To Know the Effectiveness of Disc Excision in the Treatment of Herniated Lumbar Intervertebral Disc
DOI:
https://doi.org/10.37762/jgmds.9-4.326Keywords:
Cervical cancer, Pap Smear, Cervical Screening, Precancerous LesionsAbstract
OBJECTIVES
To evaluate the effectiveness of disc excision in the treatment of herniated lumbar intervertebral disc.METHODOLOGY
METHODOLGY
This study was conducted in the Department of Neurosurgery, Lady Reading Hospital, Peshawar. A total of 62 patients had moderate to severe radicular pain due to Prolapsed intervertebral disc at L4/5 or L5/S1. All the enrolled patients were subjected to disc excision surgery. Postoperatively the patients were kept for 48 hours for observation and then discharged. All the patients were advised to come after 2 weeks for the follow-up to check effectiveness.
RESULTS
The mean age of patients was 34.59± 7.49 years. There were 64.5% male and 35.5% female. 53.2% of patients had L4-L5, 33.9% of patients had L5-S1 and 12.9% of patients had both L4–L5 and L5–S1 level disc herniation. 85.5% of patients had no pain, 8.1% had mild pain and 04.8% had moderate pain. Postoperatively 79.0% of patients were satisfied.
CONCLUSION
As compared to conservative care limited disc excision is safe, effective, and reliable in terms of pain. Disc excision technique provides immediate relief from radicular pain.
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Al Qaraghli MI, De Jesus O. Lumbar Disc Herniation. StatPearls [Internet]: StatPearls Publishing; 2021
Palada V, Ahmed AS, Finn A, Berg S, Svensson CI, Kosek E. Characterization of neuroinflammation and periphery-to-CNS inflammatory cross-talk in patients with disc herniation and degenerative disc disease. Brain, behavior, and immunity. 2019;75:60-71
Kruse RA, White BA, Gudavalli S. Management of Lumbar Radiculopathy Associated With an Extruded L4-L5 Spondylolytic Spondylolisthesis Using Flexion-Distraction Manipulation: A Case Study. Journal of Chiropractic Medicine. 2019;18(4):311-6
Amir S, Qadir M, Usman M. Effectiveness of Disc Excision in the Treatment of Herniated Lumbar Intervertebral Disc. Journal of Gandhara Medical and Dental Science. 2017;3(2):37-42
Dydyk AM, Mesfin F. Disc herniation. 2017
Choi W-S, Kim J-S, Ryu K-S, Hur J-W, Seong J-H. Minimally invasive transforaminal lumbar interbody fusion at L5-S1 through a unilateral approach: technical feasibility and outcomes. BioMed Research International. 2016;2016
Ganesan S, Acharya AS, Chauhan R, Acharya S. Prevalence and risk factors for low back pain in 1,355 young adults: a cross-sectional study. Asian spine journal. 2017;11(4):610
Kerr D, Zhao W, Lurie JD. What are long-term predictors of outcomes for lumbar disc herniation? A randomized and observational study. Clinical Orthopaedics and Related Research®. 2015;473(6):1920-30
Takahashi H, Aoki Y, Inoue M, Saito J, Nakajima A, Sonobe M, et al. Characteristics of relief and residual low back pain after discectomy in patients with lumbar disc herniation: analysis using a detailed visual analog scale. BMC Musculoskeletal Disorders. 2021;22(1):1-9
Bae HW, Rajaee SS, Kanim LE. Nationwide trends in the surgical management of lumbar spinal stenosis. Spine. 2013;38(11):916-26
Shah M, Khan MM, Safi T, Aman A, Ahmad A, Shah MA, et al. Effectiveness of disc excision in the treatment of herniated lumbar intervertebral disc. Journal Of Medical Sciences. 2015;23(3):153-7
AYOOB S, RIZWAN M, Shah M, Khan I. The Effectiveness of Surgery for the Symptomatic Prolapsed Lumbar Intervertebral Disc. Pakistan Journal Of Neurological Surgery. 2014;18(1):78-90
Hareni N, Strömqvist F, Strömqvist B, Rosengren BE, Karlsson MK. Predictors of satisfaction after lumbar disc herniation surgery in elderly. BMC musculoskeletal disorders. 2019;20(1):1-6
A Amir S, Qadir M, Usman M. Effectiveness of Disc Excision in the Treatment of Herniated Lumbar Intervertebral Disc. Journal of Gandhara Medical and Dental Science. 2017 Mar 1;3(2):37-42
Kanaan T, Abusaleh R, Abuasbeh J, Al Jammal M, Al-Haded S, Al-Rafaiah S, Kanaan A, Alnaimat F, Khreesha L, Al Hadidi F, Al-Sabbagh Q. The efficacy of therapeutic selective nerve block in treating lumbar radiculopathy and avoiding surgery. Journal of Pain Research. 2020;13:2971
Rushton A, Zoulas K, Powell A, Staal JB. Physical prognostic factors predicting outcome following lumbar discectomy surgery: systematic review and narrative synthesis. BMC Musculoskeletal Disorders. 2018;19(1):1-17
Gugliotta M, da Costa BR, Dabis E, Theiler R, Jüni P, Reichenbach S, et al. Surgical versus conservative treatment for lumbar disc herniation: a prospective cohort study. BMJ open. 2016;6(12):e012938
Chen BL, Guo JB, Zhang HW, Zhang YJ, Zhu Y, Zhang J, Hu HY, Zheng YL, Wang XQ. Surgical versus non-operative treatment for lumbar disc herniation: a systematic review and meta-analysis. Clinical Rehabilitation. 2018 Feb;32(2):146-60
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