Open fenestration discectomy versus microscopic fenestration discectomy for lumbar disc herniation: a randomized controlled trial.

BMC Musculoskeletal Disorders
Sherwan HamawandiAmeer Kadhim Al-Humairi

Abstract

Fenestration discectomy, for symptomatic lumbar disc herniation, is the most common surgical procedure in spine surgery. It can be done by open or microscopic procedures. This study compared the results of fenestration microdiscectomy with open fenestration discectomy in the treatment of symptomatic lumbar disc herniation as a relation to the functional outcome, leg pain, back pain, hospital stay, returns to daily activity, cost, recurrence, reoperation and type of surgery for recurrent disc herniation. 60 patients age (29 - 50 years), with L4-L5 disc herniation, are divided randomly into group A- 30 patients underwent an open fenestration discectomy- and group B- 30 patients underwent fenestration microdiscectomy. All patients are assessed at 1 week, 3 months, 6 months, 12 months after surgery for Oswestry disability index and Visual analogue scale for back pain and leg pain and followed up for 4 years. In both groups, all patients have minimal disability by Oswestry Disability Index after surgery. There were significant differences between means of post-operative Visual Analogue Scale for back pain between these two groups after 1 week (3.7 in group A versus 2.2 in group B) (t = 13.28, P = < 0.001*) and after 3 months (1.73 i...Continue Reading

Associated Clinical Trials

References

Jun 1, 1996·British Journal of Neurosurgery·L HenriksenE Jantzen
Mar 31, 2005·Journal of Neurosurgery. Spine·Claudius ThoméPeter Schmiedek
Mar 4, 2009·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·F PorchetA F Mannion
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Jul 21, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Wilco C H JacobsWilco C Peul
Sep 4, 2014·The Cochrane Database of Systematic Reviews·Mohammad R RasouliRoger Chou

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