SURGICAL OUTCOME AFTER MICRODISCECTOMY FOR LUMBER DISC HERNIATION
Article Sidebar
Main Article Content
Abstract
Objectives: To analyze surgical outcome after micro discectomy for lumber disc herniation.
Material and Mathods: This descriptive study was conducted at the Department of Neurosurgery, Post-Graduate
Medical Institute, Lady Reading Hospital, Peshawar from January 2011 to December, 2011. Patients having unilateral
sciatica with lumber disc herniation and undergone micro discectomy, irrespective of gender and age were included
in the study. Those having sciatica from other causes as spinal stenosis, spinal tumors and sciatic nerve lesions or
unfit for surgery were excluded from the study. In prone position small midline incision were given and fenestration
discectomy was done. The patients were observed for post-operative pain improvement and complications for a
period of 3 months after surgery. They remained admited for 2 days after surgery. After discharge they were followed
at 1 and 3 months.
Results: Out of 225 cases, 135 were males and 90 femalesd with male to female ratio of 1.5: 1. Their age ranged from
16 to 64 years. Mean age of the patients was 38.69 + 12.25 years. Most of the patients (77.3%) had straight leg raising
(SLR) between 30-60 degrees. The most common level involved was L5-S1 (47.11%), followed by L4-L5 (38.67%).
91.5% of patients had improvement in leg pain and 69.3% in backache. Total morbidity was observed in 29 (12.88%)
of cases.
Conclusions: Micro discectomy is one of the safe and effective procedures which can be adopted for symptomatic
unilateral lumber disc herniation. Improvement in leg pain is more than backache after this type of surgery. Patient’s
symptoms are improved with acceptable complication rate.
Article Details
All articles published in the Journal of Medical Sciences (JMS) are licensed under the Creative Commons Attribution 4.0 International License (CC-BY 4.0). Under the CC BY 4.0 license, author(s) retain the ownership of the copyright publishing rights without restrictions for their content, and allow others to copy, use, print, share, modify, and distribute the content of the article even for commercial purposes as long as the original authors and the journal are properly cited. No permission is required from the author/s or the publishers for this purpose. Appropriate attribution can be provided by simply citing the original article. The corresponding author has the right to grant on behalf of all authors, a worldwide license to JMS and its licensees in all forms, formats, and media (whether known now or created in the future), The corresponding author must certify and warrant the authorship and proprietorship and should declare that he/she has not granted or assigned any of the article’s rights to any other person or body.
The corresponding author must compensate the journal for any costs, expenses, or damages that the JMS may incur as a result of any breach of these warranties including any intentional or unintentional errors, omissions, copyright issues, or plagiarism. The editorial office must be notified upon submission if an article contains materials like text, pictures, tables, or graphs from other copyrighted sources. The JMS reserves the right to remove any images, figures, tables, or other content, from any article, whether before or after publication, if concerns are raised about copyright, license, or permissions and the authors are unable to provide documentation confirming that appropriate permissions were obtained for publication of the content in question.