Effectiveness of Disc Excision in the Treatment of Herniated Lumbar Intervertebral Disc
Journal Title: Journal of Gandhara Medical and Dental Sciences - Year 2017, Vol 3, Issue 2
Abstract
OBJECTIVETo determine the efficacy of disc excision in the treatment of herniated lumbar intervertebral disc.METHODOLOGYThis study was conducted at Neurosurgery Department of Naseer Teaching Hospital, Peshawar from February 2015 to January 2016.The study design was descriptive case series in which consecutive non probability sampling technique was used. Clinical outcome of patients undergoing discectomy was determined using Stauffer-Coventry criteria and patients rated as excellent, good, fair and poorRESULTA total of 88 patients were recruited with 64% males and 36% females. Mean age was 39 years+4.68 SD.70% patients had L4-L5 and 30% had L5-S1 level disc herniation. Laminectomy was performed in 58%,fenestration in 34% and hemilaminectomy in 8% patients. Postoperatively at four weeks, satisfactory pain relief reported by 85% and unsatisfactory pain relief reported by 15% patients.CONCLUSIONConventional laminactomy, fenestration or hemilaminectomy is a feasible, safe and effective treatment in patients with lumbar disc herniation. Relief of pain is faster for patients assigned to early surgery.
Authors and Affiliations
Sohail Amir, Maimoona Qadir, Muhammad Usman
Keywords
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