Functional outcome of microscopic lumbar discectomy for the treatment of lumbar disc prolapse in tertiary care hospital in South India

Abstract

Background: Microscopic lumbar discectomy has become the "gold standard" treatment for disc prolapse with early recovery of patients and quick return to work. Potential benefits include smaller incisions of the skin and fascia, less traumatic surgical procedure, reduced postoperative pain and hospital stay. We have evaluated the efficacy of microscopic lumber discectomy. Methods: This is a prospective observational study conducted in the Department of Orthopaedics in Karpaga Vinayaga Institute of Medical Sciences, Maduranthakam over a 2-year period from 2017 to 2019 on a convenience sample from patients undergoing micro lumbar discectomy for lumbar disc herniation. Functional outcome was evaluated periodically over a 14-week period with the Oswestry Disability Index (ODI). Results: A total of 30 subjects with a mean age of 41.73 years with a mean duration of low back pain of 10.13 months undergoing microscopic lumbar discectomy for lumbar disc prolapse were included in the study. On MRI Finding, 60.00% are noted to have extrusion, 33.33% protrusion and 6.67% sequestration. The mean duration of surgery is 1.28 hours, the mean blood loss is 153.33 mL, the mean duration of hospital stay is 3.17 days. The mean ODI has reduced from preoperative 73.67 ± 7.54 to 16 ± 3.28 at 14week follow-up, which is statistically significant (P Value <0.001). Conclusion:The current study concludes that microscopic lumbar discectomy for herniated lumbar disc is indeed "gold standard" with minimal blood loss and less hospital stay with a good functional outcome, leading to early return to work.

Functional outcome of discectomy in lumbar disc prolapse

“…Comparable to the study conducted by Arvind Kumar K et al [10] , 11 (36.67%) participants have left, 8 (26.67%) participants have right, and 11 (36.67%) have bilateral radiculopathy. In agreement with the study conducted by Singh H et al where left side was mostly involved (42.5%) followed by right side radiculopathy and bilateral involvement.…”

Evaluating Predictive Value of Preoperative Clinical and Imaging Findings on the Short-Term Outcome of Surgery in Patients Undergoing Lower Lumbar Discectomy

“…L4-L5 and L5-S1 discs are the most frequently affected [4], and although the pain is severe and causes significant morbidity [6], it is likely to resolve over time with appropriate conservative therapy. In most cases of disc herniation, rest, analgesics, and physical therapy help alleviate pain.…”

“…Lower back pain is a frequent complaint in outpatient orthopedic clinics and is the leading cause of activity limitation in people under 45. Around 80% of people will experience lower back pain at some point in their lives [ 4 ]. Lower back pain occurs at a 15-45 percent rate per year, and the primary cause is lumbar disc prolapse [ 4 , 5 ].…”

“…Around 80% of people will experience lower back pain at some point in their lives [ 4 ]. Lower back pain occurs at a 15-45 percent rate per year, and the primary cause is lumbar disc prolapse [ 4 , 5 ]. Although disc herniation is more prevalent in the middle-aged population, the number of young patients with lower back pain and disc herniation has recently increased [ 6 ].…”

“…Although disc herniation is more prevalent in the middle-aged population, the number of young patients with lower back pain and disc herniation has recently increased [ 6 ]. Despite its occurrence, disc herniation rarely results in severe neurologic complications or sciatica [ 4 ]. A recent review showed that the prevalence of sciatic symptoms is rather variable, with values ranging from 1.6% to 43% [ 7 ].…”