Abstract

The purpose of the present research was to assess the comparison in case of lumbar disc herniation cases related to the outcomes of decompression versus transpedicular screw fixation surgeries.
Methodology: Thirty patients with recurrent disc prolapse were included and divided into two equal groups. Group A: interbody fusion with transpedicular screw, and Group B: decompression alone). All were evaluated by history taking, clinical examination and laboratory and radiological investigations. Pain assessed by visual analogue scale and disability index used to assess associated disability. Intraoperative data were document and patients followed up postoperatively for six months, by the same methods used for preoperative evaluation.
Results: Both groups were comparable regarding all studied variables, except significant increase of symptoms duration in group A than group B (4.45 ± 1.09 vs 3.28 ± 0.924 months, respectively). Also, there was significant low back pain reduction in A than B group (1.23 ± 0.586 vs 1.72 ± 0.643), at the six months of follow up. Finally, in both groups, low back and radicular pain was significantly reduced when compared to preoperative values.
Conclusion: The use of transpedicular screw fixation for the management of recurrent disc prolapse is an effective, and safe management option. It associated with more low back pain reduction.