Clinical and functional outcomes of open versus minimally invasive surgeries in single-level prolapsed intervertebral disc in lumbar region at tertiary care center: A prospective study
Background: Spine surgery has been transformed significantly by the growth of minimally invasive surgery (MIS) procedures. Modern MIS techniques allow spine surgeons to achieve the same goals of open surgery while minimizing the collateral damage associated with the open approaches. Aims and Obje...
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| Format: | Article |
| Language: | English |
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Manipal College of Medical Sciences, Pokhara
2023-09-01
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| Series: | Asian Journal of Medical Sciences |
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| Online Access: | https://www.nepjol.info/index.php/AJMS/article/view/53661 |
| _version_ | 1797721658273824768 |
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| author | Jolly Sinha Vivek Kumar Kankane Avdhesh Shukla Avinash Sharma |
| author_facet | Jolly Sinha Vivek Kumar Kankane Avdhesh Shukla Avinash Sharma |
| author_sort | Jolly Sinha |
| collection | DOAJ |
| description | Background: Spine surgery has been transformed significantly by the growth of minimally invasive surgery (MIS) procedures. Modern MIS techniques allow spine surgeons to achieve the same goals of open surgery while minimizing the collateral damage associated with the open approaches.
Aims and Objectives: The aim of MIS is to do an efficient “Target Surgery” with a minimum of iatrogenic trauma.
Materials and Methods: This is a prospective study done in the Department of Neurosurgery, JA group of hospitals, Gajra Raja Medical College, Gwalior, from July 2021 to July 2022. Study was conducted on 30 randomly selected patients whose presentation and imaging showed indication for surgery.
Results: Better symptomatic relief was seen in patients with MIS at 7 days with about 80% of them having a visual analog scale score between 0 and 2; however, not much difference was noted at 1 month. Not much difference was noted for wound status, neurological improvement, and Oswestry Disability Index at 1 month. However, gross difference was noted at the rate of return to work by the patients with approximately 93.3% of patients undergoing MIS returning to work within 1 month in comparison to only 20% in case of open surgery.
Conclusion: Minimally invasive techniques are remarkably better option to traditional open surgeries, as these procedures showed a significant reduction in immediate post-operative pain, duration of hospital stay, and return to work by the patient. However, not much difference was noted in status of pain at 1 month, rehospitalization, degree of disability at 1 month, wound status, and neurological improvement of the patient. |
| first_indexed | 2024-03-12T09:36:20Z |
| format | Article |
| id | doaj.art-afe2de6d07424620ad69bae07a8e4b37 |
| institution | Directory Open Access Journal |
| issn | 2467-9100 2091-0576 |
| language | English |
| last_indexed | 2024-03-12T09:36:20Z |
| publishDate | 2023-09-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj.art-afe2de6d07424620ad69bae07a8e4b372023-09-02T13:35:18ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762023-09-01149265269https://doi.org/10.3126/ajms.v14i9.5366Clinical and functional outcomes of open versus minimally invasive surgeries in single-level prolapsed intervertebral disc in lumbar region at tertiary care center: A prospective studyJolly Sinha 0https://orcid.org/0009-0004-4412-3691Vivek Kumar Kankane 1Avdhesh Shukla 2Avinash Sharma 3Senior Resident, Department of Neurosurgery, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India Associate Professor, Department of Neurosurgery, Gajra Raja Medical College, Gwalior, Madhya Pradesh, IndiaProfessor, Department of Neurosurgery, Gajra Raja Medical College, Gwalior, Madhya Pradesh, IndiaProfessor, Department of Neurosurgery, Gajra Raja Medical College, Gwalior, Madhya Pradesh, IndiaBackground: Spine surgery has been transformed significantly by the growth of minimally invasive surgery (MIS) procedures. Modern MIS techniques allow spine surgeons to achieve the same goals of open surgery while minimizing the collateral damage associated with the open approaches. Aims and Objectives: The aim of MIS is to do an efficient “Target Surgery” with a minimum of iatrogenic trauma. Materials and Methods: This is a prospective study done in the Department of Neurosurgery, JA group of hospitals, Gajra Raja Medical College, Gwalior, from July 2021 to July 2022. Study was conducted on 30 randomly selected patients whose presentation and imaging showed indication for surgery. Results: Better symptomatic relief was seen in patients with MIS at 7 days with about 80% of them having a visual analog scale score between 0 and 2; however, not much difference was noted at 1 month. Not much difference was noted for wound status, neurological improvement, and Oswestry Disability Index at 1 month. However, gross difference was noted at the rate of return to work by the patients with approximately 93.3% of patients undergoing MIS returning to work within 1 month in comparison to only 20% in case of open surgery. Conclusion: Minimally invasive techniques are remarkably better option to traditional open surgeries, as these procedures showed a significant reduction in immediate post-operative pain, duration of hospital stay, and return to work by the patient. However, not much difference was noted in status of pain at 1 month, rehospitalization, degree of disability at 1 month, wound status, and neurological improvement of the patient.https://www.nepjol.info/index.php/AJMS/article/view/53661lumbar; minimal invasive surgery; prolapsed; intervertebral disc |
| spellingShingle | Jolly Sinha Vivek Kumar Kankane Avdhesh Shukla Avinash Sharma Clinical and functional outcomes of open versus minimally invasive surgeries in single-level prolapsed intervertebral disc in lumbar region at tertiary care center: A prospective study Asian Journal of Medical Sciences lumbar; minimal invasive surgery; prolapsed; intervertebral disc |
| title | Clinical and functional outcomes of open versus minimally invasive surgeries in single-level prolapsed intervertebral disc in lumbar region at tertiary care center: A prospective study |
| title_full | Clinical and functional outcomes of open versus minimally invasive surgeries in single-level prolapsed intervertebral disc in lumbar region at tertiary care center: A prospective study |
| title_fullStr | Clinical and functional outcomes of open versus minimally invasive surgeries in single-level prolapsed intervertebral disc in lumbar region at tertiary care center: A prospective study |
| title_full_unstemmed | Clinical and functional outcomes of open versus minimally invasive surgeries in single-level prolapsed intervertebral disc in lumbar region at tertiary care center: A prospective study |
| title_short | Clinical and functional outcomes of open versus minimally invasive surgeries in single-level prolapsed intervertebral disc in lumbar region at tertiary care center: A prospective study |
| title_sort | clinical and functional outcomes of open versus minimally invasive surgeries in single level prolapsed intervertebral disc in lumbar region at tertiary care center a prospective study |
| topic | lumbar; minimal invasive surgery; prolapsed; intervertebral disc |
| url | https://www.nepjol.info/index.php/AJMS/article/view/53661 |
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