Vol. 6, Issue 4 (2020)
Patient’s satisfaction after discectomy of lumbar spine through fenestration in lumbar intervertebral disc prolapse using McNab’s criteria
Author(s): Dr. Mohd Shoeb Arif, Dr. Sanjay Gupta, Dr. Apser Khan, Dr. Shashank Sah, Dr. Praveen Kumar Tipathi
Abstract: Aim: was to evaluate patient’s satisfaction after discectomy of lumbar spine through fenestration in lumbar intervertebral disc prolapse using McNab’s criteria. Material and Method: The present prospective longitudinal study was conducted in the Department of Orthopaedic surgery of SRMS-IMS, Bareilly for a period of 18 months from November 2017 to June 2019 among 20 patients having PIVD of Lumber spine and had undergone Fenestration and Discectomy of lumbar spine after obtaining approval from Hospital Ethics Committee. Subjective evaluation was done using McNab’S criteria. All the cases were carefully evaluated preoperatively which included detailed history and examination. All patients were followed at regular intervals of by either OPD visit, at 2 weeks, 4 weeks, 3 months and 6 months. The patient was asked to rate his level of well-being, generally after surgery according to MacNab's outcome assessment of patient satisfaction. The patients choose one of the four: Excellent, Good, Fair and Poor. Results: The mean age of cases was 41.5±11.19 years with range 23 – 66 years. Maximum number of patients had excellent result (80%), 15% had good and 5% had fair and none of the patients had poor outcome. Superficial wound infection, failed back surgery syndrome, discitis and post-operative ileus was reported among 10%, 5%, 5% and 5% of the subjects respectively. Conclusion: Good functional recovery has been noted following the surgical procedure of fenestration discectomy. Thus, results of this study states that fenestration technique in PIVD of lumbar spine is a safe.