<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0864-215X</journal-id>
<journal-title><![CDATA[Revista Cubana de Ortopedia y Traumatología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Ortop Traumatol]]></abbrev-journal-title>
<issn>0864-215X</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0864-215X2022000100013</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Clinical profile of patients with inter vertebral disc disorders]]></article-title>
<article-title xml:lang="es"><![CDATA[Caracterización clínica de pacientes con trastornos de los discos intervertebrales]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Joseph]]></surname>
<given-names><![CDATA[Nitin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hegde]]></surname>
<given-names><![CDATA[Atmananda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Shenoy]]></surname>
<given-names><![CDATA[Sreeja]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bhanu Thejaswi]]></surname>
<given-names><![CDATA[Pallempati]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aslam]]></surname>
<given-names><![CDATA[Haroon]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Kumar]]></surname>
<given-names><![CDATA[Vikash]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bhargava]]></surname>
<given-names><![CDATA[Arushi]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Kasturba Medical College Mangalore Manipal Academy of Higher Education]]></institution>
<addr-line><![CDATA[ Manipal]]></addr-line>
<country>India</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2022</year>
</pub-date>
<volume>36</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-215X2022000100013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-215X2022000100013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-215X2022000100013&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[RESUMEN  Introducción:  Actualmente, los trastornos de los discos intervertebrales (TDI) son frecuentes en la población joven y de mediana edad.  Objetivos: Este estudio hospitalario de las historias clínicas se realizó para examinar los factores de riesgo, la presentación clínica, los hallazgos imagenológicos y las prácticas de tratamiento entre los pacientes con todos los tipos de trastornos de los discos intervertebrales.  Métodos: Se utilizó una proforma validada para obtener información de los pacientes confirmados con trastornos de los discos intervertebrales en los últimos tres años.  Resultados:  La edad media de aparición de los trastornos discales entre los 219 pacientes fue de 44,7 ± 14,2 años. El historial de malos hábitos de ejercicio estuvo presente en 72 (32,9%) pacientes. El sitio más común de afectación del disco fue L4-L5 [151 (68,9%)]. 143 (65,3%) pacientes tenían compromiso de disco en un solo sitio. El síntoma clínico más frecuente fue el dolor lumbar [180(82,2%)]. La compresión de la raíz nerviosa estuvo presente en 154 (70,3%) pacientes. Se mostró presencia de protuberancia, protrusión, extrusión y secuestro discal en 116 (53 %), 90 (41,1 %), 52 (23,7 %) y 4 (1,8 %) pacientes, respectivamente. La edad de inicio &gt;65 años (p=0,035), la edad de inicio &#8804;55 años (p=0,004) y el antecedente de impacto directo en la región del cuello (p=0,017) se asociaron con prolapso discal a nivel L2-L3, L4- Nivel L5 y nivel C5-C6 respectivamente, entre pacientes con compromiso discal en un solo sitio. Se encontró que el riesgo de afectación del disco en múltiples niveles aumenta después de 35 años (p&lt;0,001). Se vio más involucradas las vértebras cervicales (p=0,0068). La afectación de las vértebras lumbares (p&lt;0,0001) y lumbosacras (p&lt;0,0001) se observó más entre los pacientes con afectación del disco en un solo sitio. Los fármacos anti-inflamatorios no esteroideos (AINE) [155 (70,8%)] fueron los medicamentos más utilizados. La microdiscectomía se realizó en 35 (76,1%) de los 46 pacientes que se sometieron a manejo quirúrgico.  Conclusiones:  Es necesario fomentar hábitos de ejercicio entre las personas para la prevención de los TDI. Los diversos grupos de alto riesgo identificados en este estudio deben someterse a pruebas periódicas de IDD.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[ABSTRACT  Introduction:  Intervertebral disc disorders (IDDs) are being commonly observed nowadays among the young and middle aged population.  Objectives:  This hospital record based study was done to study the risk factors, clinical presentation, imaging findings and management practices among patients with all types of IDDs.  Methods:  A validated proforma was used to obtain information of patients confirmed with IDDs over the past three years.  Results:  Mean age at onset of disc disorders among the 219 patients was 44.7±14.2 years. History of poor exercising habits were present among 72(32.9%) patients. The most common site of disc involvement was L4-L5 [151(68.9%)]. 143(65.3%) patients had single site disc involvement. The most common clinical symptom was lower back pain [180(82.2%)]. Nerve root compression was present among 154(70.3%) patients. Disc bulge, protrusion, extrusion and sequestration were present among 116(53%), 90(41.1%), 52(23.7%) and 4(1.8%) patients respectively. Age at onset &gt;65 years (p=0.035), age at onset &#8804;55 years (p=0.004) and history of direct impact to the neck region (p=0.017) were associated with disc prolapse at L2-L3 level, L4-L5 level and C5-C6 level respectively, among patients with single site disc involvement. Risk of multiple level disc involvement was found to increase after 35 years (p&lt;0.001). It was seen more involving cervical vertebrae (p=0.0068). Lumbar (p&lt;0.0001) and lumbosacral vertebrae (p&lt;0.0001) involvement were seenmore among patients with single site disc involvement. NSAIDs [155(70.8%)] were the most the commonly used medication. Microdiscectomy was done among 35(76.1%) out of the 46 patients who underwent surgical management.  Conclusions:  Exercising habits need to be encouraged among people for the prevention of IDDs. The various high risk groups identified in this study need to be periodically screened for IDDs.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Intervertebral disc disorders]]></kwd>
<kwd lng="es"><![CDATA[Risk factors]]></kwd>
<kwd lng="es"><![CDATA[Clinical features]]></kwd>
<kwd lng="es"><![CDATA[Management]]></kwd>
<kwd lng="es"><![CDATA[Hospital based study]]></kwd>
<kwd lng="en"><![CDATA[trastornos de los discos intervertebrales]]></kwd>
<kwd lng="en"><![CDATA[factores de riesgo]]></kwd>
<kwd lng="en"><![CDATA[características clínicas]]></kwd>
<kwd lng="en"><![CDATA[tratamiento]]></kwd>
<kwd lng="en"><![CDATA[estudio hospitalario]]></kwd>
</kwd-group>
</article-meta>
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