Authors :
Dr. Muhammad Shakeel; Dr. Naseer Hassan; Dr. Raza Hassan; Dr. Abdus Samad Khan; Dr. Saad Ali; Dr. Ammad Ali
Volume/Issue :
Volume 8 - 2023, Issue 11 - November
Google Scholar :
https://tinyurl.com/yx87rb45
Scribd :
https://tinyurl.com/7uw56rpy
DOI :
https://doi.org/10.5281/zenodo.10255239
Abstract :
Objective:
Lumbar disc herniation is the predominant
degenerative abnormality commonly seen in the lumbar
spine. There are two possible treatment options in this
situation: medical and surgical. Due to the paucity of
existing data, it is necessary that thorough studies be
conducted in order to evaluate and compare the benefits
and efficacy of early surgical intervention against
conservative techniques when it comes to the
management of lumbar disc herniation.Methods
From February 1st to July 31st, 2023, this study
was carried out in the Spine Surgery department of the
Combined Military Hospital Rawalpindi. After
obtaining informed consent, 200 people between the ages
of 20 and 50 who had been diagnosed with lumbar disc
herniation were added to the study. Out of these
individuals, 130 selected medical intervention and 70
selected surgical intervention. The visual analogue scale
(VAS) was used to record the patients' pain levels prior
to the start of the appropriate therapies. A follow-up
pain assessment was performed 90 days following the
start of the medicinal intervention and 14 days following
the surgical procedure.Results
Both the medicinal (7.04± 1.03 vs. 3.52 ± 0.53; p-
value: <0.0001) and surgical (6.91 ± 0.95 vs. 2.42 ± 0.43;
p-value: <0.0001) intervention groups had significantly
different pain scores in the post-intervention period.
Following the intervention, the surgical group
experienced a considerably lower VAS pain score (2.43 ±
0.44 vs. 3.53 ± 0.54; p-value: <0.0001) than the medical
group, with the surgical group experiencing a more
dramatic reduction. Both lumbar disc herniation
treatment choices should be offered to patients, and the
benefits and drawbacks of each therapy category should
be discussed.Conclusion
In this study, there was a significant decrease in
pain among participants who were in their forties and
fifties. Clinically, it presents as sciatica that advances
along with lower back discomfort.
Objective:
Lumbar disc herniation is the predominant
degenerative abnormality commonly seen in the lumbar
spine. There are two possible treatment options in this
situation: medical and surgical. Due to the paucity of
existing data, it is necessary that thorough studies be
conducted in order to evaluate and compare the benefits
and efficacy of early surgical intervention against
conservative techniques when it comes to the
management of lumbar disc herniation.Methods
From February 1st to July 31st, 2023, this study
was carried out in the Spine Surgery department of the
Combined Military Hospital Rawalpindi. After
obtaining informed consent, 200 people between the ages
of 20 and 50 who had been diagnosed with lumbar disc
herniation were added to the study. Out of these
individuals, 130 selected medical intervention and 70
selected surgical intervention. The visual analogue scale
(VAS) was used to record the patients' pain levels prior
to the start of the appropriate therapies. A follow-up
pain assessment was performed 90 days following the
start of the medicinal intervention and 14 days following
the surgical procedure.Results
Both the medicinal (7.04± 1.03 vs. 3.52 ± 0.53; p-
value: <0.0001) and surgical (6.91 ± 0.95 vs. 2.42 ± 0.43;
p-value: <0.0001) intervention groups had significantly
different pain scores in the post-intervention period.
Following the intervention, the surgical group
experienced a considerably lower VAS pain score (2.43 ±
0.44 vs. 3.53 ± 0.54; p-value: <0.0001) than the medical
group, with the surgical group experiencing a more
dramatic reduction. Both lumbar disc herniation
treatment choices should be offered to patients, and the
benefits and drawbacks of each therapy category should
be discussed.Conclusion
In this study, there was a significant decrease in
pain among participants who were in their forties and
fifties. Clinically, it presents as sciatica that advances
along with lower back discomfort.
