To know the effectiveness of disc excision in the treatment of herniated lumbar intervertebral disc | [Journal of Gandhara Medical and Dental Sciences • 2022]

Author(s):

1. Mansoor Ahmad: Neurosurgery Department, Nowshera Medical College,Nowshera, Pakistan

2. Naseer Hassan: Neurosurgery Department, Nowshera Medical College,Nowshera, Pakistan

3. Mehran Ali: Neurosurgery Department, Nowshera Medical College,Nowshera, Pakistan

4. Raza Hassan: Orthopedic Department, Royal Free London Hosiptal London,,United Kingdom

5. Shah Nawaz: Biochemistry Department, Nowshera Medical College, Pakistan

Abstract:

OBJECTIVES To evaluate the effectiveness of disc excision in the treatment of herniated lumbar intervertebral disc. METHODOLOGY This study was conducted in the Department of Neurosurgery, Lady Reading Hospital, Peshawar. A total of 62 patients had moderate to severe radicular pain due to Prolapsed intervertebral disc at L4/5 or L5/S1. All the enrolled patients were subjected to disc excision surgery. Postoperatively the patients were kept for 48 hours for observation and then discharged. All the patients were advised to come after 2 weeks for the follow-up to check effectiveness. RESULTS The mean age of patients was 34.59± 7.49 years. There were 64.5% male and 35.5% female. 53.2% of patients had L4-L5, 33.9% of patients had L5-S1 and 12.9% of patients had both L4–L5 and L5–S1 level disc herniation. 85.5% of patients had no pain, 8.1% had mild pain and 04.8% had moderate pain. Postoperatively 79.0% of patients were satisfied. CONCLUSION As compared to conservative care limited disc excision is safe, effective, and reliable in terms of pain. Disc excision technique provides immediate relief from radicular pain.

Page(s): 76-79

DOI: 10.37762/jgmds.9-4.326

Published: Journal: Journal of Gandhara Medical and Dental Sciences, Volume: 9, Issue: 4, Year: 2022

Keywords:

Cervical cancer , Pap smear , Cervical Screening , Precancerous Lesions

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