An Evaluation of Prolapse of Lumbar Intervertebral Discs Surgery A prospective observational study

Abstract

Introduction: In the arena of orthopedic arena prolapse of lumbar intervertebral discs (PLID) is a major cause of morbidity. Back pain and sciatica are very common in adult persons. More cautious assessment must be done to treat such patients. Injudicious treatment, whether medical or surgical may aggravate the sufferings of patients. We have very few research-based information regarding the effectiveness of PLID surgery. Objective: The aim of this study was to assess the effectiveness of lumbar intervertebral disc prolapse (PLID) surgery in two tertiary care hospitals of Bangladesh. Material & Methods: This was a prospective observational study which was conducted at TMSS Medical College, Bogura and Natore Trauma Center & Hospital, Natore of Bangladesh during the period from January 2016 to December 2020. In total 43 patients prepared for PLID surgery were selected as the study people. A pre designed questioner containing demographic and clinical status as well as final outcomes of the patient was used. The clinical outcomes of all the patients were evaluated by MacNab scoring criteria. All data were processed, analyzed and disseminated by MS Office and SPSS version 25 as per need.    Results: In analyzing the symptom distribution among participants, we observed, 86.05, 90.70%, 95.35%, 79.07%, and 60.47% patients were with Low back pain, radicular pain, numbness, neurological claudication and weakness (Affected side) respectively. Finally, in analyzing the final outcomes according to the MacNab scoring criteria we observed the highest number of patients found ‘Excellent’ result which was in 37.21%. Besides this, 27.91%, 23.26% and 11.63% patients found ‘Good’, Fair’, and ‘Poor’ results respectively.Conclusion: PLID surgery is not a routine surgery. Proper assessment of the patient must be done before going to operation. The findings of this study may be helpful in the treatment arena of Prolapse of lumbar intervertebral discs and in similar further studies.