微创微椎间盘切除术后腰椎间盘突出症患者的功能预后

Resident Amlan Mohapatra, B. Bhandary, Dr.Kartik Raj K Junior Resident
{"title":"微创微椎间盘切除术后腰椎间盘突出症患者的功能预后","authors":"Resident Amlan Mohapatra, B. Bhandary, Dr.Kartik Raj K Junior Resident","doi":"10.9790/0853-1607023539","DOIUrl":null,"url":null,"abstract":"Introduction: Low back pain is very common worldwide and lumbosacral radiculopathy is an extremely painful condition. In this study we aimed to assess the functional outcome in patients who underwent minimally invasive microdisectomy at our institution. Methodology: A prospective study was conducted in the Department of Orthopedics, AJ Institute of Medical Sciences, Mangalore, Karnataka from August 2014 till August 2016. After taking approval of the institutional ethics committee, all patients aged more than 18 years, who presented to the outpatient clinic of the Department of Orthopedics, AJ Institute of Medical Sciences, Mangalore, Karnataka with complaints of leg or back pain. We assesed pain and functionality using Japanese Orthopedic Association questionnaire (JOA) preoperatively, 1 month, 3 months and 6 months postoperatively. Patients were asked to rate their level of well being after surgery using the Macnab’s criteria. Results:We included 53 patients during the study period, average age was 40.17 ± 8.5 years. 32 patients were males. Using Macnab’s criteria 35% reported good level of well being and no patient reported poor level of well being at the end of 6 months postoperatively. 28.3 % had excellent, 62.3 % had good, 7.5 % had fair and 1.9 % had poor results with JOA score at the end of the study. JOA score improved from a mean of 10.3 preoperatively to 25.45 post-operatively at 6 months (p <0.001). Conclusions: Findings of our study show that minimally invasive lumbar microdiscectomy cause very few postoperative complications, shorter stays in hospital, improve objective functionality scores postoperatively and patients rate well being assesment scores as good to excellent.","PeriodicalId":14489,"journal":{"name":"IOSR Journal of Dental and Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"Functional Outcome of Patients with Lumbar Intervertebral Disc Herniation after Minimally Invasive Microdiscectomy\",\"authors\":\"Resident Amlan Mohapatra, B. Bhandary, Dr.Kartik Raj K Junior Resident\",\"doi\":\"10.9790/0853-1607023539\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Introduction: Low back pain is very common worldwide and lumbosacral radiculopathy is an extremely painful condition. In this study we aimed to assess the functional outcome in patients who underwent minimally invasive microdisectomy at our institution. Methodology: A prospective study was conducted in the Department of Orthopedics, AJ Institute of Medical Sciences, Mangalore, Karnataka from August 2014 till August 2016. After taking approval of the institutional ethics committee, all patients aged more than 18 years, who presented to the outpatient clinic of the Department of Orthopedics, AJ Institute of Medical Sciences, Mangalore, Karnataka with complaints of leg or back pain. We assesed pain and functionality using Japanese Orthopedic Association questionnaire (JOA) preoperatively, 1 month, 3 months and 6 months postoperatively. Patients were asked to rate their level of well being after surgery using the Macnab’s criteria. Results:We included 53 patients during the study period, average age was 40.17 ± 8.5 years. 32 patients were males. Using Macnab’s criteria 35% reported good level of well being and no patient reported poor level of well being at the end of 6 months postoperatively. 28.3 % had excellent, 62.3 % had good, 7.5 % had fair and 1.9 % had poor results with JOA score at the end of the study. JOA score improved from a mean of 10.3 preoperatively to 25.45 post-operatively at 6 months (p <0.001). Conclusions: Findings of our study show that minimally invasive lumbar microdiscectomy cause very few postoperative complications, shorter stays in hospital, improve objective functionality scores postoperatively and patients rate well being assesment scores as good to excellent.\",\"PeriodicalId\":14489,\"journal\":{\"name\":\"IOSR Journal of Dental and Medical Sciences\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2017-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"IOSR Journal of Dental and Medical Sciences\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.9790/0853-1607023539\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"IOSR Journal of Dental and Medical Sciences","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.9790/0853-1607023539","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 1

摘要

引言:腰背痛在世界范围内是非常常见的,腰骶神经根病是一种非常痛苦的疾病。在本研究中,我们旨在评估在我院接受微创显微椎间盘切除术的患者的功能预后。方法:一项前瞻性研究于2014年8月至2016年8月在卡纳塔克邦芒格洛尔AJ医学科学研究所骨科进行。在获得机构伦理委员会的批准后,所有年龄在18岁以上的患者,在卡纳塔克邦曼格洛尔AJ医学科学研究所骨科门诊就诊,抱怨腿部或背部疼痛。术前、术后1个月、3个月和6个月采用日本骨科协会问卷(JOA)评估疼痛和功能。病人被要求用麦克纳布标准评估他们手术后的健康水平。结果:研究期间纳入53例患者,平均年龄40.17±8.5岁。男性32例。使用麦克纳布标准,在术后6个月结束时,35%的患者报告良好的健康水平,没有患者报告不良的健康水平。研究结束时,JOA评分为优(28.3%),良(62.3%),一般(7.5%),差(1.9%)。JOA评分从术前的平均10.3分提高到术后6个月的25.45分(p <0.001)。结论:我们的研究结果表明,微创腰椎微椎间盘切除术术后并发症极少,住院时间短,术后客观功能评分提高,患者对健康评估评分为良好至优秀。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Functional Outcome of Patients with Lumbar Intervertebral Disc Herniation after Minimally Invasive Microdiscectomy
Introduction: Low back pain is very common worldwide and lumbosacral radiculopathy is an extremely painful condition. In this study we aimed to assess the functional outcome in patients who underwent minimally invasive microdisectomy at our institution. Methodology: A prospective study was conducted in the Department of Orthopedics, AJ Institute of Medical Sciences, Mangalore, Karnataka from August 2014 till August 2016. After taking approval of the institutional ethics committee, all patients aged more than 18 years, who presented to the outpatient clinic of the Department of Orthopedics, AJ Institute of Medical Sciences, Mangalore, Karnataka with complaints of leg or back pain. We assesed pain and functionality using Japanese Orthopedic Association questionnaire (JOA) preoperatively, 1 month, 3 months and 6 months postoperatively. Patients were asked to rate their level of well being after surgery using the Macnab’s criteria. Results:We included 53 patients during the study period, average age was 40.17 ± 8.5 years. 32 patients were males. Using Macnab’s criteria 35% reported good level of well being and no patient reported poor level of well being at the end of 6 months postoperatively. 28.3 % had excellent, 62.3 % had good, 7.5 % had fair and 1.9 % had poor results with JOA score at the end of the study. JOA score improved from a mean of 10.3 preoperatively to 25.45 post-operatively at 6 months (p <0.001). Conclusions: Findings of our study show that minimally invasive lumbar microdiscectomy cause very few postoperative complications, shorter stays in hospital, improve objective functionality scores postoperatively and patients rate well being assesment scores as good to excellent.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信