Muhammad Khalid, Muhammad Asad Qurashi, Wasim Afzal.
Spine Surgery; Revision of Spine Surgery After Simple Lumber Disdectomy.
Professional Med J Jan ;25(5):643-6.

Introduction: low back pain is basic medical issue in our general population, it influence our day by day life exercises and bargains our personal satisfaction. Intervertebral disc herniation is one of the commonest reasons for backache and sciatica. Discectomy is the essential treatment of decision for disc herniation. Objective: To determine the incidence and indication of revision spine surgery after lumber discectomy. Study Design: Retrospective study. Setting: Spine Surgery Unit of Central Military Hospital Rawalpindi. Period: Ten years from July 2007 to August 2017. Methods: Patients who presented with disc herniation for which discectomy was done were included into this retrospective study. Patient?s statistic profile, indications, signs and imaging finding were recorded. Discectomy was performed through one-sided Fenestration at symptomatic side. Post-operative patient?s changes was noted and recorded. Three hundred and fifty two patients were contemplated amid most recent ten years. Results: out of 352 patients, 214 were male 138 were female patients; age ranged from 20 to 70 years. 74(21.02 %) patients out of 352 again presented with severe backache and sciatica, recurrent disc herniation was confirmed on MRI lumbosacral. 46 (62.16%) out of 74 patients were complaining of backache than sciatica, backache more severe on activity and relieved on rest. 28(37.83%) out of 74 patients had sciatica than backache. TLIF was done in 46 patients and remaining 28 patients treated with laminectomy and discectomy. Back pain and sciatica was relieved in all patients (100%) after TLIF and discectomy and quality of life improved. Conclusion: Our study concluded that incidence of spine surgery revision is 21% and indication of surgery is either stability or recurrence of disc herniation. TLIF is having good result in patient with stability issue and discectomy in patients? with sciatica than backache.

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