A prospective analysis of efficacy of fenestration discectomy in patients with symptomatic lumbar disc prolapse
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 4
Abstract
Background: Aim of the study was to evaluate the efficacy of Fenestration Discectomy in symptomatic Lumbar Disc Prolapse in terms of pain relief, recovery of neurological deficit and assessing complication rates. Material and Method: 20 cases of symptomatic lumbar disc prolapse, not responding to conservative measures for 6 weeks were treated with fenestration discectomy and followed for a period of 2 and a half years from June 2014 to dec 2016. Result: Out of 20 cases, overall results include best result in 16, good in 2, fair in 1 and poor in 1.Spinal movements improved in 16 cases, worsened in 1 and remained same in 3 cases. SLR improved in 19 cases and remained same in 1 case. Out of 8 patients with neurological deficit, 6 recovered and 2 remained the same. Complications like dural tear occurred in 2 cases, EHL weakness occurred in 1 case and infection occurred in 1 case. Conclusion: 80 % of cases had best results, 10% had good results, 5% fair result and 5% poor result. Success of surgery depends on selection of patients, correct identification of level intra operatively and avoiding complications.
Authors and Affiliations
Rajavel K, Mahendhira varman J
Keywords
Related Articles
- EP ID EP482738
- DOI 10.22271/ortho.2017.v3.i4m.123
- Views 105
- Downloads 0
A prospective randomized pilot study of steroid modulation of cytokine (Interleukin 6) release in unilateral total knee replacement surgeries
Several studies evaluating the patients undergoing joint replacement have found elevation in the levels of cytokine interleukin-6(IL-6). High level of IL-6 after the major surgeries have been linked to postoperative feve...
Study of clinical and functional outcome of fractures of long bones with locking compression plates
The study was done to observe the role of locking compression plate as a fixation device in the management of fracture of long bones. Locking compression plate is an economical, safe and sound fixation system for the tre...
Comparison perioperative factors during minimally invasive pre-psoas lateral interbody fusion of the lumbar spine using either navigation or conventional fluoroscopy
Study Design: Retrospective clinical study. Objectives: The aim of this study was to compare intraoperative conditions and clinical results of patients undergoing pre-psoas oblique lateral interbody fusion (OLIF) using n...
A prospective study on functional and radiological outcome of proximal humeral fractures treated with locking compression plates
Fractures of proximal humerus account for about 4 to 5% of all fractures. It is the third most common fracture after hip fracture and colles fracture in elderly patients. In this study we have analysed 20 cases of proxim...
Outcome of distal tibia fractures treated with tibial linterlocking nail and minimal invasive plating: A prospective study
Introduction: The best modality of management of distal tibial fractures (extra articular) remains controversial and challenging. Various studies have shown varying results with different modalities of treatment, however...