Comparative study between laminectomy and fenestration surgery in lumbar prolapsed intervertebral disc (PIVD)

  • Singh V Professor, Department of Orthopaedics, R. D. Gardi Medical College, Ujjain, (M.P), India
  • Mehta R
  • Patidar A
  • Bhinde S
  • Agrawal A
  • Jain P
  • Soni A
  • Rathore S S
  • Gupta N
Keywords: Laminectomy, Fenestration, Oswestry Disability index

Abstract

Background: Comparative study between laminectomy and fenestration surgery in lumbar prolapsed intervertebral disc (PIVD).
Material and method: In this study, 44 cases of Lumbar Prolapsed Intervertebral Disc (PIVD) were admitted and divided into two procedure groups, i.e; laminectomy and fenestration and operated via either of the procedure and the outcome after the surgery was assessed by the Oswestry Disability index (ODI).
Results: In Present study, the fenestration group’s ODI score was significantly decreased post-operatively after one month and after 6-12 months with p<0.05 with ODI values pre-operatively, post- operatively after one month and after 6-12 months with mean 28.05±4.03, 4.68±2.42 and 3.50±4.11, respectively. In present study, the laminectomy group’s ODI score was Significantly decreased post-operatively after one month and after 6-12 months with p<0.05 with ODI score values pre- operatively, post-operatively after one month and after 6-12 months with mean 30.05±4.01, 6.27±3.27 and 5.14±5.51 respectively.
Conclusion: No significant difference was found in post-operative after one month and post operative 6-12 months ODI scores between both study groups laminectomy and fenestration with p>0.05. Fenestration is advantageous over Laminectomy in perioperative parameters,i.e; less soft tissue injury, less blood loss, less duration of surgery, good spinal function, smooth patient recovery, early rehabilitation

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References

1. Nasser MJ. How to approach the problem of low back: An overview. Journal of Family Community Med. 2005 Jan-Apr; 12(1):3-9. Izzo R
2. Popolizio T, D'Aprile P, Muto M. Spinalpain.Eur J Radiol. 2015 May; 84(5):74
3. Anderson GBJ. Epidemiological features of chronic low-back pain. Lancet. 1999 Aug14; 354(9178):581-5.
4. Croft PR, Macfarlane GJ, Papageorgiou AC, Thomas E, Silman AJ. Outcome of low back pain in general practice: a prospective study. BMJ.1998 May 2; 376(7141); 1356-9.
5. Spitzer WO, LeBlanc FE, Dupuis M. Scientic approach to the assessment and management of activity-related spinal disorders: A monograph for physicians. Report of the Quebec Task Force on Spinal Disorders. Spine.1987; 12 S
6. Adams MA, Roughley PJ. What is intervertebral disc degeneration, and what causes it? Spine. 2006 Aug 15; 31(18):2151-61.
7. Deyo RA, Weinstein et al. Low back pain. N Engl J Med. 2001; 344: 1644-45.
8. Hughes SPF, Freemont AJ, Hukins DWL, McGregor AH, Roberts S. The pathogenesis of degeneration of the intervertebral disc and emerging therapies in the management of back pain. The Journal of Bone and Joint Surgery.2012 Oct; 94-B (10):1298-1304.
9. Nachemson AL. Newest knowledge of low Back pain. A critical look Stockholm: The Swedish Council of Technology Assessment in Health Care. ClinorthopRelat Res. 1992 Jun; (279):8-20.
10. Vroomen PC, de Krom MC, Knottnerus JA. Diagnostic value of history and physical examination in patients suspected of sciatica due to disc herniation: a systematic review. J Neuro
11. ICD-9-CM (International Classification of Diseases, Ninth Revision, Clinical Modification), [http://www.mdguidelines.com/ laminectomy-or-lamin.]
12. Love JG. Root pain resulting from intraspinal protrusion of vertebral discs: diagnosis and treatment. J Bone Joint Surg.1939; 19:776-80.
13. Parisa Azimi1*, Hassan-Reza Mohammadi1, Hossein Nayeb- Aghaei1 , Shirzad Azhari1 , Hossein Safdari, Ghandehari1 , Sohrab Sadeghi,” Functionality Status and Surgical Outcome of Fenestration versus Laminotomy Discectomy in patients with lumbar disc herniation. IrJNS. 2015;1(1)
14. Davis RA. A long-term outcome analysis of 984 surgically treated herniated lumbar discs. Journal of neurosurgery. 1994; 80(3):415- 21.
15. Method Deepak C D1 , Abdul Ravoof2 , Manjappa CN2 , Vijay C3, Jobin Alex Mohan4, “Role of Open Discectomy in the Management of Lumbar Disc Prolapse by Fenestration (Laminotomy)”, International Journal of Health Sciences & Research (www.ijhsr.org) 98 Vol.4; Issue: 4; April 2014
16. Mohammad Aslam1, Fauzia Rehman Khan2, Najmul Huda3, Ajay Pant3, Mohd. Julfiqar1, Akshat Goel4,” Outcome of Discectomy by Fenestration Technique in Prolapsed Lumbar Intervertebral Disc”, Annals of International Medical and Dental Research, Vol (1), Issue (3).
17. Nagi ON, Sethi Anil, Gill SS. Early results of discectomy by fenestration technique in lumber disc prolapsed. Indian Journal of Orthopaedics. 1985:19(1):15-19
18. Nahar K, Srivastava RK. Prospective study of prolapsed lumbar intervertebral disc treatment by fenestration. Int J Res Med. 2013; 2(2); 170-173.
19. Ganz JC. Lumbar spinal stenosis: Postoperative results in terms of preoperative posture-related pain. J Neurosurg. 1990;72:71-4 13.
20. Herron LD, Mangelsdorf C. Lumbar spinal stenosis: Results of surgical treatment. J Spinal Disord. 1991;4:26-33.
21. Richard A, Davis MD. A long-term outcome analysis of 984 surgically treated herniated discs. J Neurosurg. 1994; 80(3):415-21
22. Pappas CT, Harrington T, Sonntag VK. Outcome analysis in 654 surgically treated lumbar disc herniations. Neurosurgery. 1992; 1,30(6):862-6
23. Dr.Kumaravel. S, D, “Outcome analysis of fenestration discectomy in symptomatic young lumbar disc disease patients”, IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279- 0853, p-ISSN: 2279-0861.Volume 19, Issue 8 Ser.9 (August. 2020), PP 50-55
Published
2023-07-31
How to Cite
1.
Singh V, Mehta R, Patidar A, Bhinde S, Agrawal A, Jain P, Soni A, Rathore S S, Gupta N. Comparative study between laminectomy and fenestration surgery in lumbar prolapsed intervertebral disc (PIVD). ojmpc [Internet]. 2023Jul.31 [cited 2024Apr.29];29(01). Available from: https://ojmpc.com/index.php/ojmpc/article/view/172
Issue
Vol 29 No 01 (2023): JAN-JUN
Section
Original Article

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