Online ISSN: 2515-8260

Keywords : Lumbar disc herniation

A prospective study of outcome of surgical management of patients presenting with lumbar disc herniation by open discectomy

Dr.Manoj Kumar Ramachandraiah,Dr.Ravi Kumar Naganur

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 2411-2414

Lumbar intervertebral disc herniation is one of the main causes of low back ache and sciatica,
which might incapacitate a person. There are many techniques available for treating lumbar
disc herniation. But conventional standard open discectomy is still the most acceptable
method today. Numerous retrospective and some prospective reviews of open disc surgeries
are available. These studies have reported excellent results in 46 to 97% of the patients.30
Cases of lumbar disc herniation which have been treated by open discectomy, satisfying
inclusion and exclusion criterias, admitted in Hospital were studied. Preoperative and
postoperative scores were taken and the rate of improvement in terms of percentage was
calculated using Japanese Orthopaedic Association Low Backache score.In our study we
achieved 90% good results, 6.67% fair results, poor outcome of 3.33%, and the results were
comparable to other studies.There are many techniques for treatment of lumbar disc
herniation but conventional standard open discectomy is still the most acceptable method for
the Indian scenario

Regression of Lumbar Disc Herniation Following Non-surgical Treatment

Eric Chun-Pu Chu; Divya Midhun Chakkaravarthy; Fa-Sain Lo; Amiya Bhaumik

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 27-29

Symptomatic disc herniation is the most common disc pathology and can result in substantial disability and poor quality of life. Here, we present a male patient who was diagnosed as having lumbar disc herniation at L3/L4 and L4/L5 levels with nerve root entrapment. The patient sought chiropractic treatment for severe back pain which lead to trouble walking. After 7 months of a medical/chiropractic intervention, complete pain relief and recovery of muscle weakness were achieved. At 11-month follow-up, the regression of the herniated discs was documented on MR imaging. This case presentation aims to raise a reappraisal of our knowledge of intervertebral disc herniation in regard to the natural history, the components of herniated material and possible mechanisms behind hernia regression, which holds the key to treating this problem. Through the translation of research evidence into practice, current guidelines recalibrate instructions on the diagnosis and treatment of symptomatic disc herniation.