scholarly journals Functional outcome of patients undergoing lumbar discectomy

2018 ◽  
Vol 4 (3) ◽  
pp. 514
Author(s):  
Harpreet Singh ◽  
Parth B. Bhavsar ◽  
Ankit Singh ◽  
Saurin Patel
Keyword(s):  
Functional Outcome ◽  
Lumbar Disc ◽  
Subjective Evaluation ◽  
Lumbar Discectomy ◽  
Intervertebral Disc Herniation ◽  
Disc Prolapse ◽  
Duration Of Symptoms ◽  
Lumbar Disc Prolapse ◽  
Lumbar Intervertebral Disc Herniation

<p class="abstract"><strong>Background:</strong> Sciatica resulting from a lumbar intervertebral disc herniation is the most common cause of radicular leg pain in adult working population. It can be treated with both conservative and operative methods. In our study, surgical treatment of lumbar disc prolapse has been done by open discectomy. We wish to assess the outcome of surgery in patients with lumbar disc prolapse undergoing lumbar discectomy.</p><p class="abstract"><strong>Methods:</strong> 40 patients were included in this study and were followed up for up to 1 year postoperatively. We assessed the outcome of each patient with ODI and VAS post-operatively and on follow-up at 3 weeks, 6 months and 1 year. Subjective evaluation of the patient’s satisfaction at the final follow-up was also done.<strong></strong></p><p class="abstract"><strong>Results:</strong> We found that males had higher incidence of PIVD with an average duration of symptoms before surgery about 8.62 months. Left side was most involved and level l4-l5 was most involved level. The mean ODI and VAS score pre-operatively were 26.85±4.20 and 7.73±0.88 respectively, which changed to 4.48±5.15 and 1.70±1.57, respectively at 1 year post-operative follow-up. These were statistically highly significant. Most of the patients (34) gave a subjective evaluation as excellent at 1 year follow-up.</p><p class="abstract"><strong>Conclusions:</strong> Our study established that open discectomy has a satisfactory functional outcome and leads to a significant improvement in the patients’ quality of life.</p>

scholarly journals Functional Outcome of Discectomy for Lumbar Disc Prolapse

2017 ◽  
Vol 06 (04) ◽  
Author(s):  
Ajit Swamy ◽  
Amit Swamy ◽  
Kartikeya Sharma ◽  
Aniruddha Khirsagar
Keyword(s):  
Functional Outcome ◽  
Lumbar Disc ◽  
Disc Prolapse ◽  
Lumbar Disc Prolapse

scholarly journals Functional outcome of microscopic lumbar discectomy for the treatment of lumbar disc prolapse

2018 ◽  
Vol 4 (3) ◽  
pp. 389
Author(s):  
Ansari Ishtyaque Abdul Aziz ◽  
Ansari Muqtadeer Abdul Aziz
Keyword(s):  
Back Pain ◽  
Lumbar Disc ◽  
Japanese Orthopaedic Association ◽  
Significant Proportion ◽  
Scientific Basis ◽  
Radicular Pain ◽  
Lumbar Discectomy ◽  
Leg Pain ◽  
Disc Prolapse ◽  
Lumbar Disc Prolapse

<p class="abstract"><strong>Background:</strong> Back pain constitutes significant proportion of orthopaedic practitioner OPD. Lumbar disc prolapse constitutes important cause of back pain with radiculopathic leg pain. Different techniques have evolved to treat this disorder non-operatively and operatively. Operative techniques vary a lot in the field of spine surgery depending on the surgeon, institute, infrastructure and cost. We present simple, cost effective, cosmetic, operative technique with scientific basis which gives better visualization for decompression of nerve root in this paper called microscopic lumbar discectomy (MLD).</p><p class="abstract"><strong>Methods:</strong> On the basis of inclusion and exclusion criteria 26 patients were operated by microscopic lumbar discectomy (MLD) technique. All the patients were followed up at the interval of 1 month, 3 months and 6 months and assessment was done of subjective and objective findings with Japanese orthopaedic association (JOA) score and rate of improvement (RI) was calculated. Out of 26 patients 18 were men and 8 were women. Age ranges from 28 years to 72 years. Mean age being 47.8 years.<strong></strong></p><p class="abstract"><strong>Results:</strong> Out of 26 patients at the time of discharge, 20 patients (87.5%) could walk independently without any aid and without any radicular pain. In most of the patients 19 (73.07%) sciatica improved immediately. The pre-operative mean±SD (SE) JOA score was 8.346±0.85 (0.169) which improved to 11.807±0.694 (0.136) after 1 month and 13.19±0.895 (0.175) after 6 months.</p><p class="abstract"><strong>Conclusions:</strong> Excellent to good results and improvement can be achieved surgically, economically and cosmetically by microscopic lumbar discectomy technique in the spine lumbar disc prolapse patients at many spine centre with cosmesis, good results and rehabilitation of the patient.</p><p class="abstract"> </p>

scholarly journals Functional outcome of discectomy in lumbar disc prolapse

2021 ◽  
Vol 7 (3) ◽  
pp. 603-607
Author(s):  
Dr. BS Jayaram ◽  
Dr. Amit M Bilagi ◽  
Dr. Lokesh M
Keyword(s):  
Functional Outcome ◽  
Lumbar Disc ◽  
Disc Prolapse ◽  
Lumbar Disc Prolapse

scholarly journals Long-Term Course to Lumbar Disc Resorption Patients and Predictive Factors Associated with Disc Resorption

2017 ◽  
Vol 2017 ◽  
pp. 1-10 ◽  
Author(s):  
Jinho Lee ◽  
Joowon Kim ◽  
Joon-Shik Shin ◽  
Yoon Jae Lee ◽  
Me-riong Kim ◽  
...  
Keyword(s):  
Predictive Factors ◽  
Lumbar Disc ◽  
Intervertebral Disc Herniation ◽  
Lumbar Intervertebral Disc ◽  
Korean Medicine ◽  
Factors Associated ◽  
Lumbar Intervertebral Disc Herniation ◽  
Symptom Recurrence

The long-term course to lumbar intervertebral disc herniation (LDH) patients receiving integrative Korean medicine treatment and predictive factors associated with disc resorption were investigated. LDH patients who received integrative Korean medicine treatment from February 2012 to December 2015 and were registered in the “longitudinal project for LDH on MRI” were included. Disc resorption amount was measured 3-dimensionally with disc degeneration and modic change levels on baseline and follow-up MRIs. Patient characteristics, Korean medicine use, pain, symptom recurrence, and satisfaction were assessed through medical records and phone surveys. Of 505 participants, 19 did not show disc resorption, while 486 did. A total of 220 displayed resorption rates of ≥50%. LDH volume at baseline was 1399.82±594.96 mm3, and that on follow-up MRI was 734.37±303.33 mm3, indicating a 47.5% decrease (p<0.0001). Predictive factors for disc resorption were disc extrusion, Komori migration classification, and LDH amount. Approximately 68.4% did not experience symptom recurrence over the 51.86±19.07-month follow-up, and 90.3% were satisfied with Korean medicine treatment. The majority of LDH patients who improved after integrative Korean medicine treatment showed disc resorption within 1 year with favorable long-term outcomes. Predictive factors for disc resorption should be duly considered for informed decision-making. This trial is registered with ClinicalTrials.gov NCT02841163.

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