Functional outcome of patients undergoing lumbar discectomy
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20181809Keywords:
Sciatica, Disc prolapse, RadiculopathyAbstract
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.
References
Mathew AC, Safar RS, Anithadevi TS, Banu MS, Shankar SL, Rai B, et al. The prevalence and correlates of low back pain in adults: A cross sectional study from Southern India. International Journal of Medicine and Public Health. 2013;3(4):342-6.
Atlas S, Keller R, Wu Y, Deyo R, Singer D. Long-Term Outcomes of Surgical and Nonsurgical Management of Sciatica Secondary to a Lumbar Disc Herniation: 10 Year Results from the Maine Lumbar Spine Study. Spine. 2005;30(8):927-35.
Heider D, Kitze K, Zieger M, Riedel-Heller S, Angermeyer M. Health-related quality of life in patients after lumbar disc surgery: a longitudinal observational study. Quality of Life Research. 2007;16(9):1453-60.
Ng LC, Sell P. Predictive value of the duration of sciatica for lumbar discectomy. A prospective cohort study. J Bone Joint Surg Br. 2004;86:546-9.
Sharma MK, Chichanovskaya L, Shlemsky V, Petrukhina E. A Comprehensive Study of Outcome after Lumber Discectomy for Lumbar Degenerative Spine Disease at 6 Months Post-Operative Period. The Open Neurosurgery Journal. 2013;6(1):1-5.
Dohrmann G, Mansour N. Long-Term Results of Various Operations for Lumbar Disc Herniation: Analysis of over 39,000 Patients. Medical Principles and Practice. 2015;24(3):285-90.
Swamy A, Swamy A, Sharma K, Khirsagar A. Functional Outcome of Discectomy for Lumbar Disc Prolapse. Journal of Spine. 2017;6(4).
Chakrabarty PS. Excision of lumber disc through fenestration: A Prospective study to analyse functional results. Ind J Med Res Pha Sci. 2015; 2(1): 10–13.
Mariconda M, Galasso O, Secondulfo V, Cozzolino A, Milano C. The functional relevance of neurological recovery after lumbar discectomy: A FOLLOW-UP OF MORE THAN 20 YEARS. J Bone Joint Surg Br. 2008;90(5):622-8.
Sangwan SS, Kundu ZS, Singh R, Kamboj P, Siwach RC, Aggarwal P. Lumbar disc excision through fenestration. Indian Journal of Orthopaedics. 2006;40(2):86-9.
Mishra SK, Mohapatra NC, Pradhan NK, Mohapatra MK. Lumbar disc excision: comparative study of Laminectomy and interlaminar fenestration. Indian J Orthopaedics. 1998;32(3):153-5.
Mittal A, Chandrasekhar A, Mohan R, Rallapalli R, Prasad S. Analysis of the Functional Outcome of Discectomy in Lumbar Disc Prolapse. IOSR Journal of Dental and Medical Sciences. 2015;14(5 ver. VI):73-80.
