Background: Back pain is considered as one of the most unrewarding problems in clinical medicine. There have existed several etiologies for the same and most of them do not have an ideal clinical presentation. Only those syndromes associated with neurologic compression of the cauda equina or nerve roots, have reasonably well understood clinical presentation.
Aims: The aim of the study was to analyse and compare the functional outcome of laminectomy and discectomy in lumbar intervertebral disc prolapse in short and long term follow up.
Materials and methods: Our study included a total of 50 diagnosed cases of lumbar intervertebral disc prolapse between age group of 40-70 years. The patients were subdivided into two groups. The first group was a retrospective group and included patients who had undergone laminectomy and discectomy between January 1993 and December 2003 with an average follow up of 3.68 years. Group two (prospective group) consisted of patients between January 2004 and December 2004 who underwent laminectomy and discectomy, with a follow up of 6 months.The subjective assessment was done using the Oswestry disability index (O.D.I). the results obtained with assessment of group I and group II were tabulated compared. Statistical analysis was done using the chi square test.
Results: The results were noted to be 76% excellent, 8% good and 16% with poor scores in group I. 96% with excellent, no patients with good scores and 4% with poor scores in group II as per the O.D.I.
Conclusion: We conclude saying that laminectomy and discectomy had excellent outcome in terms of pain relief in terms of long term and short term follow up.
Kienbock's disease also known as Lunatomalacia is a rare disorder involving the lunate. Damage to the lunate can lead to pain, stiffness, and in late stages, arthritis of the wrist. This disease is most common in men between the ages of 20 and 40 and rarely affects both wrists. Here we present a 35 year old male manual labourer who presented to our department with complaints of progressive pain and stiffness of his dominant wrist.Radiographically he was diagnosed to have Lichtmann class IIIA Kienbock's disease of the left wrist. He was managed with analgesics and wrist physiotherapy. On a review at three months he had an acceptable range of motion of the wrist he was symptom free.This article presents our patients history, radiological findings and management.
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