An assessment of lumbar interverterbral disc prolapse surgery at northern part of Bangladesh

Abstract

Introduction: Prolapse of lumbar intervertebral discs (PLID) is a major cause of morbidity. Back pain and sciatica are very common in adult persons. More careful assessment must be done to treat these patients. Injudicious treatment, whether medical or surgical, may aggravate the sufferings. Objective: This study aim was to assess the Lumbar Interverterbral Disc Prolapse (PLID) surgery at northern part of Bangladesh. Material & Methods: This was a descriptive type of study. The study period extends from October 1, 2017 to September 30, 2019 (Two years). The study was carried out in the Department of Orthopaedic Surgery, Shaheed Ziaur Rahman Medical College Hospital (SZMC), Bogura, Bangladesh. We used purposive sampling method. Among the total study population 74 (70.48%) were male and 31 (29.52%) were female. Age range was 20-59 years. Written informed consent was obtained in favor of all the participants before enrolling into the study. Results: A total of 105 patients were operated and observed periodically in outdoor. Most of them 70.48% of them were male. Majority 45.72% were aged between 30-39 years, 35.24% were in between 20-29 years age, 15.24% were in between 40-49 and 3.80% were aged between 50-59 years. preoperative symptomatology majority 47.62%) had radicular pain, 35.24% had low back pain and 17.14% patients had lower extremity numbness. Distribution of level of disk prolapse majority 55.25% were in between L4-L5 level. Outcome of operation where majority 92.38% of the patient had no pain. Conclusion: PLID surgery is not a routine surgery. Proper assessment of the patient must be done before going to operation