) L5 dermatomes involvement and (37) S1 dermatomes involvement and (8) L4 dermatomes involvement. There are 52 patients have neurological symptoms 28 patients at L5 level, 13 patients at S1 level, 3 patients at L4 level while 8 patients have neurological symptoms at 2 level 2 of them have neurological symptoms at L4 and L5 level and other 6 patient at L5 and S1 level. Out of 83 patients there are 23 patients have neurological deficit 13 patient have motor and sensory while other 10 patients have only sensory deficit. Ten patients have more than one level. Seven patient's sensory deficit at L5 and S1 level and other 3 patients at L4 and L5 level. One hundred forty one herniation in 83 patients. Disc bulge were 89, Disc protrusion 43 and disc extrusion were 9.