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Short Clinical Outcome of Microscope Assisted Discectomy


Affiliations
1 Iraqi Board for Medical Specializations, Iraq
2 Assistant Professor, Consultant Orthopedic Surgeon, College of Medicine, Hawler Medical University, Iraq
     

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Objective: Determine the effectiveness of microscopic assisted discectomy and its application for the patient with disc disease, its efficacy, and its pitfalls. Materials and Method: A prospective study conducted on 90 patients, which they reviewed prior to the operation by using Oswestry disability index (ODI) and visual analog score (VAS) for the back and leg pain, followed up on a period of 6 months by using the same method which they have been reviewed, all of the patient were operated on by microscopic assisted microdiscectomy discharge on the same day or the day after the procedure. Results: There was a major improvement of back and leg pain by using VAS, the overall improvement in VAS for back pain was 4.43 points (p-value <0.001) and improvement in VAS for leg pain was 4.51 (p-value <0.001), while the improvement in ODI was 34.85 (p-value <0.001). Conclusion: Microscopic assisted microdiscectomy offered a successful solution for common health issue with the advantage of small wound better cosmetics, low adverse effect and early rehabilitation and return to daily activity and resume individual function and productivity, good preoperative planning and selection of patient with the meticulous procedure and post-operative care can offer supreme results.

Keywords

Clinical outcome, microscopic assisted, discectomy, disc herniation, Oswestry index
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  • Short Clinical Outcome of Microscope Assisted Discectomy

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Authors

Ali Mohammed Abdulhameed
Iraqi Board for Medical Specializations, Iraq
Sherwan A. Hamawandi
Assistant Professor, Consultant Orthopedic Surgeon, College of Medicine, Hawler Medical University, Iraq

Abstract


Objective: Determine the effectiveness of microscopic assisted discectomy and its application for the patient with disc disease, its efficacy, and its pitfalls. Materials and Method: A prospective study conducted on 90 patients, which they reviewed prior to the operation by using Oswestry disability index (ODI) and visual analog score (VAS) for the back and leg pain, followed up on a period of 6 months by using the same method which they have been reviewed, all of the patient were operated on by microscopic assisted microdiscectomy discharge on the same day or the day after the procedure. Results: There was a major improvement of back and leg pain by using VAS, the overall improvement in VAS for back pain was 4.43 points (p-value <0.001) and improvement in VAS for leg pain was 4.51 (p-value <0.001), while the improvement in ODI was 34.85 (p-value <0.001). Conclusion: Microscopic assisted microdiscectomy offered a successful solution for common health issue with the advantage of small wound better cosmetics, low adverse effect and early rehabilitation and return to daily activity and resume individual function and productivity, good preoperative planning and selection of patient with the meticulous procedure and post-operative care can offer supreme results.

Keywords


Clinical outcome, microscopic assisted, discectomy, disc herniation, Oswestry index



DOI: https://doi.org/10.37506/v11%2Fi2%2F2020%2Fijphrd%2F194950