Prostaglandin E2 Content in Herniated Lumbar Disc Disease

Autor: O'Donnell Al, O'Donnell Jl
Rok vydání: 1996
Předmět:
Zdroj: Spine. 21:1653-1655
ISSN: 0362-2436
Popis: Study Design. A prospective series of biochemical assays for prostaglandin E 2 content in symptomatic herniated lumbar disc specimens. Objectives. The help clarify the pathogenesis of lumbar radiculopathy. Summary of Background Data. Three recent studies have shown elevated levels of prostaglandin E 2 in intervertebral disc herniations. None of these studies correlated symptoms with prostaglandin E 2 levels. Methods. Twenty-four disrupted disc samples were purified by a standard solid phase extraction method and analyzed for prostaglandin E 2 with an enzyme-linked immunosorbent assay. Clinical and anatomic correlations were sought with analysis of variance and t test. Results. Sequestered discs tended to be associated with a higher prostaglandin E 2 content than extruded discs, which in turn, tended to be associated with higher prostaglandin E 2 content than protruded ones. A positive straight leg raising test appeared to be associated with a higher prostaglandin E 2 content than a negative test. Conclusions. Prostaglandin E 2 appears to mediate some of the inflammatory effects of lumbar disc herniation. An intact anulus may provide some protection against this stimulus.
Databáze: OpenAIRE