DISCECTOMY IN SINGLE LEVEL LUMBAR DISC DISEASE

Riaz Ahmad Raja, Vash Dev Khemani, Manzoor Ali Lakhair, Shahbaz Ali Khan

Abstract


Background: There is a controversy regarding the treatment of lumbar disc herniation. Most of
patients with lumbar disc herniation and radiculopathy improve with rest and medicine. Lumbar disc
surgery gives rapid relief to the patients with severe root pain in legs. This study was conducted to see
the risks and benefits of surgery in single level symptomatic lumbar disc disease. Methods: This
prospective study was conducted in Department of Neurosurgery, Liaquat University of Medical and
Health Sciences, Jamshoro during 2007–2009. Patients with severe leg pain, positive straight leg
raising, and confirmed disc extrusion on imaging were included and conventional open discectomy
was performed. Patients were followed up for one year after the surgery. Results: Forty-five patients
were operated for lumbar root pain due to a single disc. Most common disc involved was L4–5 and
discectomy was performed. Recurrence of disc occurred in 4 patients. Conclusion: Proper selection of
patients is necessary for excellent postoperative results in back surgery. Failed back surgery continues
to rise with high rate of lumbar spine surgery as many patients are selected inappropriately.
Keywords: Lumbar disc herniation, open discectomy, backache

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