A Prospective Study of Functional and Clinical Recovery Following Conventional Microlumbar Discectomy
Volume 4 | Issue 1 | Jan – June 2019 | Page 22-26 | M B Lingayat, Ghaniuzzoha Asadi
Authors : M B Lingayat [1], Ghaniuzzoha Asadi [2]
[1] Department of Orthopaedics, GMC, Aurangabad, Maharashtra, India, GMC, Aurangabad, Maharashtra, India.
Address of Correspondence
Dr. M. B. Lingayat,
Lotus Hospital, Pushpanagiri, Aurangabad. Maharashtra.
Email: shaziezoha@gmail.com
Abstract
Background: Lumbar disc lesion is a common problem encountered in clinical practice. Historically, laminectomy was performed to remove the offending disc material, But it was associated with significant morbidity. Conventional Microlumbar discectomy has resulted in quick recovery and early return to work. Conventional Microlumbar discectomy has become the “Gold Standard” for treating lumbar disc lesion when surgery is indicated. The main objective is to study functional and clinical recovery following conventional microlumbar discectomy.
Methods: A Total of 40 patients who had single level disc herniation with radicular symptoms were operated by conventional microlumbar discectomy through period from September 2013 to August 2015. Results were measured using the Visual Analogue Scale(VAS) for leg pain and PROLO Economic and Functional Outcome Rating Scale. All quantitative data were summarized using mean and standard deviation.
Results: Marked improvement in Leg pain according to VAS (90% having no leg pain at last follow-up). Pre-operative Average VAS Score was 5 and post-operative last follow-up score was 1. According to PROLO Scale mean total score improved from 4.2 pre-operatively to 8.37 post-operatively and recovery rate was excellent in 95% cases. Most of the patients returned to their work of previous occupation with no restriction of any kind.
Conclusions: Conventional Microlumbar Discectomy is a safe, effective, reliable and least traumatic procedure for removal of lumbar disc lesion with very good long-term results. It resulted in early recovery and quick return to work. Good functional and clinical recovery achieved following surgery. It provided excellent pain relief.
Keywords: Lumbar disc lesion, conventional microlumbar discectomy, visual analog scale.
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How to Cite this Article: Lingayat MB, Asadi G. A Prospective Study of Functional and Clinical Recovery Following Conventional Microlumbar Discectomy. International Journal of Spine Jan-June 2019;4(1):22-26. |