Results of lumbar microdiscectomy
Keywords:
Diskectomy, Intervertebral Disc DisplacementAbstract
Introduction: In Colombia, lumbar pain is one of the most frequent reasons of orthopedic consultation. The purpose of this work is to present the results of lumbar discectomy.
Methods: This is a retrospective case series study, performed in 70 patients who underwent surgical treatment for both clinical and radiological diagnosis of lumbar disc herniation, between November 2003 and July 2008.
Results: The mean age was 42 years, 41% were males. Mean follow-up time for the patients was 8.5 months. The average time of preoperative pain was 11.8 months. 81%, 63%, and 18% of the patients were seeing at the office for 1st, 2nd, and 3rd follow ups respectively. Pre-surgical status for sensitive symptoms arise 37% of the patients as well as 17% for motor symptoms. This study revealed improvement of the symptoms in 30% of the patients with sensitive disability and 11% for motor symptoms during the postoperative follow up. We also have found up a pain improvement in 82.4% of the patients at the first postoperative follow up. No recidives were found in our patients. The mean postoperative time for hospital discharge was 2.1 days. No major complications were presented.
Discussion: We believe that these results support the use of microdiscectomy, in a carefully selected group of patients, with disc herniation.
Downloads
References
Abramovitz JN. Lumbar disc surgery: results of the prospective lumbar discectomy. Study of the joint section on disorders of the spine and nerves of American Association of Neurological Surgeons and the Congress of Neurological Surgeons. Neurosurgery 1991; 29: 301.
Weinstein JN, Lurie JD, Tosteson TD, Tosteson AN, Blood EA, Abdu WA. Surgical versus nonoperative treatment for lumbar disc herniation four-year results for the Spine Patient Outcomes Research Trial (SPORT). Spine 2008; 33(25): 2789-800.
Rodríguez-García J, Sánchez-Gastaldo A, Ibáñez-Campos T, VázquezSousa C, Cantador-Hornero M, Expósito-Tirado JA, et al. Related factors with the failed surgery of herniated lumbar disc. Neurocirugía (Astur.) 2005; 16(6): 507-17.
Scharovsky P. Adaptación cultural y validación del cuestionario de discapacidad Roland Morris para la Argentina. Rev Iberoamericana del Dolor 2007; 3: 24-30.
Hägg O, Fritzell P, Nordwall A. Characteristics of patients with chronic low back pain selected for surgery. A comparison with the general population. A report from the Swedish lumbar spine study group. Spine 2002; 27: 1223-31.
Atlas SJ, Keller RB, Wu YA, Deyo RA, Singer DE. Long-term outcomes of surgical and nonsurgical management of sciatica secondary to a lumbar disc herniation: 10 year results from the main lumbar spine study. Spine 2005; 30(8): 927-35.
Bafikurt KZ, Acar U. One year outcome after surgery for lumbar disc herniation: a comparison of reoperated and not reoperated patients bilge. Turkish Neurosurg 2007; 17(1): 1-6.
Hägg O, Fritzell P, Nordwall A. The clinical importance of changes in outcome scores after treatment for chronic low back pain. Eur Spine J 2003; 12: 12-20.
Becerra JA. Técnica microquirúrgica para el manejo de la hernia discal lumbar en el servicio de neurocirugía del Hospital Clínica San Rafael. Neurociencias en Colombia 1999; 7(1): 39-43.
Sanderson SP, Houten J, Errico T, Forshaw D, Bauman J, Cooper PR. The unique characteristics of "upper" lumbar disc herniations. Neurosurgery 2004; 55(2): 385-9.
Jensdottir M, Gudmundsson K, Hannesson B, Gudmundsson G. 20 years follow-up after the first microsurgical lumbar discectomies in Iceland. Acta Neurochir (Wien) 2007; 149(1): 51-8.
Gardea Loera G, López Avilés M. Evolución y análisis de 202 casos de hernia discal lumbar tratados con hemilaminoforaminotomía y discoidectomía. Arch Neurocien (Mex) 2007; 12(3): 162-7.
Hernández-Pérez PA, Prinzo-Yamurri H. Análisis de las complicaciones de la cirugía de la hernia discal lumbar. Neurocirugía (Uru) 2005;16: 419-26.
Royo-Salvador MB, Sabaté C, Monteiro A, Gil R, Ruiz J, Querolt R, et al. Hernia discal lumbar en el ámbito laboral. Resultado de un análisis retrospectivo de una serie de 189 pacientes consecutivos. Rev Neurol 1998; 27(158): 574-6.
Asch HL, Lewis PJ, Moreland DB, Egnatchik JG, Yu YJ, Clabeaux DE, et al. Prospective multiple outcomes study of outpatient lumbar microdiscectomy: should 75 to 80% success rates be the norm? Neurosurgery 2002; 96(1 Suppl): 34-44.
Baltzer AW, Schulitz KP. Effect of social status on occupational reintegration after lumbar discotomy (Abstract). Orthop Ihre Grenzgeb 1997; 135(5): 381-5.
Winkler D, Günther L, Angermeyer MC. Preoperative predictors for the return to work of herniated disc patients. Kitze Neurochir 2008;69(1): 7-13.
Gaetani P, Aimar E, Panella L, Debernardi A, Tancioni F. Surgery for herniated lumbar disc disease: factors influencing outcome measures: an analysis of 403 cases. Funct Neurol 2004; 19(1): 43-9.
Vlaeyen JW, Linton SJ. Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. Pain 2000; 85: 317-32.
Straford P, Binkley J, Solomon P, Finch E, Gill C, Moreland J. Defining the minimum level of detectable change for the Roland-Morris questionnaire. Phys Ther 1996; 76(4): 359-65.
World Health Organization. International classification of impairments disabilities and handicaps. Geneva: WHO; 1980.
Dewing CB, Provencher MT, Riffenburgh RH, Kerr S, Manos RE. The outcomes of lumbar microdiscectomy in a young, active population: correlation by herniation type and level. Spine 2008; 33(1): 33-8.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Sociedad Colombiana de Cirugía Ortopédica y Traumatología.
This work is licensed under a Creative Commons Attribution 4.0 International License.
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
