A Prospective Study of Lumbar Intervertebral Disc Prolapse by Open Lumbar Discectomy

doi:10.5281/zenodo.8098394

International Journal of Medical and Pharmaceutical Research

2023, Volume-4, Issue-3 doi: 10.5281/zenodo.8098394

Original Article

A Prospective Study of Lumbar Intervertebral Disc Prolapse by Open Lumbar Discectomy

Dr. Vrushabhanandanagraj Gubbi

Amith D

Dr Rahul Raykar

DOI : 10.5281/zenodo.8098394

Published

June 30, 2023

Abstract

Introduction: Sciatica, a common presenting complaint in routine clinical practice, is often caused by the herniation of the nucleus pulposus within an intervertebral disc. Lumbar intervertebral disc prolapse has traditionally been treated most effectively through surgical interventions. The study aims to investigate the clinical manifestations of lumbosacral intervertebral disc prolapse in patients, evaluate the outcomes of open lumbar discectomy for such cases, and examine the impact of this surgical procedure on pain, vertebral tenderness, and SLRT (Straight Leg Raising Test).

Methodology: This is a prospective observational type of study done from December 2020 till June 2022 and post-operatively all the patients were followed up till September 2022. Sample size was 30 cases were included in the study. This study was conducted in DR. B.R.AMBEDKAR MEDICAL COLLEGE AND HOSPITAL on patients who were diagnosed with lumbosacral intervertebral disc prolapse aged between 30 to 80years of age .After obtaining their written informed consent, data was collected regarding basic demographic details. Pain, Tenderness and Straight leg rising test (SLRT) was used to assess the outcome measures at 1week, 6week and 3months intervals.

Results: Majority of the patients were Male patients (63.33%) female patients (36.67%) in incidence. The mean age of patients was 47.53 years (18 to 60 year), L4 - L5 was the most common disc to herniated. 28 patients (93.33%) out of 30 patients showed significant improvement It was found to be statistically significant with respect to MACNAB score and JOAS score during their Post –op 0weeks, 1week, 3week, 12week.Complications after the surgery were found to be superficial infection in 2 (6.67%) cases, CSF Leak in 1 case (3.3%), post op blood loss (>100 ml) in 20 cases (66.67%).

Conclusion: Hence, Open lumbar discectomy always remains as a gold standard as it has the better visualization of the bulged disc, allows complete removal of the bulged disc and better after removal of the disc material, freeness of the nerve roots can be better visualized.

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