Реєстраційний номер
2122U008018, Матеріали видань та локальних репозитаріїв
Категорія
Текст
Назва роботи
Clinical outcomes and satisfaction in patients after lumbar microdiscectomy: A single centre study
Автор
Chaulagain Dipak
Smolanka Volodymyr
Смоланка Володимир Іванович
Smolanka Andriy
Смоланка Андрій Володимирович
Havryliv Taras
Гаврилів Тарас Степанович
Shecko Alexandr
Chaulagain Dipak
Smolanka Volodymyr
Smolanka Volodymyr Ivanovych
Smolanka Andriy
Smolanka Andrii Volodymyrovych
Havryliv Taras
Havryliv Taras Stepanovych
Shecko Alexandr
Дата публікації
01-01-2022
Постачальник інформації
Ужгородський національний університет
Першоджерело
https://dspace.uzhnu.edu.ua/jspui/handle/lib/44459
Видання
Опис
Introduction: Lumbar disc herniation is a common cause of low back and radicular
pain. Microdiscectomy is the recommended surgical technique for herniated lumbar
discs at the moment. It has great success rates and little postoperative morbidity. We
aimed to assess the clinical result and patient satisfaction of micro-discectomy in
lumbar disc herniation patients.
Methodology: This is prospective observational hospital-based research of 26
patients who had micro-discectomy at the Regional Clinical Center of Neurosurgery
and Neurology in Uzhhorod, Ukraine, during August and September 2021. The
research excluded patients with recurrent prolapsed intervertebral discs, multiple
level herniated discs, and disc surgery requiring stability. During surgery, the kind of
prolapsed intervertebral disc, its level, and the duration of the procedure were
recorded. Additionally, we recorded the duration of the patient's hospital stay and
any complications. The visual analogue scale (VAS), the Oswestry Disability Index
(ODI), and the MacNab score questionnaires were used to measure pain, disability,
and patient satisfaction, respectively.
Result: All procedures were performed on a single level using micro-discectomy. The
mean age of the study population was 45.69 years. Micro-discectomy surgeries were
performed in less than an hour in 69.2% of cases. The most often seen lumbar
prolapsed intervertebral disc occurred at the L4-L5 level (57.7%). The most often seen
kinds of prolapse were disc extrusion (30.8%) and disc sequestration (26.9%). The
mean length of stay in the hospital was 3.96 days. After surgery, 57.7% of patients
received an excellent rating on the Macnab's scale. There was a statistically significant
difference between pre- and postoperative VAS and ODI scores (p<0.05).
Conclusion: Overall 65.4% of patients had no postoperative complications. In these
instances, a proper surgical technique might help avoid problems. Our findings
demand additional investigation with bigger sample sizes and longer follow-up
periods.
Додано/оновлено в НРАТ
2026-06-13
