Comparison of open v/s microscopic tubular discectomy at single level lumbar or lumbosacral spine in prolapsed inter vertebral disc patients

  • Singh V Professor, Department of Orthopaedics, R. D. Gardi Medical College, Ujjain, (M.P), India
  • Mehta R R D gardi Medical, College, Ujjain, India
  • Sherlekar S R D gardi Medical, College, Ujjain
  • Patidar A R D gardi Medical, College, Ujjain, India
Keywords: PIVD, Microdiscectomy, Tubular microdiscectomy, Open discectomy

Abstract

Introduction: Clinical outcomes of using microscopic tubular discectomy for lumbar or lumbosacral disc herniation were evaluated by comparison with open discectomy.

Materials and Methods: As per study criteria 32 patients with low back pain with unilateral radicular pain was included in this study. After admission of patients a detailed, careful history was taken. Patient was assessed clinically to evaluate general condition; vitals were recorded and spine examination was done and radiological assessment was also done.

Result: This study includes total 32 patients undergone microscopic discectomy (16pt) and open discectomy (16 pt). In this study results showed that using tubular microdiscectomyfor lumbar or lumbosacral disc herniation was more effective than open discectomy in improving visual analogue scale score (VAS) (p<0.05) and Oswestry Disability Index (ODI) (p<0.05).

Conclusion: Based on our study it was found that tubular microdiscectomy group has better outcomes than open discectomy group in terms of visual analogue scale score (VAS) and Oswestry Disability Index (ODI). current research suggests that tubular microdiscectomy can achieve clinical results similar to those of open discectomy.

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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. Sha’Ban M., Yoon S.J., Ko Y.K., Ha H.J., Kim S.H., So J.W., Idrus R.B.H., Khang G. Fibrin Promotes Proliferation and Matrix Production of Intervertebral Disc Cells Cultured in Three-dimensional Poly(lactic-co-glycolic acid) Scaffold. J. Biomater. Sci. Polym. Ed. 2008;19:1219–1237.
11. Zhang, T., Guo, N., Wang, K. et al. Comparison of outcomes between tubular microdiscectomy and conventional microdiscectomy for lumbar disc herniation: a systematic review and meta-analysis of randomized controlled trials. J Orthop Surg Res 18, 479 (2023). https://doi.org/10.1186/s13018-023-03962-8
12. Gupta P. Comparison between Tubular Discectomy and Open Microdiscectomy surgery for Symptomatic Lumbar Disk Herniation.2003
13. Yasseen MA, Alobaidi M. A Comparison of Tubular Minimal Invasive Surgery and Conventional Surgery in The Treatment of Patients Suffering from Single Level Lumber Disc Herniation (Short Term Follow Up). Kufa Medical Journal. 2022 Dec 15;18(2):115-2
14. Hamawandi SA, Sulaiman II, Al-Humairi AK. Open fenestration discectomy versus microscopic fenestration discectomy for lumbar disc herniation: a randomized controlled trial. BMC Musculoskelet Disord. 2020 Jun 15;21(1):384. doi: 10.1186/s12891-020-03396-x. PMID: 32539752; PMCID: PMC7296743.
15. Li, Xianbo MDa; Chang, Hengrui MDb; Meng, Xianzhong MDa,* Editor(s): Ding., Jianxun: Tubular microscopes discectomy versus conventional microdiscectomy for treating lumbar disk herniation Systematic review and meta-analysis Accepted January 16, 2018 Medicine 97(5):p e9807, February 2018.
16. Overdevest GM, Peul WC, Brand R, Koes BW, Bartels RH, Tan WF, Arts MP; Leiden-The Hague Spine Intervention Prognostic Study Group. Tubular discectomy versus conventional microdiscectomy for the treatment of lumbar disc herniation: long-term results of a randomised controlled trial. J Neurol Neurosurg Psychiatry. 2017 Dec;88(12):1008-1016. doi: 10.1136/jnnp-2016-315306
17. Hermantin FU, Peters T, Quartararo L, Kambin P. A prospective, randomized study comparing the results of open discectomy with those of video-assisted arthroscopic microdiscectomy. J Bone Joint Surg Am. 1999;81:958–965.
Published
2024-12-31
How to Cite
1.
Singh V, Mehta R, Sherlekar S, Patidar A. Comparison of open v/s microscopic tubular discectomy at single level lumbar or lumbosacral spine in prolapsed inter vertebral disc patients. ojmpc [Internet]. 2024Dec.31 [cited 2024Dec.21];30(2):55-9. Available from: https://ojmpc.com/index.php/ojmpc/article/view/193
Issue
Vol 30 No 2 (2024): Jul-Dec
Section
Original Article
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