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THE OUTCOME OF MICRODISECTOMY FOR LUMBOSACRAL DISC HERNIATION AT VIET DUC HOSPITAL
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Abstract
Objectives: Evaluate the outcome of microdisectomy for lumbosacral disc herniation at Viet Duc hospital in 2023. Subjects and research methods: Cross-sectional descriptive study using retrospective data on patients with lumbosacral disc herniation who experienced micro-discectomy surgery in 2023 at Viet Duc Hospital. Results: Study on 64 patients including 42 men and 22 women. 24 hours after surgery, 100% patients had improvement in radicular pain with mean of VAS score of 1 ± 1.24, which has decreased comparing to preoperation (7.6 ± 1.41). Mean of the follow-up time was 8.1 ± 3.35 months. During the observation period, mean of VAS score was 1.1 ± 1.35, which is higher than that recorded 24 hours post-surgery but significantly lower than preoperation; There were 56 cases with no or mild pain (87.5%) and 45 cases with minimal disability (ODI of 0-20). The rate of postoperative complications and recurrent disc herniation were 0% and 3.1%, respectively. Conclusion: Microdisectomy for lumbosacral disc herniation had great results. Patients showed improvement in their radicular pain and spinal dissability. The rate of postoperative complications and recurrent disc herniation were significantly low. There was a significant relationship between patients’ gender, workload and their radicular pain 24 hours after surgery. There was also statistically significant difference in mean of VAS score during the observation period between types of disc herniation morphology
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Keywords
lumbosacral disc herniation, microdisectomy, outcome
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