SURGICAL OUTCOME OF RECURRENT LUMBAR DISC HERNIATION: EXPERIENCE WITH 30 PATIENTS
Article Sidebar
Keywords:
Recurrent Lumbar Disc Herniation, Discectomy, Laminectomy, Dural tear
Main Article Content
Abstract
Objective: To study the outcome of recurrent lumbar disc herniation managed surgically.
Material and Methods: This retrospective study was conducted in Neurosurgery Department of Lady Reading Hospital and Hayatabad Medical Complex, Peshawar from Mar, 2005 to Feb, 2008 with 06 month follow-up. This study included patients who underwent re-do surgery for re-herniation of lumbar disc herniation at previous operated level of L4-5 and L5-S1. Data was collected on a proforma containing
name, age and sex of patients along with findings of previous surgery, clinical outcome of previous surgery, present neurological status with signs and symptoms, investigations, complications and follow-up findings.
Results: Thirty patients including 22 (73.33%) male and 08 (26.66%) female were operated upon for recurrent lumbar disc herniation. Twenty two (73.3%) patients were pain free after surgery. Improvement in SLR was 80% (n=24/30) complications after 01 month. Overall complication rate was 40%. Five (16.66%)
patients had dural in which 02 (6.66%) postop CSF leak, 01 (3.33%) had superficial wound infection, 01 (3.33%) had discitis, 01 (3.33%) had foot drop and 02 (6.66%) had urinary retention. Patients with foot drop did not showed any improvement postoperatively after 06 month of follow-up.
Conclusion: Surgery for recurrent lumbar disc herniation appears to be effective procedure in which
better overall outcome and improvement in pain can be achieved.
Material and Methods: This retrospective study was conducted in Neurosurgery Department of Lady Reading Hospital and Hayatabad Medical Complex, Peshawar from Mar, 2005 to Feb, 2008 with 06 month follow-up. This study included patients who underwent re-do surgery for re-herniation of lumbar disc herniation at previous operated level of L4-5 and L5-S1. Data was collected on a proforma containing
name, age and sex of patients along with findings of previous surgery, clinical outcome of previous surgery, present neurological status with signs and symptoms, investigations, complications and follow-up findings.
Results: Thirty patients including 22 (73.33%) male and 08 (26.66%) female were operated upon for recurrent lumbar disc herniation. Twenty two (73.3%) patients were pain free after surgery. Improvement in SLR was 80% (n=24/30) complications after 01 month. Overall complication rate was 40%. Five (16.66%)
patients had dural in which 02 (6.66%) postop CSF leak, 01 (3.33%) had superficial wound infection, 01 (3.33%) had discitis, 01 (3.33%) had foot drop and 02 (6.66%) had urinary retention. Patients with foot drop did not showed any improvement postoperatively after 06 month of follow-up.
Conclusion: Surgery for recurrent lumbar disc herniation appears to be effective procedure in which
better overall outcome and improvement in pain can be achieved.
Article Details
How to Cite
1.
Khattak AU, Haider A, Rehman L, . I, . M. SURGICAL OUTCOME OF RECURRENT LUMBAR DISC HERNIATION: EXPERIENCE WITH 30 PATIENTS. J Postgrad Med Inst [Internet]. 2011 Jul. 27 [cited 2024 Dec. 18];23(1). Available from: https://jpmi.org.pk/index.php/jpmi/article/view/69
Issue
Section
Original Article
Work published in JPMI is licensed under a
Creative Commons Attribution-NonCommercial 2.0 Generic License.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.