Aggressive discectomy for single level lumbar disk herniation

Authors

  • Md. Kamrul Ahsan Department of Orthopedic Surgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • Md. Masud Rana Department of Orthopedic Surgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • Zahidul Haq Khan Department of Orthopedic Surgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • Naznin Zaman Department of Orthopedic Surgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • Md. Hamidul Haque Department of Orthopedic Surgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • Abdullah Al Mahmud Department of Orthopedic Surgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka

DOI:

https://doi.org/10.3329/bsmmuj.v10i3.32911

Keywords:

Discectomy, Herniation, Lumbar disk

Abstract

Aggressive open lumbar discectomy is the most commonly performed surgical procedure for patients with persistent low back and leg pain. In this retrospective study,  1,380 patients were evaluated for long-term results of aggressive discectomy for the single level lumbar disk herniation. Demographic data, surgical data, complications and reherniation rate were collected and clinical outcomes were assessed using visual analogue score (VAS), Oswestry disability index (ODI) and modified Mcnab criteria. The mean follow-up period was 28.8 months. According to the modified Mcnab criteria, the long-term results were excellent in 640 cases, good in 445 cases, fair in 255 cases, and poor in 40 cases. The mean VAS scores for back and radicular pains and ODI at the end of 2 years were 1.1 ± 1.0, 1.5 ± 0.5 and 6.6 ± 3.1% respectively. The complications were foot drop (n=7), dural tear (n=14), superficial wound infection (n=17), discitis (n=37) and reherniation (n=64). The dural tear and superficial wound infections resolved after treatment but 28 discitis patients were treated by conservatively and the remaining 9 underwent surgery. Among reherniation patients, 58 underwent revision discectomy and 4 underwent transforaminal lumbar interbody fusion and stabilization. Aggressive discectomy is an effective treatment of lumbar disk herniation and maintains a lower incidence of reherniation but leads to a collapse of disc height and in long run gives rise to intervertebral instability and accelerates spondylosis.

Downloads

Download data is not yet available.
Abstract
53
Download
36 Read
7

Author Biography

Md. Kamrul Ahsan, Department of Orthopedic Surgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka

Associatev Professor

Published

2017-09-03

How to Cite

Ahsan, M. K., Rana, M. M., Khan, Z. H., Zaman, N., Haque, M. H., & Mahmud, A. A. (2017). Aggressive discectomy for single level lumbar disk herniation. Bangabandhu Sheikh Mujib Medical University Journal, 10(3), 135–139. https://doi.org/10.3329/bsmmuj.v10i3.32911

Issue

Section

Original Article

Similar Articles

> >> 

You may also start an advanced similarity search for this article.