Clinical analysis of fenestration technique for the treatment of lumbar disc prolapse
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 2
Abstract
Background: Major part of human population suffer from lumbago. It constitutes significant proportion of orthopaedic outpatient department clinic. Lumbar disc prolapse is important cause of back pain. This constitutes to sciatica in number of patients causing agonising disease due to radiculopathic leg pain. Wide range of treatment and techniques are present and have being devised to treat this disorder non-operatively and operatively. Operative techniques also vary a lot in the field of spine surgery depending on the centre, surgeon, diagnosis, symptoms, and cost factors. We present simple, cost effective operative technique with scientific basis in this paper. Methods: On the basis of inclusion and exclusion criteria 26 patients were operated by our fenestration technique. All the patients were followed up at the interval of 1 month, 3 months and 6 months. At the end of 1 month and 6 months, assessment was done of subjective and objective findings with Japanese Orthopaedic Association (JOA) score and Rate of improvement (RI) was calculated. Out of 26 patients 18 were men and 8 were women. Age ranges from 28 years to 72 years. Mean age being 47.8 years. Results: Out of 26 patients at the time of discharge, 20 patients (87.5%) could walk independently without any aid and without any radicular pain. In most of the patients 19(73.07%) sciatica improved immediately. The pre-operative mean +SD (SE) JOA score was 8.346 +0.85(0.169) which improved to 11.807 +0.694(0.136) after 1 month and 13.19 +0.895(0.175) after 6 months. Conclusion: Excellent to good results and improvement can be achieved surgically and economically by fenestration technique in the spine lumbar disc prolapse patients an many orthopaedic and spine centres easily with simple learning curve of the operating surgeon.
Authors and Affiliations
Alaf Ayub Pathan, Ansari Muqtadeer Abdul Aziz, Rahul G Jaju
Keywords
Related Articles
- EP ID EP486694
- DOI 10.22271/ortho.2018.v4.i2f.51
- Views 115
- Downloads 0
Open reduction and internal fixation by extensile lateral approach in displaced intra-articular fracture Calcaneum: A study of 44 cases
Introduction: Intra-articular fractures of calcaneum pose a challenge for all orthopaedic surgeons due to different treatment options and their varied eventual functional outcome. The aim of this study is to evaluate the...
Open interlocking nailing of the fracture of the shaft of femur
Closed Interlocking intramedullary nails is now the standard in the treatment of femoral shaft fractures however use of traction table and image intensifier precludes its common use in developing countries. This study wa...
A comparative study of fixation of pertrochanteric fractures with dynamic hip screw and proximal femoral nail
Trochanteric femoral fractures are among the most common injuries necessitating hospital admission. Regardless the type of fracture, trochanteric fractures can lead to substantial morbidity and mortality, especially in e...
RCT comparing closed reduction and percutaneous versus open reduction and volar locking plate in treatment of distal radius fractures in adults
Introduction: Displaced distal radius fractures are very common injuries and present regularly to all orthopaedic surgeons. Several documented treatment modalities for these fractures have been described with a recent tr...
Functional outcome of titanium elastic nailing for pediatric femoral shaft fracture
Background: Femoral shaft fracture is comman injury among children’s. The comman cause of injury is either motor vehicle accidents or sport trauma, physical assault or some other rare causes. Usually it is treated conser...