A Prospective Analysis on the Outcome of Degenerative Lumbar Spine Disorders: A Study at a Tertiary Hospital in Meeyannoor, Kollam.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 6
Abstract
Aims & Objectives: 1) To compare the outcome of conservative / operative management in degenerative lumbar spine disorders in patients attending orthopaedic OPD at Azeezia Medical College and Hospital, Meeyannoor. 2)To compare the functional outcome of lumbar spine disorders treated with laminectomy and conservatively. 3)To study the end result of laminectomy with respect to pain and neurologic status after surgery. 4)To study the complications of laminectomy. Materials and Method: A prospective study on patients above the age of 35years presenting with lumbar canal stenosis to Azeezia medical college between June 2014- 2016 in the Department of orthopaedics. Sample Size has been found to be 15 for each group and hence total of 30 patients were required. Data for prospective cases data was collected by history by verbal communication, physical and clinical examination and radiological evaluation using a standard proforma. Results: In the present study of 30 cases of degenerative lumbar spine disease 15 treated surgically another 15 conservatively the following results were obtained. The results have been compared with some of the standard series and found to be satisfactory. Mean age of patients in the present study is 55.23 years, with mean age in surgical group to be 54.4years and in conservative group to be 56.06 years. The youngest patient aged 37 years while the oldest was of 68 years. In the present study, degenerative lumbar spine disease was more commonly seen in patients who were in age group of 61 years to 65 years, constituting 10 patients. (33.3 %). The degenerative lumbar spine disease was found to be common in females which constituted 18 females (60 %). Conclusion: In the present study, the treatment of degenerative lumbar spine disease was compared with surgical and conservative methods in 30 cases over a period of 2 years. At 6 month follow up statistically significant difference (p=0.001) was noted as per Independent sample Mann Whitney U test with respect to functionality among the two groups. A significant difference was noted in the surgical group on long term follow up with respect to pain, improvement in deficits and functional outcome as assessed by Roland Morris Score at 6weeks, 3 months and 6 months.
Authors and Affiliations
Dr. Sanjeev Bhaskar
Keywords
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