Functional Outcome of Microscopic Lumbar Discectomy for the Treatment of Lumbar Disc Prolapse
/ 0
- Details
- Category: Vol. 91, September 2023
- Hits: 216
Functional Outcome of Microscopic Lumbar Discectomy for the Treatment of Lumbar Disc Prolapse, HANY ELNEMR, MOHAMED M.A. ABDOU, AHMED M.N. OMAR, ISLAM A. ABDELAZIZ and MOHAMED EL HAWARY
Abstract
Background: The majority of cases of back pain and sciatica may be traced back to a lumbar disc herniation (LDH). There has been a rise in the number of individuals diagnosed with LDH across all age groups. Aim of Study: The purpose of the research is to assess the surgical outcome of microscopic lumbar discectomy in selected patients with herniated lumbar disc in Neurosurgery Depart-ment at Banha University Hospitals. Patients and Methods: This prospective clinical trial involved 30 individuals of middle aged population who were presented with clinical symptoms of low back pain and radic-ulopathy due to lumbar disc prolapse who failed sufficient conservative treatment and were subjected for surgery. All cases underwent microdiscectomy at Banha University Hos-pitals through the period from January 2022 to June 2023. All patients had a preoperative L.S.S MRI at least four months before surgery. All patients had preoperative L.S.S X-ray A-P, lateral, lateral dynamic views and oblique views. Results: Hospital stay and surgery time were short. Sig-nificance improvement occurred in VAS and ODI; VAS en-hanced from 7.67±1.06 to 1.47±0.78 (p<0.001), and ODI enhanced from 73.37±7.8 to 10.10±3.8 (p<0.001). Also patient generally returned early to their usual activities. Complications were minimal including one case of csf leak (3.3%), one case of dural tear (3.3%), two cases of infection (6.7%) and 2 cases had intra-operative bleeding <300cc and had drains (6.7%). Conclusion: Microscopic lumbar discectomy in middle aged population is a safe & effective for cases with sympto-matic lumbar disc prolapse who failed proper non-surgical treatment. It offered short surgical time, short hospital stay, less complication, and excellent results, with early return to usual activities.