An assessment of the variation in the practice of lumbar discectomy and its role in axial back pain
Background: Lumbar discectomy is performed for symptomatic lumbar disc herniation and is one of the most widely performed spinal surgical procedures worldwide in a variety of ways. This survey aimed at providing an overview/perspective of different practice patterns and the impact of lumbar discecto...
| Main Authors: | , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Journal of Craniovertebral Junction and Spine |
| Subjects: | |
| Online Access: | http://www.jcvjs.com/article.asp?issn=0974-8237;year=2023;volume=14;issue=3;spage=259;epage=267;aulast=Mishra |
| _version_ | 1797645694658412544 |
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| author | Sandeep Mishra Kanwaljeet Garg Bipin Chaurasia Bhargavi R Budihal Harsh Deora Vivek Tandon Manoj Phalak Shashwat Mishra Amandeep Kumar G E Umana Jesus Lafuente Andreas K Demetriades Yoon Ha Manmohan Singh P S Chandra S S Kale Mehmet Zileli |
| author_facet | Sandeep Mishra Kanwaljeet Garg Bipin Chaurasia Bhargavi R Budihal Harsh Deora Vivek Tandon Manoj Phalak Shashwat Mishra Amandeep Kumar G E Umana Jesus Lafuente Andreas K Demetriades Yoon Ha Manmohan Singh P S Chandra S S Kale Mehmet Zileli |
| author_sort | Sandeep Mishra |
| collection | DOAJ |
| description | Background: Lumbar discectomy is performed for symptomatic lumbar disc herniation and is one of the most widely performed spinal surgical procedures worldwide in a variety of ways. This survey aimed at providing an overview/perspective of different practice patterns and the impact of lumbar discectomy on axial back pain with or without sciatica.
Methods: An online survey was performed using the application “Google Forms.” The link to the questionnaire was distributed to neurosurgeons through personal E-mail and social media platforms.
Results: We received 333 responses. The largest percentage of responses across five continents was from Asia (66.97%, n = 223). The mean age of the respondents was 40.08 ± 10.5 years. A total of 66 respondents (20%) had a spine practice of 7%–90%, and 28 respondents had a spine practice of 90%–100% (8.4%). The number of respondents who practiced microscopic discectomy using a tubular retractor (n = 143 respondents, 42.9%) was nearly equal to the number of respondents who practiced open discectomy (n = 142 respondents, 42.6%). An almost equal proportion of respondents believed discectomy does not help in relieving axial back pain. Only 20.4% (n = 68) of respondents recommend bed rest for a longer duration postoperatively.
Conclusions: Our survey revealed that only 22.2% of spine surgeons recommended discectomy in patients with radiological disc herniation with axial back pain alone and preferred a minimally invasive method of discectomy. Almost half of them believed discectomy to be ineffective for axial low back pain and only a few recommended prolonged bed rest postoperatively. |
| first_indexed | 2024-03-11T14:51:36Z |
| format | Article |
| id | doaj.art-2d34f55743414effa15861d6eae108dd |
| institution | Directory Open Access Journal |
| issn | 0974-8237 |
| language | English |
| last_indexed | 2024-03-11T14:51:36Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Craniovertebral Junction and Spine |
| spelling | doaj.art-2d34f55743414effa15861d6eae108dd2023-10-30T09:27:41ZengWolters Kluwer Medknow PublicationsJournal of Craniovertebral Junction and Spine0974-82372023-01-0114325926710.4103/jcvjs.jcvjs_46_23An assessment of the variation in the practice of lumbar discectomy and its role in axial back painSandeep MishraKanwaljeet GargBipin ChaurasiaBhargavi R BudihalHarsh DeoraVivek TandonManoj PhalakShashwat MishraAmandeep KumarG E UmanaJesus LafuenteAndreas K DemetriadesYoon HaManmohan SinghP S ChandraS S KaleMehmet ZileliBackground: Lumbar discectomy is performed for symptomatic lumbar disc herniation and is one of the most widely performed spinal surgical procedures worldwide in a variety of ways. This survey aimed at providing an overview/perspective of different practice patterns and the impact of lumbar discectomy on axial back pain with or without sciatica. Methods: An online survey was performed using the application “Google Forms.” The link to the questionnaire was distributed to neurosurgeons through personal E-mail and social media platforms. Results: We received 333 responses. The largest percentage of responses across five continents was from Asia (66.97%, n = 223). The mean age of the respondents was 40.08 ± 10.5 years. A total of 66 respondents (20%) had a spine practice of 7%–90%, and 28 respondents had a spine practice of 90%–100% (8.4%). The number of respondents who practiced microscopic discectomy using a tubular retractor (n = 143 respondents, 42.9%) was nearly equal to the number of respondents who practiced open discectomy (n = 142 respondents, 42.6%). An almost equal proportion of respondents believed discectomy does not help in relieving axial back pain. Only 20.4% (n = 68) of respondents recommend bed rest for a longer duration postoperatively. Conclusions: Our survey revealed that only 22.2% of spine surgeons recommended discectomy in patients with radiological disc herniation with axial back pain alone and preferred a minimally invasive method of discectomy. Almost half of them believed discectomy to be ineffective for axial low back pain and only a few recommended prolonged bed rest postoperatively.http://www.jcvjs.com/article.asp?issn=0974-8237;year=2023;volume=14;issue=3;spage=259;epage=267;aulast=Mishraback paindiscectomyherniationlumbarsurvey |
| spellingShingle | Sandeep Mishra Kanwaljeet Garg Bipin Chaurasia Bhargavi R Budihal Harsh Deora Vivek Tandon Manoj Phalak Shashwat Mishra Amandeep Kumar G E Umana Jesus Lafuente Andreas K Demetriades Yoon Ha Manmohan Singh P S Chandra S S Kale Mehmet Zileli An assessment of the variation in the practice of lumbar discectomy and its role in axial back pain Journal of Craniovertebral Junction and Spine back pain discectomy herniation lumbar survey |
| title | An assessment of the variation in the practice of lumbar discectomy and its role in axial back pain |
| title_full | An assessment of the variation in the practice of lumbar discectomy and its role in axial back pain |
| title_fullStr | An assessment of the variation in the practice of lumbar discectomy and its role in axial back pain |
| title_full_unstemmed | An assessment of the variation in the practice of lumbar discectomy and its role in axial back pain |
| title_short | An assessment of the variation in the practice of lumbar discectomy and its role in axial back pain |
| title_sort | assessment of the variation in the practice of lumbar discectomy and its role in axial back pain |
| topic | back pain discectomy herniation lumbar survey |
| url | http://www.jcvjs.com/article.asp?issn=0974-8237;year=2023;volume=14;issue=3;spage=259;epage=267;aulast=Mishra |
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