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Lumbar Disc Prolapse Surgery Abroad At Affordable Cost-Lumbar Disc

Lumbar Disc Prolapse Surgery Abroad

Overview

Lumbar Disc Prolapse Spine Surgery

Spinal disorders and the pain associated with them account for a significant portion of disability at work, with most complaints occurring in the lumbar region. Men are more frequently affected. It is essentially a disease of the middle aged, unless precipitated by trauma. L4/5 and L5/S1 disc account for 90% of the cases, with each level affected about equally. L3/4 disc accounts for the majority of the remaining herniations...

Symptoms of Lumbar disc prolapse

In the acute presentation, symptoms often follow trauma or an injury to the disc produced by a sudden spinal strain, such as lifting heavy weights. There is acute low back pain, and, in the event of nerve root compression, radiating pain, paresthesias, and motor weakness. Severe bilateral root dysfunction may produce bowel and bladder incontinence and sexual dysfunction. If the leg pain is not immediately experienced, it usually appears over ensuing hours with associated paresthesias...

Signs of Lumbar disc prolapsea

1) The paraspinal muscles are often in spasm, particularly on the side opposite the leg pain, and are tender to palpation. The patient leans away from the side of leg pain with the hip and knee flexed in an effort to reduce the leg pain.

2) Neurological examination may detect the motor, sensory, and reflex impairment (LMN type)...

Diagnosis of Lumbar disc prolapse

MRI is the test of choice for evaluation of disc disease. Its multiplanar capabilities make it suitable for visualizing far lateral disc herniations as well as the paravertebral structures.

CT myelography still is useful in patients with equivocal MRI studies and in those who are unable to undergo MRI scanning...

Surgical Treatment of Lumbar disc prolapse

Indications for surgery include failure of acceptable pain control by non-operative measures, progressive neurological deficit, and Cauda Equina syndrome.

The traditional approach to lumbar discectomy is through posterior hemilaminotomy and foraminotomy, either in prone position or 'knee-elbow' position, usually under general anesthesia. Use of a microscope helps and has become a routine these days.

Lately, fenestration (microlumbar discectomy - wherein no bone is removed and the disc is approached by excising the ligamentum flavum at the required level) is increasingly employed with good results. The advantages in addition to minimal disturbance to spines are less postoperative discomfort and less stay in the hospital.

Whichever approach is used, at least 10gms of disc material has to be removed for adequate pain relief...

Outcome of Lumbar disc prolapse Surgery in Abroad

Approximately, 2/3 of the patients with acute sciatica recover within 4 weeks; about 1/3 of them report with recurrence.

The main advantage of surgery is to accelerate the time to recovery. In most studies, there is a definite advantage to surgery in the first postoperative year. In general, patient selection is important. A motivated patient, with history, physical findings, and diagnostic studies confirming nerve root compression, can be expected to do well. 90% of the operated patients do well...

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