Outcome of Surgical Treatment for Lumber Disc Herniation Causing Painful Incomplete Foot-Drop

Khan, Musawer; Ullah, Akram; Ahmed, Adnan; Ali, Mumtaz; Ahmad, Mansoor

doi:10.36552/pjns.v24i3.398

Cited by 2 publications

(1 citation statement)

References 8 publications

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“…Similar findings have been reported in previous studies. 16,17 A study conducted in Pakistan by Sheikh et al reported good results in 84%, and satisfactory results in 16%, while there was no patient with poor results. 18 Previously conducted study in Nepal by Yadav et al reported very good and satisfactory results in 70.6% cases while poor results were noted in 15.7% cases.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Fenestration Technique for Lumbar Disc Excision in Pain Relief

Arif,

Shahid,

Afzal

et al. 2023

PJMHS

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Objective: To determine the outcomes of lumbar disc excision by fenestration technique for pain relief in lumbar radiculopathy due to prolapsed intervertebral disc. Methodology: This is a descriptive study conducted in a joint venture of orthopedic and neurosurgeons in a private hospital of Lahore. Study was completed in six months duration from July to December 2022. All patients presenting with lower back pain, straight leg raise test positive on <60 degrees and prolapsed disc at the level of L4/L5 or L5/S1 L discs on MRI. Those with multilevel disc prolapse, previous history of spinal surgery, cauda equine syndrome and patients with lumbar stenosis were excluded from the study. All study patients were operated under general anesthesia in knee chest position. Efficacy of the procedure was determined using Dennis Pain Scale. Important findings were documented when patient was discharged. SPSS version 20 was used for statistical analysis. Results: 125 patients were studied including 73(58.4%) males and 52(41.6%) females. Patients with the age of 20-60 years were included in this study with the mean age of 47.3 ± 5.2 years. Most commonly involved disc level was L4-L5 in 77(61.6%) and L5-S1 in 48(38.4%) cases. Unilateral radicular pain was present in 94(75.2%) cases and bilateral pain was present in 31(24.8%) cases. According to Dennis Pain Scale out of 125 cases 78(62.4%) patients presented in Dennis pain scale P4 and among them complete recovery achieved in 70(89.7%) cases. Conclusion: Surgical intervention is necessary in selected patients with prolapsed intervertebral disc with chronic unilateral or bilateral radicular pain. Fenestration technique for disc excision is a very good procedure for prolapsed disc. Keywords: Sciatica, Disc Excision, Prolapsed Disc, Radiculopathy

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Section: Discussionmentioning

confidence: 99%

Efficacy of Fenestration Technique for Lumbar Disc Excision in Pain Relief

Arif,

Shahid,

Afzal

et al. 2023

PJMHS

View full text Add to dashboard Cite

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Prevalence, Risk Factors and Functional Disability Related to Foot Drop In Lumber Degenerative Diseases

Gulzar

Arif

Islam

et al. 2022

PJHS

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In recent years, foot drop and lumber degenerative changes have become increasingly prevalent. These changes can be serious, necessitating immediate medical attention. Objective: To identify any risk factors that may be increasing patients' chances of experiencing foot drop and to observe functional disabilities related to foot drop including pain, foot wear, gait and foot posture. Methods: Data was collected through standardized tool to assess status of affected foot in lumber degenerative diseases. Variables which were considered in this tool are status of pain of the patient by asking directly to the person, any foot orthosis usage by the patient, daily activity status of the patient, range of motion of the foot, Results: Twenty participants (7.4%) were between the ages of 65 and 75; 154 (55.6%) were between the ages of 55 and 65; 63 (23.2%) were between the ages of 45 and 55; 26 (9.6%) were between the ages of 35 and 45; and nine (3.3%) were between the ages of 25 and 35. There were 193 (70.7%) participants with outstanding feet, 46 (16.8%) with good feet, 7 (2.6%) with fair feet, and 26 (9.5%) with terrible feet. Conclusions: The majority of participants (90,4%) fall into the excellent, decent, and fair categories and don't exhibit any foot drop. The prevalence of foot drop was precisely 9.55%.

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Outcome of Surgical Treatment for Lumber Disc Herniation Causing Painful Incomplete Foot-Drop

Cited by 2 publications

References 8 publications

Efficacy of Fenestration Technique for Lumbar Disc Excision in Pain Relief

Efficacy of Fenestration Technique for Lumbar Disc Excision in Pain Relief

Prevalence, Risk Factors and Functional Disability Related to Foot Drop In Lumber Degenerative Diseases

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