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Year : 2021  |  Volume : 9  |  Issue : 1  |  Page : 31-38

Comparison of surgical and nonsurgical treatment of lumbar disc herniation with motor deficit: A prospective study

Department of Orthopaedics, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India

Correspondence Address:
Dr. Saurav Narayan Nanda
Department of Orthopaedics, Kalinga Institute of Medical Sciences, Bhubaneswar - 751 024, Odisha
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/JOASP.JOASP_56_20

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INTRODUCTION: Several studies had compared the differences between surgical and nonsurgical modalities of treatment for patients with herniated discs. Some studies announced several modalities for treating motor weakness caused by lumbar disc herniation but few randomized control trials had compared the efficacy of one treatment over the other treatment except cross-over treatment. This study excludes patients underwent cross over treatment. This study aims to assess outcomes of patients of lumbar disc herniation with motor deficit who underwent surgical treatment with a patient group who underwent nonsurgical treatment. Subjects and Methods: We included 75 cases of lumbar disc herniation with the motor deficit in our tertiary healthcare center. Thirty-six patients were treated with a microdiscectomy, and 39 patients were treated conservatively prospectively from June 2018 to June 2019. The minimum follow-up period was 1 year, i.e., at 1, 3, 6, and 12 months, respectively. Visual analog scale compares outcomes for pain evaluation, motor function by Medical Research Council scale and Oswestry Low Back Pain Questionnaire for overall health quality of life. RESULTS: Patients who undertook surgical treatment shown rapid recovery of the motor deficit, as well as rapid alleviation of symptoms in the first 6 months, postoperatively compared to the nonsurgical group. The difference was statistically significant between both groups in the initial period but the difference, was no longer significant during the final follow-up examination at 1 year. CONCLUSION: Early surgical treatment of properly selected patients of severe motor weakness and severe pain from disc herniation could provide a chance for rapid alleviation.

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