Functional Outcome of Discectomy for Lumbar Disc Prolapse

Abstract

Background: This study was to find out that whether the lumbar disc prolapse at different level influence the functional outcome of patients after discectomy. Present study is of 50 adult cases admitted at D. Y Patil Medical College. Common age group involved was between 40-60 years.

A prospective study of functional outcome of lumbar prolapsed intervertebral disc managed with surgical decompression

“…Majority of patients were male belonging to heavy manual labour group. These findings were similar to studies of Mittal A et al 5 (80% male, 20% female), Singh H et al 6 (65% male, 35% female), Swamy A et al 7 (72% males, 28% females) and Chakrabarty PS et al 8 (68% males, 32% females). Singh H et al 6 in their prospective study found majority of patients being manual labours (62.5%), Sangwan SS et al 9 in their study observed that 90% of patients belonged to labour group, Mishra SK et al 10 in their study on 67 patients found 60% (40 patients) were involved in heavy work.…”

Functional outcome of patients undergoing lumbar discectomy

“…Swamy et al conducted a study on 50 patients of which 4 (8%) patients had prolapsed intervertebral disc at L2-L3 level and 10 (20%) patients had disc prolapsed at L3-L4 level, 22 (44%) patients had disc prolapsed at L4-L5 level and 14 (28%) patients had disc prolapsed at L5-S1 level. 7 Sharma MK et al in their study showed 40 (53.3%) patients were with L5-S1 disc disease and 35 (46.7%) were with L4-L5 disc disease. et al had similar findings of herniation at L4-5 level in 80.5% patients.…”

“…VAS is a measurement instrument that tries to measure a characteristic or attitude that is believed to range across a continuum of values and cannot easily be directly measured. 7 ODI is an extremely important tool that researchers used to measure patient's functional disability due to low back pain. The test is considered as gold standard of low back functional outcome tools.…”

“…The test is considered as gold standard of low back functional outcome tools. 7 It is validated and its reliability and sensitivity have been demonstrated. We recorded the absolute value and change in ODI and VAS score between pre-operative and post-operative score.…”

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“…The commonest level of disc prolapse in our study was found to be L4-5 (80%). Swamy A et al (7) conducted a study on 50 patients of which 4 (8%) patients had prolapsed intervertebral disc at L2-L3 level and 10 (20%) patients had disc prolapsed at L3-L4 level, 22 (44%) patients had disc prolapsed at L4-L5 level and 14 (28%) patients had disc prolapsed at L5-S1 level. Singh H et al 6 in their prospective study observed L4-5 level was most commonly involved level (72.5%).…”