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

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...

Full description

Saved in:
Bibliographic Details
Published in:BMC musculoskeletal disorders 2020-06, Vol.21 (1), p.384-384, Article 384
Main Authors: Hamawandi, Sherwan A, Sulaiman, Injam Ibrahim, Al-Humairi, Ameer Kadhim
Format: Article
Language:English
Subjects:
Adult
Back pain
Back Pain - surgery
Bone surgery
Care and treatment
Comparative analysis
Decompression
Diskectomy, Percutaneous - methods
Endoscopy - methods
Female
Females
Humans
Intervertebral Disc Degeneration - surgery
Intervertebral Disc Displacement - surgery
Intervertebral discs
Iraq
Leg
Leg pain
Length of Stay
Lumbar disc herniation
Lumbar Vertebrae - surgery
Male
Medical research
Microdiscectomy
Microsurgery - methods
Middle Aged
Open fenestration discectomy
Oswestry disability index
Pain
Pain management
Pain Measurement
Patients
Postoperative period
Prospective Studies
Recovery (Medical)
Reoperation
Researchers
Spine (lumbar)
Surgery
Treatment Outcome
Variables
Visual Analog Scale
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary: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 = 
ISSN:1471-2474
1471-2474
DOI:10.1186/s12891-020-03396-x