Patient Satisfaction Undergoing Surgery for Lumbar Disc Herniation

Muhammad Usman

Abstract


Objective: To assess patient’s satisfaction, who are undergoing surgery for lumbar disc herniation.
Materials and Methods: This observational study was conducted in Neurosurgery Department of Rehman Medical Institute, Peshawar from February 2014 to July 2014. A total of 58 patients who underwent surgery with lumbar disc herniation were studied. Clinical outcomes were measured using the visual analog scale (VAS) score for leg and/or back pain pre-operatively and 2 weeks post-operatively. Patient was considered satisfied from surgery (Lumbar Microdiscectomy), if there is improvement in VAS, 2 weeks post-operatively of ≥ 3 score. All the patients were followed up for a minimum period of four weeks.
Results: The mean age of the patients was 40.21 ± 12.51 years with majority (62.1%) of the male patients. The main bulk of the patients (75.8%) having lumbar disc herniation were in between 20 – 50 years of age. Regarding level of the prolapsed intervertebral disc, most of the patients were harboring lumbar disc herniation at L4-L5 level (41.4%). About 5.2% (n=3) of the patients were lost to follow-up. Major bulk of the patient (89.1%) was satisfied from the surgery. There was statistically significant difference between pre-op and post-op VAS (p value = <0.01).
Conclusion: Majority of the patients of lumbar prolapsed intervertebral disc was male with L4-L5 level most commonly involved. Almost 90% of the patients were satisfied from the surgery, Lumbar microdiscectomy, with statistically significant p value.
Key Words: Lumbar Disc Herniation, Visual Analog Scale, Lumbar Microdiscectomy.

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