Abstract
Background: Prolapse of lumbar intervertebral discs (PLID) is one of the major causes of morbidity in the arena of orthopedics. Back pain or sciatica which is associated with PLID is now very common among adult population. More cautious assessment must be done to treat such patients. As a treatment method, discectomy is being used widely in treating primary and recurrent prolapse of lumbar intervertebral discs. We have very few research-oriented data regarding the effectiveness of discectomy in treating PLID. Aim of the study: The aim of this study was to assess the effectiveness of discectomy in treating PLID. Methods: This was a prospective observational study which was conducted in the department of Orthopedics, Holy Family Red Crescent Hospital Dhaka Bangladesh during the period from January to December 2019. Purposive sampling method was used in selecting study subjects. Written informed consents were taken from all the participants before data collection. In total 76 patients were included in the study as study population. All data were processed, analyzed and disseminated by using MS Office and SPSS version 23 as per necessity. Results: Among all the participants, the male-female ratio was 1.8%1. The majority portion of patients, 47% was aged between 30-39 years. Among half of total patients (n=38) radicular pain was found. Besides this, 25 had low back pain and the rest 13 patients had lower extremity numbness. Among majority of the participants, left side was involved. Besides this, among 39% patients right side and among 7% bilateral side was involved. As the final outcome regarding the severity of pain it was found that, after surgery among 93% patients occasional back pain was associated and 7% patients were fully free from pain. Conclusion: Discectomy method may be considered as an effective treatment procedure in treating patients with prolapse of lumbar intervertebral discs. But proper assessment of PLID and its situation is a vital part before ......
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