Md. Zakir Hossain1, Syed Muhammad Abdullah2, Sanjeeda Saad3
1. Associate Professor, Department of Orthopaedics, Jahurul Islam Medical College.
2. Department of Orthopaedics, Classified Specialist, Combined Military Hospital, Dhaka.
3. Associate Professor, Department of Surgery, Jahurul Islam Medical College.
Abstract
Prolapse of lumbar intervertebral discs (PLID) is a leading cause of morbidity. Back discomfort and sciatica are common among adults. Treating these patients requires a more thorough evaluation Inadequate therapy, whether medical or surgical, may worsen the symptoms. To evaluate the Lumber Intervertebral Disc Prolapse (PLID) surgery. This was a prospective comparative study carried out in the Department of Orthopedics. Jahurul Islam Medical College & Hospital, Bhagolpur, Bajitpur Kishoregonj, Bangladesh, from 2022 to 2023. A total of 65 patients undergoing PLID surgery aged between 18-70, low-back pain with radiculopathy not responding to medical treatment for 6 months were included in this study. Patients with lumber spinal stenosis, PLID with degenerative disease, lon back pain other spinal pathology were excluded. The mean age of the patients was 38.29 (±11.11) years, with a plurality of 60% being male and 63.08% being left-handed. A complication of the operation was that the majority of the patients, 83%, experienced no discomfort, while the remaining 17% experienced occasional back pain. The subjective evaluation of patients revealed that the majority (66.2%) had an outstanding functional outcome, while 20% had a good functional outcome and 9.2% had a fair outcome. Nevertheless, a small percentage of patients (4.6%) experienced a diminished level of functionality. A thorough evaluation of the patient is essential prior to proceeding with the operation The treatment of prolapsed lumber intervertebral discs using PLID surgery is an effective procedure that decreases complications and increased the chance of the successful outcome.
Key Words: Prolapse of lumbar intervertebral discs (PLID), Orthopaedic Surgery, and Disc Prolapse.