Assessment of the functional outcome of multiple discs prolapses treated with discectomy and surgical stabilization in tertiary care hospital in Salem district
Keywords:Straight leg rise, Intervertebral disc prolapse, Extensor hallucis longus, Japanese score
Background: Low back pain affect up to 80% of people in the modern world at some point in their lives, creating high rates of activity limitation, work absence, impaired quality of life, and the need for medical care. To assess the functional outcome of patients with multiple discs prolapses treated with discectomy and surgical stabilization.
Methods: A longitudinal study was conducted in the orthopedics department of Vinayaka missions Kirupananda Variyar medical college, Salem for two years between August 2019 and July 2020. A total of 30 patients presenting with lumbar disc herniation with radiculopathy and neurological deficits were included in the study. The diagnosis was confirmed by doing an X-ray and MRI of the lumbosacral spine. Patients were followed up for 6 months and the nature of the pain was assessed post-operatively using the Japanese orthopedic association system scoring for low back pain. It ranges from 0-15. Score 0 is the worst pain and 15 is normal.
Results: The mean Japanese association score for low back pain was 7.2 before the surgical procedure and it was 12 after the procedure and the difference was found to be statistically significant. Among the postoperative complications, 4 patients developed failback syndrome and 1 patient had implant failure.
Conclusios: Relief of radicular pain was associated with subjective satisfaction with the surgery among our study population, as evidenced by the decrease in radicular pain and the subjective satisfaction with the operation.
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