Volume 1, Issue 1 (6-2015)                   Iran J Neurosurg 2015, 1(1): 23-27 | Back to browse issues page

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Azimi P, Mohammadi H, Nayeb-Aghaei H, Azhari S, Safdari-Ghandehari H, Sadeghi S. Functionality Status and Surgical Outcome of Fenestration versus Laminotomy Discectomy in Patients with Lumbar Disc Herniation. Iran J Neurosurg. 2015; 1 (1) :23-27
URL: http://irjns.org/article-1-2-en.html
Abstract:   (4361 Views)

Background & Aim: To assess functionality status and surgical outcome of fenestration versus laminotomy technique based on Core Outcome Measures Index (COMI) in patients with lumbar disc hernia (LDH).

Methods & Materials/Patients: A cross-sectional study was performed between January 2007 and April 2012. A total of 108 patients with a single-level disc herniation were asked to respond to the Oswestry Disabiltiy Index (ODI) and COMI at two points in time: pre- and post-operative assessments. The ODI and COMI were assessed comparing patients’ pre- and postoperative scores to determine the functionality status and surgical outcome.

Results: The mean age of patients was 52.4 (SD=10.1) years who underwent fenestration (n=45) or laminotomy discectomy (n=63). The mean clinical follow-up was 27.8 (SD=3.6) months (range 24 - 37 months). Regarding COMI scores, all subgroup values showed statistical significance pre- and postoperative indicating improvements on the outcomes and functionality. The change in the ODI after surgery was strongly correlated with change in the COMI, (r=0.79; P<0.001). The ODI score also was found to be statistically different between the groups in pre-and postoperative (P<0.001) assessment. However, the functionality status rate was similar in both groups.

Conclusion: The findings suggest that fenestration or laminotomy discectomy is an efficacious procedure for treatment of LDH. However, both methods are equally effective in surgical outcome.

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Type of Study: Research | Subject: Gamma Knife Radiosurgery

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