A Clinical Study of Surgical Management of Lumbar Disc Prolapse by Laminectomy and Discectomy

Abstract

BACKGROUNDBack pain, the ancient curse is now appearing as a modern epidemic. Humans have been plagued by back and leg pain since the beginning of recorded history. Lumbar discs are responsible for well over 90% of all organic symptoms attributable to low backache. Clearly lumbar disc herniation is a significant medical and social problem. What is less clear is the efficacy of treatment and type of treatment to choose. In 1934, Mixter and Barr published their study and concluded that laminectomy with decompression and extraction of herniated lumbar disc could improve suffering caused by sciatic pain. Since then increasing number of patients have been operated upon for this disorder. Open discectomy is now the "gold standard" for operative intervention in patients with herniated lumber discs whose conservative treatment has failed. However, the outcome studies of lumbar disc surgery document a success rate of 51 to 89% in spite of advances in investigations, operative technique and postoperative care. Therefore, appropriately presenting and reviewing this subject is important.

Discharge Plan: It’s Effect on Low Back Pain Disability and Activities of Daily Living for Patients Undergoing Herniated Lumbar Disc Surgery

“…With 0 indicating the least disability and 5 the greatest. It was categorized as the following: (0-4) no disability, (5-14) Mild disability, (15-24) moderate disability, (25)(26)(27)(28)(29)(30)(31)(32)(33)(34) severe disability and (35-50) completely disabled.…”