CLINICAL AND FUNCTIONAL OUTCOMES OF TUBULAR DISCECTOMY: A STUDY OF 60 CASES-Reference-Cited by-同舟云学术

CLINICAL AND FUNCTIONAL OUTCOMES OF TUBULAR DISCECTOMY: A STUDY OF 60 CASES

Published:2022-09-01 Issue: Volume: Page:24-26
ISSN:
Container-title:INDIAN JOURNAL OF APPLIED RESEARCH
language:en
Short-container-title:IJAR

Author:

N Parmar Himanshu¹,Turakhiya Jay V¹,C Zala Kushal²,J Patel Kunjal³,Prajapati Anant²

Affiliation:

1. MS Orthopaedics Assistant Professor of Orthopaedics, P.D.U. Medical College, Rajkot, Gujarat.

2. MS Orthopaedics Senior Resident in Orthopaedics, P.D.U. Civil Hospital, Rajkot, Gujarat

3. MS Orthopaedics Junior Resident in Orthopaedics, P.D.U. Medical College, Rajkot, Gujara

Abstract

Objectives: Various types of minimally invasive techniques have been developed for the treatment of lumbar disc herniation. The original laminectomy was rened into microdiscectomy and now into tubular discectomy and endoscopic discectomy. This study aimed to evaluate the immediate postoperative to 6 months outcomes of patients undergoing tubular discectomy using a simple tubular dilator system and 2.5x binocular loupe. 60 patients were operated Materials and Methods: with tubular discectomy at PDU Hospital, Rajkot which is a tertiary level center between June 2021 to December 2021. They were studied for the following data: Baseline characteristics, Visual analog scale (VAS) for leg pain and post operative back pain, Modied Oswestry Disability Index (ODI) scores, length of hospital stay, time taken to return to work, duration of surgery, intra- and post-operative complications, and reoperation rates. The VAS Results: score for leg pain, post-operative back pain, and Modied ODI scores showed improvement during the 6 Months after Surgery. Mean ODI score improved from 64.18 to 24.04 at 1 month and 19.38 at 6 months follow-up and Mean VAS score improved from 8 to 3.23 at 1 month and 2.72 at 6 months follow up .Time taken to return to work and mean hospital stay was shorter. The mean duration of surgery was shorter with less blood loss. This study revealed that the rate of recovery is signicantly faster Conclusion: for tubular discectomy , Shorter hospital stay, less blood loss with fewer complications.

Publisher

World Wide Journals

Subject

Insect Science,Agronomy and Crop Science,Ecology, Evolution, Behavior and Systematics,General Environmental Science,Education,Management, Monitoring, Policy and Law,Geography, Planning and Development,General Agricultural and Biological Sciences,Cell Biology,Clinical Biochemistry,General Medicine,Immunology,Pathology and Forensic Medicine,Literature and Literary Theory,Linguistics and Language,History,Language and Linguistics,Cultural Studies,Family Practice,Developmental and Educational Psychology,Education,Social Psychology,Complementary and alternative medicine,Pharmacology (nursing)

Reference39 articles.

1. Konstantinou K, Dunn KM. Sciatica: Review of epidemiological studies and prevalence estimates. Spine (Phila Pa 1976) 2008;33:2464-72.

2. Gibson JN, Waddell G. Surgical interventions for lumbar disc prolapse: Updated cochrane review. Spine (Phila Pa 1976) 2007;32:1735-47.

3. Hofstee DJ, Gijtenbeek JM, Hoogland PH, van Houwelingen HC, Kloet A, Lötters F, et al. Westeinde sciatica trial: Randomized controlled study of bed rest and physiotherapy for acute sciatica. J Neurosurg 2002;96 1 Suppl: 45-9.

4. Vroomen PC, de Krom MC, Slofstra PD, Knottnerus JA. Conservative treatment of sciatica: A systematic review. J Spinal Disord 2000;13:463-9.

5. Atlas SJ, Keller RB, Wu YA, Deyo RA, Singer DE. Long-term outcomes of surgical and nonsurgical management of sciatica secondary to a lumbar disc herniation: 10 year results from the maine lumbar spine study. Spine (Phila Pa 1976) 2005;30:927-35.