Effectiveness of surgical management of lumber intervertebral disc prolapse

Abstract

Background: Low back ache is the commonest musculoskeletal problem of the mankind. Disc prolapse is one of the most common and important cause of low back ache. Stress & strain on the back is more because of the bipedal nature which leads to mechanical failure of the disc architecture and is maximally exerted over L4-L5 level.Objectives: The need of this study to evaluate the results of laminectomy alone or laminectomy with foramenectomy or laminectomy with discectomy depending on pre-operative evaluation, with regard to patients post-operative subjective evaluation with ODI scoring system and its complications.Method: A prospective study was carried out on 30 cases of lumbar disc prolapse came to the Department of Orthopaedics, NMC&RC Raichur after through clinical evaluation. The data were collected using detailed clinical proforma, clinical examination, required investigations, pre-operative, post-operative & Follow up 1,3,6 months) assessment, pre and post-operative assessment focused on pain SLRT, Neurological assessment, spinal movements, occupational function and ODI score.Results: The findings of the study reveals that 80 percent (n=24) subjects showed excellent improvement, another 20 percent (n=6) subjects showed good improvement and no subjects showed poor improvement after the proper surgical treatment by comparing through ODI scoring.Conclusion: The results demonstrated that, proper evaluation of the patients with accuracy of level and involvement of disc pathology before operative procedure with appropriate selection of surgery relieves the symptoms and restore the function of patients with least complications and disabilities.