EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57

Abstract

OUTCOME OF MANAGEMENT OF PROLAPSED LUMBAR INTERVERTEBRAL DISC (PLID) BY LAMINOTOMY AND DISCECTOMY

Dr. Md. Mizanur Rahman*, Dr. Md. Shahidul Islam Akon, Dr. Md. Noor Islam, Dr. Mohammad Kamal Hossain, Dr. Md. Nazmul Huda, Dr. Md. Harun-Or-Rashid and Dr. Md. Ashik Salauddin

ABSTRACT

Background: Lumbar intervertebral disc prolapse is a common problem that is encountered by spinal surgeon. Medical treatment is usually the first line on management. Surgical approaches are preserved to cases with failure of conservative treatment or those with overt neurological deficits. There is no uniform agreement among surgeons about the optimal treatment. Objective: To evaluate the results of laminotomy and discectomy for the treatment of prolapsed lumbar intervertebral disc (PLID). Materials and Methods: This is a prospective observational study was conducted for two years at Dhaka Medical College Hospital, Dhaka between July 2016 to June 2018 with total number of twenty of prolapsed lumbar intervertebral disc (PLID) patients who underwent lumbar decompression by laminotomy and discectomy. Regular follow up was done for each patients at least 6 months after operation to assess the functional outcome by Macnab criteria, VAS and ODI. Results: The mean±SD age was 42.59±8.17 years, range 32-60 years, 79% male and 21% female patients. Maximum number of 48% of patients were in the age group between of 31 to 40 years. Majority (69%) of patients had disc prolapse at level L4/5 followed by 17.2% at L5/S1 level. Outcome, according to modified Macnab criteria, 79.3% of patients had excellent result, 13.8% good and 6.9% fair and no patient had poor outcome. Conclusion: This is study showed favorable outcome following laminotomy and discectomy for lumber disc prolapse.

Keywords: Prolapsed lumbar, laminotomy, discectomy.


[Full Text Article]

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI )