The Outcome of Lumber Microdiscectomy

Abstract

Introduction: Low back pain (LBP) is the most common health problem between men and women between 20 and 50. Although most LBP's exact origin remains unknown, it is understood that degenerative damage to the intervertebral disk (IVD) plays a central role in the pathogenic mechanism leading to back pain. The study aims to study the incidence, clinical features, and presentations of the lumbar disc prolapse and clinical outcome of lumbar microdiscectomy for a period of 1 year post operatively. Methods: 28 male's patient and 22 female patients qualified. The data were obtained by direct interrogation and clinical examination. The information that was taken from the patients includes the patient's age, gender, occupation, and chief complaint, history of present illness, and neurological signs and symptoms. Plain X-ray of the lumbosacral spine obtained for each patient in anteroposterior, lateral view and stress views. Results: 15 male patients (53.5%) and eight females (36.3%). The most common site for the prolapsed disc was L4-L5 (58%); the next common site was L5-S1 (38%), backache was the most common presenting symptoms. It presents in all 50 patients (100%). Sciatica present in 45 patients (90%), in 13 patients the radiation of the pain was to the right leg, whereas 26 patients have radiation of pain to the left leg and six patients have bilateral radiation, 45 patients (90%) of total 50 patients complaint from backache recovered,36 patients (86.7%) of real 45 patients compliant from sciatica improved, paresthesia represented in 32 patients (64%) and 28 patients (87.5%) of them recovered, whereas 16 patients (32%) had motor weakness and 12 patients (75%) recovered. Conclusion: Lumbar microdiscectomy may be associated with a more rapid initial recovery in patients with sciatica; most patients had good outcomes with lumbar microdiscectomy.