Functional Outcome of Lumbar Discectomy by Fenestration Technique in Lumbar Intervertebral Disk Prolapse
Objectives: Lower back ache is one of the most important problems worldwide. It is important to consider that low back pain is becoming the most prevalent musculoskeletal disorder in the modern world, having a significant impact on healthcare expenditures and being a major cause of disability. Aim:...
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| Format: | Article |
| Language: | English |
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Jaypee Brothers Medical Publisher
2025-01-01
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| Series: | Journal of Orthopedics and Joint Surgery |
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| Online Access: | https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1173 |
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| author | Bharath Vadivelkumar Prem K Kothimbakkam Guhan Rayappan Kumaresan Ashwanth N Balashanmugam Thirumal Ranganathan Vijayashankar Murugesan |
| author_facet | Bharath Vadivelkumar Prem K Kothimbakkam Guhan Rayappan Kumaresan Ashwanth N Balashanmugam Thirumal Ranganathan Vijayashankar Murugesan |
| author_sort | Bharath Vadivelkumar |
| collection | DOAJ |
| description | Objectives: Lower back ache is one of the most important problems worldwide. It is important to consider that low back pain is becoming the most prevalent musculoskeletal disorder in the modern world, having a significant impact on healthcare expenditures and being a major cause of disability.
Aim: The purpose of this study was to ascertain the postoperative results of discectomy and fenestration in individuals suffering from lumbar intervertebral disk prolapse.
Materials and methods: This prospective study was carried out on patients admitted to the tertiary care hospital who had lumbar intervertebral disk prolapse. The visual analog scale (VAS) and Oswestry disability index (ODI) scores were used to assess the patients. Those patients who were not improving with conservative care have been examined and operated on with a lumbar fenestration discectomy procedure.
Results: Among 40 participants, the average age-group was 45.9 years with a male predominance. The common level of disk prolapse was found to be at the level of L4-L5 disk. The most common symptom reported by the participants was sciatica. Out of 40 participants, 87.5% (<italic>n</italic> = 35) had good outcome, 10% (<italic>n</italic> = 4) had a fair outcome, and 2.5% (<italic>n</italic> = 1) had a poor outcome.
Conclusion: Our study found that more than three-fourths of the participants had good functional outcomes and very minimal postoperative complications. The causes for delayed functional recovery were high body mass index, extremes of age, and a heavy worker population. Therefore, fenestration and discectomy procedures are the gold standard for the Indian population, unlike the recent advanced techniques like endoscopic and tubular discectomy. |
| format | Article |
| id | doaj-art-d3160c3c07a8460b8b9b4c43702c4a26 |
| institution | DOAJ |
| issn | 2582-7863 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Jaypee Brothers Medical Publisher |
| record_format | Article |
| series | Journal of Orthopedics and Joint Surgery |
| spelling | doaj-art-d3160c3c07a8460b8b9b4c43702c4a262025-08-20T03:06:10ZengJaypee Brothers Medical PublisherJournal of Orthopedics and Joint Surgery2582-78632025-01-01716910.5005/jojs-10079-11732Functional Outcome of Lumbar Discectomy by Fenestration Technique in Lumbar Intervertebral Disk ProlapseBharath Vadivelkumar0Prem K Kothimbakkam1Guhan Rayappan Kumaresan2Ashwanth N Balashanmugam3Thirumal Ranganathan4Vijayashankar Murugesan5Bharath Vadivelkumar, Department of Orthopedics, Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Kelambakkam, Tamil Nadu, India, Phone: +91 9843753539Department of Orthopedics, Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Kelambakkam, Tamil Nadu, IndiaDepartment of Orthopedics, Dr Muthus Hospital, Coimbatore, Tamil Nadu, IndiaDepartment of Orthopedics, Apollo Multispecialty Hospital, Chennai, Tamil Nadu, IndiaDepartment of Orthopedics, Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Kelambakkam, Tamil Nadu, IndiaDepartment of Orthopedics, Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Kelambakkam, Tamil Nadu, IndiaObjectives: Lower back ache is one of the most important problems worldwide. It is important to consider that low back pain is becoming the most prevalent musculoskeletal disorder in the modern world, having a significant impact on healthcare expenditures and being a major cause of disability. Aim: The purpose of this study was to ascertain the postoperative results of discectomy and fenestration in individuals suffering from lumbar intervertebral disk prolapse. Materials and methods: This prospective study was carried out on patients admitted to the tertiary care hospital who had lumbar intervertebral disk prolapse. The visual analog scale (VAS) and Oswestry disability index (ODI) scores were used to assess the patients. Those patients who were not improving with conservative care have been examined and operated on with a lumbar fenestration discectomy procedure. Results: Among 40 participants, the average age-group was 45.9 years with a male predominance. The common level of disk prolapse was found to be at the level of L4-L5 disk. The most common symptom reported by the participants was sciatica. Out of 40 participants, 87.5% (<italic>n</italic> = 35) had good outcome, 10% (<italic>n</italic> = 4) had a fair outcome, and 2.5% (<italic>n</italic> = 1) had a poor outcome. Conclusion: Our study found that more than three-fourths of the participants had good functional outcomes and very minimal postoperative complications. The causes for delayed functional recovery were high body mass index, extremes of age, and a heavy worker population. Therefore, fenestration and discectomy procedures are the gold standard for the Indian population, unlike the recent advanced techniques like endoscopic and tubular discectomy.https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1173lumbar disk diseaselumbar disk herniationlumbar fenestration discectomymicrodiscectomysciatica |
| spellingShingle | Bharath Vadivelkumar Prem K Kothimbakkam Guhan Rayappan Kumaresan Ashwanth N Balashanmugam Thirumal Ranganathan Vijayashankar Murugesan Functional Outcome of Lumbar Discectomy by Fenestration Technique in Lumbar Intervertebral Disk Prolapse Journal of Orthopedics and Joint Surgery lumbar disk disease lumbar disk herniation lumbar fenestration discectomy microdiscectomy sciatica |
| title | Functional Outcome of Lumbar Discectomy by Fenestration Technique in Lumbar Intervertebral Disk Prolapse |
| title_full | Functional Outcome of Lumbar Discectomy by Fenestration Technique in Lumbar Intervertebral Disk Prolapse |
| title_fullStr | Functional Outcome of Lumbar Discectomy by Fenestration Technique in Lumbar Intervertebral Disk Prolapse |
| title_full_unstemmed | Functional Outcome of Lumbar Discectomy by Fenestration Technique in Lumbar Intervertebral Disk Prolapse |
| title_short | Functional Outcome of Lumbar Discectomy by Fenestration Technique in Lumbar Intervertebral Disk Prolapse |
| title_sort | functional outcome of lumbar discectomy by fenestration technique in lumbar intervertebral disk prolapse |
| topic | lumbar disk disease lumbar disk herniation lumbar fenestration discectomy microdiscectomy sciatica |
| url | https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1173 |
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