Evaluation of patients operatively treated with a diagnosis of lumbar disc hernia: An epidemiological investigation

Lower back and leg pain is a common condition in the community which leads to loss of work and restricts daily life activities. About 2-3% of all painful lower back syndromes are caused by lumbar disc herniation (LDH). Surgery is performed in patients with sensory and motor deficits and the patients which are not responding to physical and medical treatment. In this study, we retrospectively evaluated the LDH patients that were operatively treated in our clinic through the review of the literature and the study was aimed to provide contribution to epidemiological studies. The retrospective study included 190 patients who were operatively treated between January 2013 and December 2015. Age, gender, level of herniation, neurological examination findings, presence of trauma, length of hospital stay, profession, recurrence, and surgical outcome were evaluated in all patients. The 190 patients included 108 (56.8%) males and 82 (43.2%) females with a mean age of 45 years. Mean length of hospital stay was 1.8 days. The level of herniation was L4-5 (51.6%), L5-S1 (32.1%) with a rate of 83.7%. Preoperative foot drop was found in 2.1% of the patients. Of these, 50% of them were improved and 50% of them sustained foot drop following the surgery. Lumbar disc herniation is one of the most common spine surgeries performed. Appropriate surgical procedure with an accurate diagnosis leads to good success rates and high patient satisfaction. Following the surgery, 122 patients were graded as "perfect", 50 patients as "good", 15 patients as "moderate", and 3 patients as "poor". These findings were consistent with the findings of the literature.

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1. Howort MB, Petrie JG. Injuries of the Spine. The Willams and Wilkins Comp. Baltimore; 1964.

2. Rothman RH, Simeone FA. Lumbar disk disease. WB Saunders Comp. London. The Spine 1975; 2: 9.

3. Davis Jr CH. Extradural Spinal cord and nerve root compression lesions of the lumbar area. WB Saunders Comp. London Neurological Surgery 1973; 2: 63.

4. Armstrong JR. E.S. Livingstone Ltd. Edinburg Lumbar Disk Lesions 1967.

5. Tunçbay E. Neurosurgery. Ege University. Medicine. Fake. Publications 1977.

6. Long DM, Filtzer DL, BenDebba M, Hendler NH. Clinical features of the failed-back syndrome. J Neurosurg 1988; 69: 61-71.

7. Greenough CG, Fraser RD. Assessment of outcome in patients with low-back pain. Spine (Phila Pa 1976) 1992; 17: 36-41.

8. Kıymaz N, Mumcu Ç, Arslan M. Assessment of the patients with back Pain and /or Leg Pain in Neurosurgery Clinics. Journal of Medicine İnvestigations 2003; 1: 9-12.

9. Strömqvist F, Strömqvist B, Jönsson B, Gerdhem P, Karlsson MK. Lumbar disc herniation surgery in children: outcome and gender differences. Eur Spine J 2016; 25: 657-663.

10. Demirbaş MA. Top-level incidence of lumbar disc herniation, clinical features, evaluation of diagnostic and therapeutic methods. Specialization thesis. Haydarpasa Numune Training and Research Hospital, 2000.

11. Blaauw G, Braakman R, Gelpke GJ, Singh R. Changes in radicular function following low-back surgery. J Neurosurg 1988; 69: 649-652.

12. Hsu K, Zucherman J, Shea W, et al. High lumbar disc degeneration. Incidence and etiology. Spine (Phila Pa 1976) 1990; 15: 679-682.

13. Akdemir H, Paşaoğlu A, Selçuklu A, Kurtsoy A, İşman L. Reoperation of lumbar disc herniations. Erciyes Medicine Magazine 1990; 12: 370-376.

14. Yıldız R, Öztaş M, Şahin MA, Yağcı G. Abdominal aortic injury due to lumbar disc surgery: A case report. Turkish Journal of surgery 2013; 29: 192-196.

15. Döşoğlu M, Iş M, Pehlivan M, Yildiz KH. Nightmare of lumbar disc surgery: iliac artery injury. Clin Neurol Neurosurg 2006; 108: 174- 177.

16. Huttman D, Cyriac M, Yu W, O'Brien JR. The unusual presentation of a vascular injury after lumbar microdiscectomy: case report. J Neurosurg Spine 2016; 24: 381-384.
Eastern Journal of Medicine-Cover
  • ISSN: 1301-0883
  • Başlangıç: 1996
  • Yayıncı: ERBİL KARAMAN
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