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Do occupational factors increase the radiological degree of cervical disc degeneration?

DOI : https://doi.org/10.36349/easms.2019.v02i03.006
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Background: The aim of this study was to find out the relationship between occupational characteristics of patients and magnetic resonance imaging (MRI) stages of cervical disc hernia. Methods: The medical files of patients who applied with cervical disc degeneration were collected. Age in years, gender, comorbid diseases, occupation, years spent in occupation and degree of degeneration in cervical MRI were gathered from patients’ medical files. Patients were divided into groups according to their occupations which were housewives, construction workers, teachers, and healthcare professionals. Based on the working years, patients were divided into four groups as follows: 0-5 years, 5-10 years, 10-15 years, and over 15 years. The degree of cervical disc degeneration on MRI was staged as bulging (group 1), protrusion (group 2), extrusion and sequestration (group 3). Results: A total of 500 patients with various cervical disc hernia participated in the study. Bulging and protrusion were seen frequently over 45 years of age, followed by extrusion & sequestration in 35-45 years of age (p=0.001). Bulging and extrusion & sequestration were statistically significantly higher in construction workers than other occupational groups, whereas protrusion were most frequently observed in healthcare workers (p<0.001). Any extrusion & sequestration case was not observed in least experienced workers (p<0.001). Conclusion: MRI cervical disc hernia grades differed significantly between occupational groups and exhibited an increase in the radiological degree of cervical disc degeneration with a correlation between years spent at work up to 10 years.

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Dr. Afroza Begum

Lecturer, Dept. of Pharmacology and Therapeutics, Shaheed Monsur Ali Medical College & Hospital, Uttara, Dhaka-1230, Bangladesh

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