Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Comparative Evaluation of Functional Outcome of Discectomy Versus Discectomy with Posterior Lumbar Interbody Fusion for Treatment of Lumbar Disc Herniation
Abhinav Kishore, Aditya Jha, Pavan Kumar and Nand Kumar
Page: 366-370 | Received 18 May 2024, Published online: 10 Jul 2024
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Abstract
Lumbar disc herniation frequently causes lower back pain and radiculopathy, impacting individuals' quality of life. Discectomy, the traditional surgical treatment, effectively relieves symptoms but may not address post‐operative spinal instability. To improve long‐term outcomes, posterior lumbar interbody fusion (PLIF) is sometimes combined with discectomy. This study aims to compare the functional outcomes of discectomy alone versus discectomy with PLIF for treating lumbar disc herniation. This comparative study was conducted at Madhubani Medical College over two years, among 60 patients diagnosed with lumbar disc herniation. Patients were divided into two groups: 30 each in standard discectomy and discectomy with PLIF. Patients aged 18‐65 years with confirmed lumbar disc herniation and significant radiculopathy, having failed conservative management for at least six weeks wer included for the study. Functional outcomes were assessed using the modified Oswestry Disability Index (mODI), Sciatica Bother Somesness Index (SBI), modified McNab’s criterion and VAS scores for back and leg pain. No significant differences were found in demographic data or duration of follow‐up between the groups. VAS scores for back and leg pain, mODI scores and SBI scores showed no significant differences between the groups. McNab’s Scores indicated no statistically significant difference, with excellent outcomes in 80.0% of discectomy patients and 63.3% of PLIF patients. The study found no significant differences in functional outcomes between discectomy alone and discectomy with PLIF. Both treatments offered similar pain relief and functional recovery, indicating that discectomy alone is a viable treatment option for lumbar disc herniation.
How to cite this article:
Abhinav Kishore, Aditya Jha, Pavan Kumar and Nand Kumar. Comparative Evaluation of Functional Outcome of Discectomy Versus Discectomy with Posterior Lumbar Interbody Fusion for Treatment of Lumbar Disc Herniation.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.8.366.370
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.8.366.370