Comparative Study of Outcomes of Surgical Treatment for Lumbar Intervertebral Disc Prolapse Open Interlaminar Fenestration Discectomy Vs Microlumbar Discectomy.” A Prospective Study
|IJOCP | March 2015| Volume 2| Issue 1 | Page
Conference: Bangalore Orthopaedic Society Annual Conference BOSCON-2015,India [Click for Full details]
Authors: Dr. Abhishek Mundargi, Dr.Manish Barot
Authors Affiliations: SSSIHMS , PRASANTIGRAM
Address of Correspondence: email id : firstname.lastname@example.org
Title: Comparative Study of Outcomes of Surgical Treatment for Lumbar Intervertebral Disc Prolapse Open Interlaminar Fenestration Discectomy Vs Microlumbar Discectomy.” A Prospective Study
A prospective study was conducted on the surgical procedures for lumbar disc herniation during 2012-2013.
To compare the clinical outcomes in terms of pain relief and functional outcome and improvement by using 2 clinical outcome measures between microlumbar discectomy and open interlaminar fenestration and discectomy with a minimum follow up period of 1 year.
Open interlaminar fenestration discectomy was gold standard surgical procedure for lumbar disc herniation, while microlumbar discectomy and microendoscopic discectomy by a posterior approach are reported as lesser invasive surgical methods. However, there have not been a significant number of prospective studies conducted to compare different surgical procedures for lumbar disc herniation.
MATERIALS AND METHODS:
The target of our study was a group of 20 patients (male: 12, female: 8) who underwent surgery Open interlaminar fenestration discectomy (A group) and 20 patients (male:15, female: 5) who underwent surgery by microdiscectomy (B group). The mean ages at surgery were 38.6 years and 40years respectively. The parameters investigated were the operation time, amount of bleeding, duration of hospitalization,perioperative complications, Pre- and postoperative and follow up scores based on Japanese Orthopaedic Association score, visual analog scales (VAS, 0 to 10) and the minimum duration of follow-up was 1 yr. Statistical significance value obtained with Student T test (two tailed, independent) .
Microlumbar discectomy compared to standard open discectomy gives immediate encouraging results in terms of JOA and VAS scores due to small incision, less tissue retraction and damage, short duration of surgery, less bleeding, better visualization of anatomical structures (nerve roots). This helps in early mobilization and faster recovery short hospital stay which is statistically significant. Results are comparable and no significant difference after 1 year follow up. Complication rates similar in both groups.
Micro lumbar discectomy , minimally invasive gives better short term results with no additional complications. So this method is preferred under adequate surgical expertise and infrastructure.
|How to Cite this Abstract|
|Abhishek Mundargi, Manish Barot. Comparative Study of Outcomes of Surgical Treatment for Lumbar Intervertebral Disc Prolapse Open Interlaminar Fenestration Discectomy Vs Microlumbar Discectomy.” A Prospective Study. International Journal of Conference Proceedings. March 2015;(2015):2.|