Long-Term Outcome of Patients Suffering from Clinical Instability after Microsurgical Treatment of Lumbar Disc Herniation

1998 ◽  
Vol 140 (2) ◽  
pp. 120-125 ◽  
Author(s):  
E. Kotilainen
2022 ◽  
Vol 21 (1) ◽  
pp. 37-44
Author(s):  
Md Kamrul Ahsan ◽  
Shahidul Islam Khan ◽  
Sachindra Raj Joshi ◽  
Md Zahidul Haq Khan ◽  
Md Hamidul Haque ◽  
...  

Objective: To perform retrospective analysis of 1000 patients who underwent open limited discectomy (OLD) for single level lumbar disc herniation (LDH) and to assess the long- term clinical outcomes. Methods: 745 men and 255 women, with mean age of 38.03 ± 9.14 years (range 19- 55 years) who had primary LDH at L4-5 (n=640), L5-S1 (n=352), and L3-4 (n=8); underwent OLD were reviewed. Records were obtained regarding their demographic data, the side and level of disc herniation, operating time period, intraoperative blood loss, hospital stay, and perioperative complications. VAS score was measured before and after operation, for the assessment of low back pain (LBP) and radicular pain. Comprehensive outcome outcomes were measured postoperatively with the modified Macnab criteria and the Oswestry Disability Index (ODI) score. Results: The mean follows up was 24.5 (range 24-70) months. Significant improvement of mean VAS score for back and leg pain was achieved. At the two years follow-up, results were excellent in 525 (52.50%), good in 325 (32.50%), fair in 140 (14.00%) and poor in 10 (1.00%). Complications found were reherniation (n=52), discitis (n=19), superficial wound infection (n=7), dural tear (n=7) and foot drop (n=2). Conclusion: Open limited discectomy following fenestration or laminotomy is a safe and effective procedure and achieved favorable long-term outcome (e.g., low rate of recurrent LBP) and excellent patients’ satisfaction. Bangladesh Journal of Medical Science Vol. 21(1) 2022 Page : 37-44


Spine ◽  
2006 ◽  
Vol 31 (26) ◽  
pp. 3061-3069 ◽  
Author(s):  
Steven J. Atlas ◽  
Yuchiao Chang ◽  
Robert B. Keller ◽  
Daniel E. Singer ◽  
Yen A. Wu ◽  
...  

2007 ◽  
Vol 7 (5) ◽  
pp. 35S
Author(s):  
Etsuro Yorimitsu ◽  
Kazuhiro Chiba ◽  
Yoshiaki Toyama ◽  
Yosio Shinozaki

1993 ◽  
Vol 120 (3-4) ◽  
pp. 143-149 ◽  
Author(s):  
E. Kotilainen ◽  
S. Valtonen ◽  
C. -Å. Carlson

Pain Medicine ◽  
2016 ◽  
pp. pnv122 ◽  
Author(s):  
Zachary L. McCormick ◽  
Curtis Slipman ◽  
Ashot Kotcharian ◽  
Akhil Chhatre ◽  
Frank J Bender ◽  
...  

2005 ◽  
Vol 2 (1) ◽  
pp. 88-91 ◽  
Author(s):  
Nedal Hejazi

✓ The author performed a microsurgical infrapedicular paramedian approach in 35 patients (23 men and 12 women) to remove herniated lumbar retrovertebral discs that did not have an apparent origin at either the superior or inferior disc level. The goal of this surgery was to minimize the bone resection, preserve the facet joint, and avoid the risk of secondary vertebral instability. The Macnab outcome classification was used to assess all patients who attended follow-up examination for at least 15 months. The clinical results were excellent or good in 34 (97%) of 35 cases. This minimally invasive lumbar spine technique resulted in minimal morbidity, excellent clinical benefits, and a long-term outcome without evidence of secondary segmental instability.


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