Is a unilateral surgical strategy efficient in sufferers with bilateral leg ache with unilateral lumbar disk herniation? a potential nonrandomized scientific and surgical research.
World Neurosurg. 2018 Jun 12;:
Authors: Yakar F, Zaimoglu M, Dogan I, Bakirarar B, Eroglu U, Kircil C, Ozgural O, Ucer M, Kilinc C, Demirel A, Guner E, Bozkurt M, Caglar YS
OBJECTIVE: To look at the surgical outcomes of unilateral lumbar discectomy in sufferers with bilateral leg ache and talk about short- and long-term outcomes inside the limits of lumbar decompression.
METHODS: We analyzed 60 sufferers with unilateral disk herniation who underwent unilateral lumbar discectomy and hemipartial laminectomy between 2014 and 2017. Group 1 (30 sufferers) had bilateral leg ache and unilateral lumbar disk herniation. Ache lateralization was decided radiologically. Group 2 (30 sufferers) had unilateral leg ache and unilateral lumbar disk herniation. Ache scores had been preoperatively evaluated with Visible Analog Scale (VAS) for each legs and Oswestry Incapacity Index (ODI) for general life high quality. In each teams, surgical procedure was carried out on the ipsilateral aspect of the herniated disc. Scores had been repeated on postoperative day 1 and 1, three, 6, 12, and 24 months later. VAS rating variations for ache lateralization and disk ranges had been in contrast in group 1. ODI rating variations had been in contrast between each teams. Outcomes had been statistically analyzed.
RESULTS: VAS rating variations had been statistically important in any respect follow-up time factors in sufferers with ipsilateral and contralateral ache. VAS rating variations between L4-L5 and L5-S1 stage discopathies had been statistically insignificant forever factors in each teams. All postoperative ODI rating decreases forever factors had been statistically important (P < zero.001) for each teams, whereas the variations between teams 1 and a pair of had been statistically insignificant.
CONCLUSIONS: Standard lumbar disk surgical procedure alone is ample for the ipsilateral aspect of radiologically demonstrated disk herniation in sufferers with bilateral leg ache.
PMID: 29906582 [PubMed – as supplied by publisher]