To study functional outcome of single level discectomy by fenestration method in lumber disc prolapse- A prospective study

Abstract

: Low backache pain affects every population and is one of the most common clinical symptoms encountered in medical practice. Approximately 70 - 80% of people have experienced low back pain at some point of time in life. The annual prevalence of low back pain ranges from 15-45%. The major cause of low back pain leading to severe morbidity throughout the world that affects mainly the young working-class population is lumbar disc prolapsed. Various retrospective and some prospective reviews of fenestration disc surgeries orthopaedicvary greatly, with good results ranging from 46-97% and a reoperation rate of 09%. The present study was conducted to evaluate the results of single-level discectomy by fenestration method in Lumbar disc prolapse. Total thirty cases of lumber disc prolapsed treated with fenestration and discectomy satisfying inclusion and exclusion criteria treated in the Facility based tertiary care centre department of Orthopedics of Dr. S. N. Medical College and associated group of hospital, Jodhpur were studied.In our study,Out of 30 patients majority of 25 (83.3%) patients showed good outcomes, followed by 04 (13.33%) patients had fair outcomes, and 01(3.33%) patient had poor outcomes. Total complications are 4 (13.33%), and the most common complication is superficial wound infection 2 (6.67%). By considering all aspects, fenestration, and discectomy is a better technique with the advantage of less tissue injury, good spinal function, smooth patient recovery, improved working status with early rehabilitation and maintained clinical efficacy