Functional Outcome of Lumbar Discectomy by Fenestration Technique in Lumbar Disc Prolapse – Return to Work and Relief of Pain

Background: 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.Methods: 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.Results: 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.Conclusions: Our study established that open discectomy has a satisfactory functional outcome and leads to a significant improvement in the patients’ quality of life.

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Functional outcome of microscopic lumbar discectomy for the treatment of lumbar disc prolapse in tertiary care hospital in South India

International Journal of Orthopaedics Sciences ◽

10.22271/ortho.2020.v6.i3h.2242 ◽

2020 ◽

Vol 6 (3) ◽

pp. 488-492

Author(s):

Dr. Arvind Kumar K ◽

Dr. Arun Kumar Ramanathan

Keyword(s):

Functional Outcome ◽

South India ◽

Tertiary Care Hospital ◽

Lumbar Disc ◽

Tertiary Care ◽

Lumbar Discectomy ◽

Care Hospital ◽

Disc Prolapse ◽

Lumbar Disc Prolapse

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RETURN TO WORK AFTER SURGICAL VERSUS PHYSIOTHERAPIST‐LED CONSERVATIVE MANAGEMENT OF LUMBAR DISC PROLAPSE WITH RADICULOPATHY

Internal Medicine Journal ◽

10.1111/imj.3_15295 ◽

2021 ◽

Vol 51 (S1) ◽

pp. 19-19

Keyword(s):

Return To Work ◽

Conservative Management ◽

Lumbar Disc ◽

Disc Prolapse ◽

Lumbar Disc Prolapse

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Functional Outcome of Discectomy for Lumbar Disc Prolapse

Journal of Spine ◽

10.4172/2165-7939.1000382 ◽

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

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Catheter Virtual Lumbar Discectomy (The Epidural Cocktail For Lumbar Disc Prolapse)A New Minimally Invasive Alternative, On An Outpatient Bases

The Internet Journal of Minimally Invasive Spinal Technology ◽

10.5580/2be7 ◽

2012 ◽

Vol 5 (1) ◽

Keyword(s):

Minimally Invasive ◽

Lumbar Disc ◽

Lumbar Discectomy ◽

Disc Prolapse ◽

Lumbar Disc Prolapse

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

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20181438 ◽

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

Background: 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).Methods: 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.Results: 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.Conclusions: 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.

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