Effectiveness of Disc Excision in the Treatment of Herniated Lumbar Intervertebral Disc
DOI:
https://doi.org/10.37762/jgmds.3-2.38Keywords:
Sciatica, Prolapsed, Intervertebral disc, Disc excisionAbstract
OBJECTIVE
To determine the efficacy of disc excision in the treatment of herniated lumbar intervertebral disc.
METHODOLOGY
This study was conducted at Neurosurgery Department of Naseer Teaching Hospital, Peshawar from February 2015 to January 2016.The study design was descriptive case series in which consecutive non probability sampling technique was used. Clinical outcome of patients undergoing discectomy was determined using Stauffer-Coventry criteria and patients rated as excellent, good, fair and poor
RESULT
A total of 88 patients were recruited with 64% males and 36% females. Mean age was 39 years+4.68 SD.70% patients had L4-L5 and 30% had L5-S1 level disc herniation. Laminectomy was performed in 58%,fenestration in 34% and hemilaminectomy in 8% patients. Postoperatively at four weeks, satisfactory pain relief reported by 85% and unsatisfactory pain relief reported by 15% patients.
CONCLUSION
Conventional laminactomy, fenestration or hemilaminectomy is a feasible, safe and effective treatment in patients with lumbar disc herniation. Relief of pain is faster for patients assigned to early surgery.
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Haddadi K. Paediatric lumbar disc herniation:A review of manifestations,diagnosis and management. J Paediatr Rev 2016; 4(1): e4725 DOI: https://doi.org/10.17795/jpr-4725
Schoenfeld AJ, Weiner BK. Treatment of lumbar disc herniation; Evidence based practice. Int J Gen Med 2010; 3: 209-13 DOI: https://doi.org/10.2147/IJGM.S12270
Bono CM, Wineski R, Garfin SR. Lumbar disc herniations. The Spine. 5th ed. Philadelphia, PA: Saundesr; 2006
McCulloch JA, Edwards CC, Riew KD. Lumbar microdiscectomy.Master techniques in Orthopaedic surgery: The Spine. Philadelphia, PA: Lippincott Williams & Wilkins; 2002
Garcia J,delValee ME, Calavia MG, Garcia-Suarez O,Lopex-Muniz A, Otero J. Intervertebral disc, sensory nerves and neurotrophins: who is who is discogenic pain? J Anat 2010; 217(1): 1-15 DOI: https://doi.org/10.1111/j.1469-7580.2010.01227.x
Postaccini F. Management of herniation of the lumbar disc. J Bone Joint Surgery 1999; 81(4): 567-75 DOI: https://doi.org/10.1302/0301-620X.81B4.0810567
Maniadakis N, Gray A. The economic burden of back pain in the UK. Pain 2000; 84:95-103 DOI: https://doi.org/10.1016/S0304-3959(99)00187-6
Raj PP.Intervertebral disc: Anatomy-Physiology-Pathophysiology-Tretment. World institute of pain 2008; 8(1) 18-44 DOI: https://doi.org/10.1111/j.1533-2500.2007.00171.x
Miller J,Schmatz C, Schultz A. Lumbar disc degeneration. Correlation with age,sex and spine level in 6000 autopsy specimens. Spine 1988; 13:173-78 DOI: https://doi.org/10.1097/00007632-198802000-00008
Stafford MA, Peng P, Hill DA. Schiatica: A review of history, epidemiology, pathogenesis, and the role of epidural steroid injection in management. Br J Anaesth 2007; 99: 86-9 DOI: https://doi.org/10.1093/bja/aem238
Sangwan SS, Kundu ZS, Singh R, Kamboj P, Siwach RC, Aggarwal P. Lumbar disc excision through fenestration. Spine 2006; 40: 86-9 DOI: https://doi.org/10.4103/0019-5413.34446
Millette PC. Classification, diagnostic imaging and imaging catheterization of a lumbar herniated disc. RadiolClin North Am 2000; 38: 1267-91 DOI: https://doi.org/10.1016/S0033-8389(08)70006-X
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Copyright (c) 2017 Sohail Amir, Dr., Maimoona Qadir, Dr., Muhammad Usman, Dr.
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