DOI: 10.36347/sjams.2023.v11i05.013

Pages: 885-892

Introduction: Low back pain is one of the most common complaints in clinical practice with life time prevalence ranging from 65-80%. The annual prevalence of low back pain ranges from 15% to 45% but is largely dependent on population. Major cause of low back pain leading to severe morbidity throughout the world affecting mainly the young population is lumbar disc prolapse. Prolapsed intervertebral disc is an important cause of spondylogenic backache. Conservative treatment is often preferred for LDH, but patients who fail to respond to this are treated with surgery. Surgical treatment aims to remove the herniated nucleus pulposus to the largest extent possible to relieve nerve compression while minimizing spinal instability. Aim of the Study: The aim of this study was to assess the functional Outcome of open conventional discectomy among patients with prolapse lumbar intervertebral disc or lumbar herniated disk. Methods: This was a prospective observational study and was conducted in the Department of Orthopaedics Surgery, Square Hospitals Ltd, Dhaka, Bangladesh during the period from January 2008 to December 2020. We included 300 patients with prolapse lumbar intervertebral disc undergoing open conventional discectomy in our study. Result: In our study we found majority (36%) of our patients was aged 41-50 years and most of our study patients were male (70%) compared to female (30%). We found the mean age was 44.73 ± 8.9 years. Among all patients 78% had lower lumber problem & 22% had upper lumber problem. Most of our patients (44.5%) had L4-L5 level, followed by 31.5% had L5-S1 level. We found the mean vas score for leg pain and back pain in preoperative period significantly reduced at postoperative 2nd week, 3rd month, 6th month and 1st year. The mean ODI score was 56.24 ± 4.18 in preoperative period. At postoperative 1st year follow up the mean score significantly reduced to 3.26 ± 2.64 in our study. Majority (37%) of our patients had good outcome, followed ....