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Clinical Interventions in Aging· 2013Q1

Trend of the incidence of lumbar disc herniation: decreasing with aging in the elderly

Zhiyou Cai, Dongyang Ma, Feng Li, Ran Chen et al.

Short summary

Lumbar disc herniation (LDH) incidence decreases with age in the elderly, particularly after 80, and is lower in females, contradicting the general trend of increasing incidence with age.

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Key points

  • LDH incidence decreases with age in the elderly, particularly after 80.
  • Elderly females show a more significant decrease in LDH incidence.
  • Degeneration is observed in LDH patients over 65, but aging is not identified as a direct contributor to LDH in the elderly.
  • The most common sites for LDH are L4-L5 and/or L5-S1.

AI-generated from the title and abstract; the full text is not read.

Abstract

BACKGROUND: Compelling evidence has shown that the incidence of lumbar disc herniation (LDH) increases with age. In this study, retrospective clinical analysis of 601 cases of LDH has been conducted to investigate the role of age in the incidence of LDH in the elderly. The aim of the study is to investigate the relationship between the process of aging and the occurrence of LDH in old adults. METHODS: Clinical cases (n = 601) of LDH were retrospectively analyzed. RESULTS: The imaging examination with computed tomography and/or magnetic resonance imaging showed the occurrence of degeneration in LDH patients over 65 years of age. The most common site of LDH is toward the bottom of the spine at L4-L5 and/or L5-S1. The incidence of LDH drops with age in the elderly, especially after the age of 80 years. There is an obvious decrease in LDH in the elderly female. CONCLUSION: A decreasing incidence of LDH with aging occurs in the elderly. This investigation indicates that aging is not a contributor to the performance of LDH in the elderly although the incidence of LDH is proportional to age.

The authors' abstract, as published at the source. Clinical Interventions in Aging, 2013 · DOI ↗

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Field: Pathology and Forensic Medicine

Pathology and Forensic MedicineMedicine