IJCRR - 7(22), November, 2015
Pages: 52-56
STUDY ON ANALYSIS OF FUNCTIONAL OUTCOME OF FENESTRATION TECHNIQUE IN SINGLE LEVEL LUMBAR INTERVERTEBRAL DISC PROLAPSE
Author: Imran B.M., Pisudde P.M., Aravind Kumar
Category: Healthcare
[Download PDF]
Abstract:
Objective: Aim of this study was to assess functional and neurological outcome by fenestration technique, since standard laminectomy and discectomy carries a risk of spine instability, it is preferable to perform discectomy through fenestration.
Methods: Out of the 51 patients who were operated for single level lumbar disc herniation by fenestration discectomy between 2009 to April 2011, only 48 patients were available for follow up. Patients were followed up for a period of 1 year. The post operative outcome was analysed using the JOA score. The outcome was analysed with motor deficit, sensory deficit and bladder function as variables.
Results: Back pain improved immediately in almost all 48(100%) patients. The outcome was excellent in 35.4%% patients good in 56.3% and fair in 8.3%.
Conclusion: Fenestration technique with minimal disc removal is an effective technique for treating properly selected patients.
Keywords: Laminectomy, Discectomy, Herniation, Fenestration technique
Citation:
Imran B.M., Pisudde P.M., Aravind Kumar. STUDY ON ANALYSIS OF FUNCTIONAL OUTCOME OF FENESTRATION TECHNIQUE IN SINGLE LEVEL LUMBAR INTERVERTEBRAL DISC PROLAPSE International Journal of Current Research and Review. 7(22), November, 52-56
References:
1. F. Postacchini, G.cinnotti, lubar disc herniation, Etiopathogenesis inFranco postacchini in Lumbar disc herniation, Thompson press, newDelhi, springerwein 1999: 151-152.
2. R.Prasad, M.F. Hoda, M.M. Dhakal, K. Singh, et al: Epidemiological Characteristics of Lumbar Disc Prolapse in a Tertiary Care Hospital. The Internet Journal of Neurosurgery. 2006 Volume 3 Number 1.
3. SS Sangwan, ZS Kundu, Raj Singh, P Kamboj, RC Siwach, et al:Lumbar disc excision through fenestration, Indian journal ofOrthopaedics, [2006], 40[2]:86-9.
4. Bo Johnson 1996 “Neurological signs of lumbar disc herniations” acta Otho scand 67[5]:466-69.
5. Sasani M, Ozer AF, Oktenoglu T, Canbulat N, Sarioglu AC. Percutaneous endoscopic discectomy for far lateral lumbar disc. Herniations, Minim Invasive Neurosurg. 2007 Apr; 50[2]:91-7.
6. Savitz MH, Doughty H, Burns P. Percutaneous lumbar discectomy with a working endoscope and laser assistance. Neurosurg Focus.Cited 1998 Feb 15; 4[2]:e9.Available from: http://www. ncbi.nlm.nih.Gov/pubmed/17206772.
7. Nagi, O.M. ‘Early results of discectomy by Fenestration technique’ Indian Journal of Orthopaedics, 1985;19[1]: 15-9
8. Japanese Orthopaedic Association (JOA). Japanese Orthopaedic Association Assessment Criteria Guidelines Manual. 1996. p-46-9.
9. Spangfort EV. The Lumbar disc herniation – a computer aided analysis of 2504 operation. Acta Orthop. Scand suppl 142:3-95, 1972.
10. Astrand, 2000 “Pain and orthopaedic and neurologic signs after lumbar discectomy”. Clinical Orthopaedics and related reserch, 379: 154–160.
11. Loupasis, George A, Stamos, Konstadinos, Katonis, et.al Sevento 20-Year Outcome of Lumbar Discectomy, Spine, 1999 November, 24[22]:2313.
12. Toyone, T., Tanaka, T., Kato, D. and Kaneyama, R. Low-back pain Following surgery for lumbar disc herniation. A prospective study. J.Bone Joint Surg (Am). 2004; 5: 86-A (5): 893-896.
13. Deyo, R. A. Non-operative treatment of low back disorders: differentiating useful from useless therapy. In: Frymoyer J.W., editor. The adult spine: principles and practice. New York: Raven Press. 1991; 1559–1560.
14. Ishihara, H., Matsui, H., Hirano, N. and Tsuji, H. Lumbar intervertebral disc herniation in children less than
16 years of age. Long-term follow-up study of surgically managed cases. Spine. 1997; 22 (17): 2044-2049.
15. Sharma, 1980 “A clinical profile of prolapsed intervertebral disc and Its management”. Indian Journal of Orthopaedics, 14(2): 204–212. 16. Smith M, Gallagher J, Memanus F. Surgery in lumbar disc protrusion. A long term follows up. In Med J 76:25-26, 1983.
17. D. Olsen, D. McCord and M. Law. Laparoscopic discectomy with Anterior interbody fusion of L5-S1, surgical endoscopy, 1996. December; 10[12]:1158-63.
|