Volume : 6, Issue : 5, May - 2017

A STUDY OF CLINICAL OUTCOME IN THE SURGICAL MANAGEMENT OF PROLAPSED INTERVERTEBRAL DISC IN LUMBAR SPINE.

Dr Gagandeep Gupta, Dr Hs Sandhu, Dr Manu Soni

Abstract :

<p>&nbsp;<b style="text-align: justify;"><u><span lang="EN-IN" style="font-size:12.0pt;&#10;line-height:150%;font-family:&quot;Times New Roman&quot;,serif;mso-bidi-font-family:&quot;Times New Roman&quot;;&#10;mso-bidi-theme-font:minor-bidi">INTRODUCTION -</span></u></b><b style="text-align: justify;"><span lang="EN-IN" style="font-size:12.0pt;&#10;line-height:150%;font-family:&quot;Times New Roman&quot;,serif;mso-bidi-font-family:&quot;Times New Roman&quot;;&#10;mso-bidi-theme-font:minor-bidi"> </span></b><span lang="EN-IN" style="text-align: justify; font-size: 12pt; line-height: 150%; font-family: &quot;Times New Roman&quot;, serif;">Low backache is as ancient as mankind. About 90% of people suffer from it at some point in their life. The socioeconomic burden of chronic low back pain is substantial. Surgical management of disc prolapsed is usually considered when the conservative means have been exhausted or in patients with neurological deficits.</span></p> <p class="MsoNormal" style="text-align:justify;line-height:150%"><b><u><span lang="EN-IN" style="font-size:12.0pt;&#10;line-height:150%;font-family:&quot;Times New Roman&quot;,serif;mso-bidi-font-family:&quot;Times New Roman&quot;;&#10;mso-bidi-theme-font:minor-bidi">AIM - </span></u></b><span lang="EN-IN" style="font-size:12.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,serif;&#10;mso-bidi-font-family:&quot;Times New Roman&quot;;mso-bidi-theme-font:minor-bidi">The aim of present research was to study the clinical presentation of IVDP, to evaluate the outcome of surgical management by open laminectomy and discectomy and to quantify the results of surgical procedure with other treatment options.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;line-height:150%"><b><u><span lang="EN-IN" style="font-size:12.0pt;&#10;line-height:150%;font-family:&quot;Times New Roman&quot;,serif;mso-bidi-font-family:&quot;Times New Roman&quot;;&#10;mso-bidi-theme-font:minor-bidi">MATERIAL AND METHODS - </span></u></b><span lang="EN-IN" style="font-size:12.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,serif;&#10;mso-bidi-font-family:&quot;Times New Roman&quot;;mso-bidi-theme-font:minor-bidi">The study analysed 30 patients reporting to the department of Orthopedics at MMISR over a period of two years.<b><u><o:p></o:p></u></b></span></p> <p class="MsoNormal" style="text-align:justify;line-height:150%"><b><u><span lang="EN-IN" style="font-size:12.0pt;&#10;line-height:150%;font-family:&quot;Times New Roman&quot;,serif;mso-bidi-font-family:&quot;Times New Roman&quot;;&#10;mso-bidi-theme-font:minor-bidi">RESULTS AND OBSERVATIONS - </span></u></b><span lang="EN-IN" style="font-size:12.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,serif;&#10;mso-bidi-font-family:&quot;Times New Roman&quot;;mso-bidi-theme-font:minor-bidi">9(30%) patients showed excellent results, 16(53.3%) showed good results, 3(10%) patients showed fair results while only two patients(6.7%) showed poor results.<b><u><o:p></o:p></u></b></span></p> <p class="MsoNormal" style="text-align:justify;line-height:150%"><b><u><span lang="EN-IN" style="font-size:12.0pt;&#10;line-height:150%;font-family:&quot;Times New Roman&quot;,serif;mso-bidi-font-family:&quot;Times New Roman&quot;;&#10;mso-bidi-theme-font:minor-bidi">CONCLUSION - </span></u></b><span lang="EN-IN" style="font-size:12.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,serif;&#10;mso-bidi-font-family:&quot;Times New Roman&quot;;mso-bidi-theme-font:minor-bidi">This prospective study concluded that open laminectomy and discectomy has comparable results to Microdiscectomy and foraminotmy&nbsp; as far as subjective and clinical improvement in neurological dysfunction was concerned. Certain variables though showed significant differences.<b><u><o:p></o:p></u></b></span></p>