Examinando por Autor "Arévalo Arcentales, Jocelyne Estefania"
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- ÍtemAcceso AbiertoHernia Discal Lumbar: factores de riesgo, diagnóstico y tratamiento en adultos.(Universidad Católica de Cuenca., 2024) Arévalo Arcentales, Jocelyne Estefania; Crespo Domínguez, Juan Sebastián; 0302617303Introduction: Lumbar disc herniation occurs when the annulus fibrosus of the intervertebral disc is injured, causing the nucleus pulposus to protrude into the spinal canal. Approximately 70 to 80% of individuals consult for low back pain, and only 40% present symptoms due to lumbar disc herniation. The prevalence of this pathology increases in adults, mainly affecting their mobility. Objective: To conduct a systematic review on lumbar disc herniation in adults that will compile information from scientific articles published in the last five years. Method: This research is a systematic review based on PRISMA 2020 guidelines with a descriptive qualitative approach. Data were retrieved through high-impact digital databases of recent years, such as PubMed, SciELO, Scopus, and Dialnet. Results: Thirty articles were selected that met all the inclusion criteria, and the risk factors, diagnosis, and treatment of lumbar disc hernia were analyzed. Conclusions: Lumbar disc hernia has a multifactorial basis where intervertebral disc degeneration depends on age, weight, and occupation. Magnetic resonance imaging is ideal for confirming the presence of a herniation. Therapeutic methods will depend on the patient's situation, with conservative methods as suitable to start treating a herniated disc. Among surgical options, endoscopic lumbar discectomy has evidence of being effective and having fewer adverse effects. Keywords: lumbar disc herniation, lumbociatica, low back pain, microdiscectomy, discectomy