International Journal of Healthcare Sciences ISSN 2348-5728 (Online) Vol. 8, Issue 2, pp: (77-82), Month: October 2020 - March 2021, Available at: www.researchpublish.com
SURGICAL OUTCOMES OF MICRODISCECTOMY IN LUMBAR INTERVERTEBRAL DISC PROLAPSE- A FOLLOW UP OBSERVATIONAL STUDY 1
DR.KARTHIK.V, 2DR.SANDEEP.VP, 3DR.SABARI GIRISH., 4Dr.SUNDARARAJ 1 2
DNB Orthopaedics, Senior Resident
D.Ortho, DNB Orthopaeidics Senior Resident 3
R M.S Orthopaedics Senior Consultant 4
P.K M.S Orthopaedics, H.O.D
Abstract: BACKGOUND AND PURPOSE: Back pain is one most common orthopedic complaint which we see in our daily practise. Impairments of the back and spine are the most frequent cause of limitation of activities in people of all age groups and disabling for young subjects. Symptomatic Intervertebral Disc Prolapse occurs in 1-3 % of the subjects and variety of treatment options are proposed. Recently Microlumbar Discectomy has proven benefits in quality of life, reduction in pain scores and efficacy in International Research. MATERIAL AND METHODS: This study is a Observational Follow up study, which included 28 subjects who were selected with MSU Criteria and Microdiscectomy surgery performed at our hosptial. Various variables from previous literature including Age distribution, Obese and overweight, Height, Occupation, Sex, Level of prolapse ,Smoking influence, Type of Prolapse. The basic Aim of the study is to find How Efficacious is this surgery in Lumbar IVDP subjects and assessment is done at preoperative and postoperatively with VAS and JAO scores. RESULTS: 37% patients were severely affected and 64.3% were moderately affected and post surgery, their score pattern improved significantly post surgery 96.4% patients have >90% improvement and 3.6%have only >50 improvement. (P value= < 0.001) 85.7% patients had improvement in neurology immediately and 6 months post surgery (P Value = <0.001) RESULTS AND CONLCUSION: The study showed Microdiscectomy is efficacious and it improved quality of life in patients with Lumbar IVDP There has been a lacuna in literature, regarding this procedure in our part of the world which highlights the significance of this study. Keywords: IVDP, Lumbar, Microdiscectomy, Back Pain, JOA.
1. INTRODUCTION AND LITERATURE REVIEW Low Back Ache is one of the commonly encountered Orthopaedic Problems all around the world. Disc Prolapse, Degenerative Disc Disease is one of the common cause for the back ache. About 20 % patients in 1000 population has disc Prolapse. This range increases to more than 50% in elderly above 50 years. 40% of population has some sort of Intervertebral Disc Disease in MRI which is alarming. Symptomatic Disc is the only concern and Clinical correlation with MRI is the most important step for the treating surgeon to decide. It has been described disc protrusions and their relevance to sciatica and showed the effectiveness of operative treatment in 58 cases(1)
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