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Volume 13 Issue 3 (March) 2024

Original Articles

A study to assess the surgical outcome of treating lumbar disc prolapse (LDP): An observational study
Dr. Chirag Kotwal, Dr. Mehulkumar Chandana, Dr. Chahan Pandya, Dr. Kashyap Maheshwari, Dr. Gunjan Patel

Aim: The present study aimed to assess the surgical outcome of treating Lumbar Disc Prolapse (LDP). Methods: The prospective study was conducted in the Department of Orthopaedics during a 2-year period. Out of 110 cases selected for the study, 100 were included since they were viable, while the remaining 10 were lost during follow-up. Male and female patients aged 18-70 with a prolapsed lumbar intervertebral disc admitted to the Department of Orthopaedics. Results: The patients ranged in age from 19 to 65 years, with an average of 40.8±12.0 years. Male patients averaged 37.3 years old with a standard deviation of 12.8, whereas female patients were 38.7 years old with 15.5. The mean age of female patients was slightly higher than males, but not significantly (p>0.05). Patients were most likely to be over 40 (39%), followed by 21-30 (27%), 31-40 (25%), and under 20 (9%). Clinical assessment showed that 49% of patients had L5 sensory impairment and 19% had S1 sensory loss. 32 people (32%) retained sensory function. Out of 100 patients, 54% had disc prolapse at L4-L5, 32% at L5-S1, 6% at both, and 8% at L4-L5 and L3-L4. Conclusion: The study determined that treating prolapsed lumbar intervertebral disc with laminotomy and discectomy is an effective therapeutic strategy that decreases complications and improves the likelihood of a successful outcome.

 
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