[Clinical and diagnostic peculiarities of multilevel degeneration of lumbar disks].
The authors present the results obtained in the study of medical records, complaints and neurological symptoms of 148 patients with lumbar disk degeneration at 3 and more levels. The following peculiarities have been singled out: illness duration 5 years and longer was found in 65.6% of patients and in 74.3% the duration of last exacerbation was from 3 months to 1 year. Only 17.6% of patients reported acute pain, 82.4% had mild stable pain that became worse during gait and in the horizontal state and in 83.8% the pain irradiated to one leg. Inconsistency was found between complaints on leg weakness (25.6%) and the reduction of pain sensitivity (22.3%) and symptoms found during the clinical examination: movement disturbances were observed in 45.3% of patients and sensitivity disturbances--in 96.7%. Biradicular symptoms were found in 37.8%; polyradicular--in 62.2% of patients.
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D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000175:diagnosis / Q000209:etiology; D008159:Lumbar Vertebrae; D008297:Male; D008875:Middle Aged; D010007:Osteochondritis / Q000150:complications / Q000175:diagnosis*; D010147:Pain Measurement; D011379:Prognosis; D012189:Retrospective Studies; D013122:Spinal Diseases / Q000150:complications / Q000175:diagnosis*