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Microlumbar discectomy state of art treatment for prolapsed lumbar intervertebral disc

P S Ramani1, A Chagla1

  • 1Department of Neurosurgery, L. T. M. G. Hospital, Mumbai- 400 022, India.

Neurology India
|March 16, 2018
PubMed

Insights

Microlumbar discectomy effectively treats prolapsed lumbar intervertebral discs with a 98% success rate for sciatic pain relief. This minimally invasive procedure shows superior outcomes compared to standard laminectomy.

Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Spinal Surgery

Background:

  • Prolapsed lumbar intervertebral disc is a common condition requiring effective treatment.
  • Microlumbar discectomy represents an advanced surgical approach for this pathology.

Purpose of the Study:

  • To evaluate the efficacy and safety of microlumbar discectomy.
  • To compare outcomes with standard laminectomy.

Main Methods:

  • Retrospective review of 250 consecutive microlumbar discectomy cases.
  • Analysis of complication rates, re-operation rates, and patient outcomes.

Main Results:

  • 98% of patients experienced relief from sciatic pain.
  • L4/5 was the most frequent surgical level; bilateral procedures were exclusively at L4/5.
  • Low complication and re-operation rates (2.4%).

Conclusions:

  • Microlumbar discectomy is a safe and highly effective treatment for prolapsed lumbar intervertebral discs.
  • Its efficacy decreases in patients over 50 due to co-existing pathologies.
  • Overall results are superior to standard laminectomy.

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