To evaluate outcomes of various managements in lumbar prolapsed intervertebral disc and factors affecting the outcomes

Abstract

Background: Backache is a disease of antiquity and has tormented lives of innumerable individual of mankind. At some point during their lifetime, about 80% of adults can be expected to experience low backache. Its point prevalence is about 30%. By the age of 30 years, almost half of adults have experienced a substantive episode of low backache. Materials and Methods: 85 patients with lumbar prolapsed intervertebral disc where selected between April 2018 to April 2019 with taking inclusion and exclusion criteria into account. 42 patients were undergone conservative treatment, 26 patients were given epidural steroid injection, 17 patients were undergone surgical (discectomy) treatment. Observation in all three groups were analyzed and compared. Results: Patients were evaluated at post op 15 days, 1 month, 3 months and 6 months with respect to previous examination findings short term outcome over a period of six months, good (60-80% improvement in ODI) to excellent (> 80% improvement in ODI) outcome is seen in94% of surgically treated patients, whereas only 81% of patients treated with epidural steroid were to having good to excellent results but in conservatively treated group only 12% of patients had good to excellent outcome. Around 88% of conservatively treated patients had fair outcome. Conclusion: Short term outcome of discectomy for PIVD is favorable as compared to conservative treatment. Epidural steroid offers promise for temporary relief with many patient requiring repeat injections at variable time interval.