Quality of life after lumbar microsciopic discectomy
Introduction Lumbar disc herniation also known as prolapsed intervertebral disc is one of the well-known causes of low back pain. Among various modalities of treatment, surgery is often kept as the last resort when conservative treatment fails. Conventional surgical methods have been replaced by...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
NESON
2021-03-01
|
Series: | Nepal Journal of Neuroscience |
Subjects: | |
Online Access: | https://www.nepjol.info/index.php/NJN/article/view/34941 |
id |
doaj-fe99111d891e483cafc9b26ad28e0f3a |
---|---|
record_format |
Article |
spelling |
doaj-fe99111d891e483cafc9b26ad28e0f3a2021-03-01T09:43:53ZengNESONNepal Journal of Neuroscience1813-19481813-19562021-03-01181333810.3126/njn.v18i1.3494134941Quality of life after lumbar microsciopic discectomySagar Koirala0Subhash Lohani1Suresh Bishokarma2Sharad Koirala3Pratyush Shrestha4Neurosurgery, Upendra Devkota Memorial National Institute of Neurological and Allied Sciences, Kathmandu, NepalNeurosurgery, Upendra Devkota Memorial National Institute of Neurological and Allied Sciences, Kathmandu, NepalNeurosurgery, Upendra Devkota Memorial National Institute of Neurological and Allied Sciences, Kathmandu, NepalCommunity Medicine, Gandaki Medical College, NepalNeurosurgery, Upendra Devkota Memorial National Institute of Neurological and Allied Sciences, Kathmandu, NepalIntroduction Lumbar disc herniation also known as prolapsed intervertebral disc is one of the well-known causes of low back pain. Among various modalities of treatment, surgery is often kept as the last resort when conservative treatment fails. Conventional surgical methods have been replaced by minimally invasive surgeries like microscopic, endoscopic and percutaneous lumbar discectomy in the hopes of decreasing post-operative pain. However, it is not uncommon for patient to have residual pain even after discectomy. Patients also complains of reduced quality of life (QOL). SF-36 is a standardized questionnaire for measuring QOL. Few studies have used this questionnaire to look into QOL of these patients but no such study is available in Nepalese perspective. Materials and Methods A prospective cross-sectional study was conducted among all patients undergoing single level unilateral microscopic lumbar discectomy in Upendra Devkota Memorial National Institute of Neurological Sciences from February 1st 2017 to January 31 2018. After taking informed consent, subjects were asked to respond to the preformed questionnaire and SF-36 survey. Interviews were individually conducted by the same investigator at two different time points: i) before lumbar discectomy. ii) 3 months after lumbar discectomy. QOL scores before and after were compared. Results Total of 50 patients meeting the inclusion criteria were studied. The mean age of the study group was 38.7 ± 9.9 years with male preponderance of 76%. The median duration of exacerbation of symptoms was 4 weeks. Along with pain, 64% had sensory deficit whereas 52% had motor deficit. Surgery led to significant improvement in pain score as well as marked improvement of SF 36 quality of life score at 3 months of surgery. However, age, gender, duration of symptoms or presence of sensory or motor deficit before surgery did not predict improvement in overall QOL. Conclusion Patients undergoing microscopic lumbar discectomy for prolapsed intervertebral disc have significant improvement in pain score and QOL after 3 months of surgery.https://www.nepjol.info/index.php/NJN/article/view/34941microscopic lumbar discectomyprolapsed intervertebral discquality of lifesf-36 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sagar Koirala Subhash Lohani Suresh Bishokarma Sharad Koirala Pratyush Shrestha |
spellingShingle |
Sagar Koirala Subhash Lohani Suresh Bishokarma Sharad Koirala Pratyush Shrestha Quality of life after lumbar microsciopic discectomy Nepal Journal of Neuroscience microscopic lumbar discectomy prolapsed intervertebral disc quality of life sf-36 |
author_facet |
Sagar Koirala Subhash Lohani Suresh Bishokarma Sharad Koirala Pratyush Shrestha |
author_sort |
Sagar Koirala |
title |
Quality of life after lumbar microsciopic discectomy |
title_short |
Quality of life after lumbar microsciopic discectomy |
title_full |
Quality of life after lumbar microsciopic discectomy |
title_fullStr |
Quality of life after lumbar microsciopic discectomy |
title_full_unstemmed |
Quality of life after lumbar microsciopic discectomy |
title_sort |
quality of life after lumbar microsciopic discectomy |
publisher |
NESON |
series |
Nepal Journal of Neuroscience |
issn |
1813-1948 1813-1956 |
publishDate |
2021-03-01 |
description |
Introduction
Lumbar disc herniation also known as prolapsed intervertebral disc is one of the well-known causes of low back pain. Among various modalities of treatment, surgery is often kept as the last resort when conservative treatment fails. Conventional surgical methods have been replaced by minimally invasive surgeries like microscopic, endoscopic and percutaneous lumbar discectomy in the hopes of decreasing post-operative pain. However, it is not uncommon for patient to have residual pain even after discectomy. Patients also complains of reduced quality of life (QOL). SF-36 is a standardized questionnaire for measuring QOL. Few studies have used this questionnaire to look into QOL of these patients but no such study is available in Nepalese perspective.
Materials and Methods
A prospective cross-sectional study was conducted among all patients undergoing single level unilateral microscopic lumbar discectomy in Upendra Devkota Memorial National Institute of Neurological Sciences from February 1st 2017 to January 31 2018. After taking informed consent, subjects were asked to respond to the preformed questionnaire and SF-36 survey. Interviews were individually conducted by the same investigator at two different time points: i) before lumbar discectomy. ii) 3 months after lumbar discectomy. QOL scores before and after were compared.
Results
Total of 50 patients meeting the inclusion criteria were studied. The mean age of the study group was 38.7 ± 9.9 years with male preponderance of 76%. The median duration of exacerbation of symptoms was 4 weeks. Along with pain, 64% had sensory deficit whereas 52% had motor deficit. Surgery led to significant improvement in pain score as well as marked improvement of SF 36 quality of life score at 3 months of surgery. However, age, gender, duration of symptoms or presence of sensory or motor deficit before surgery did not predict improvement in overall QOL.
Conclusion
Patients undergoing microscopic lumbar discectomy for prolapsed intervertebral disc have significant improvement in pain score and QOL after 3 months of surgery. |
topic |
microscopic lumbar discectomy prolapsed intervertebral disc quality of life sf-36 |
url |
https://www.nepjol.info/index.php/NJN/article/view/34941 |
work_keys_str_mv |
AT sagarkoirala qualityoflifeafterlumbarmicrosciopicdiscectomy AT subhashlohani qualityoflifeafterlumbarmicrosciopicdiscectomy AT sureshbishokarma qualityoflifeafterlumbarmicrosciopicdiscectomy AT sharadkoirala qualityoflifeafterlumbarmicrosciopicdiscectomy AT pratyushshrestha qualityoflifeafterlumbarmicrosciopicdiscectomy |
_version_ |
1724246876047278080 |