ABSTRACT
Background: postoperative lumbar discitis is a rare but depressing complication of if° lumbar disc surgery. The long-term prognosis of these patients needs to be highlighted
Aim of the work: is to evaluate the clinical conditions of such patients after a long period from surgery extending to two years
Patients and methods: seventeen cases of proved postoperative lumbar discitis were analyzed. All patients were followed for 2 years. Each patients was subjected to full history taking, clinical examination, radiological investigations, and laboratory testing
Results: there were 12 females [71%] and 5 males [29%], The most involved level was IA-L5 level [10 cases =58.8%], Postoperative pain relieve lasted for 4 days to 34 days with a mean of 11.8 days. Duration of discitis pain ranged from 2 weeks to 12 weeks with a mean of 6.5 weeks]. The Oswestry low back pain scale was used a quantitative method for determination of the severity of symptoms. Fifteen patients [88.2%] had minimal disability, 2 patients [11.8%] moderate disability at one-year follow up. After 2 years 13 patients [92.9%] had mild disability, one patient [7.1%] moderate disability and 3 patients lost in the follow up
Conclusion: although postoperative lumbar discitis is a rare complication, its impact on the patient and the surgeon is severe because the patient complaint is usually more severe than the original pain. On long-term follow up most patients can regain their preoperative quality of work
ABSTRACT
Twenty patients with colloid cysts of the third ventricle had operative procedures for excision in the period from October 1995 to October 2000 [5 years]. Ten cases had microneurosurgical excision [7 cases via transcallosal-transventricular approach and 3 cases via transcortical-transventricular approach]. The other ten [10] patients had transcortical endoscopic excision. There was 12 men and 8 women, and the age of patients ranged from 12-60 years [mean 38.5]. The most common clinical symptoms of both groups included headache [in all patients], diplopia, syncope, ataxia, vertigo, memory deficits and seizure. Papilloedema was present in the majority of cases [70%]. All survived patients had follow-up ranged from 6 months to 36 months [mean 22.5 months]. The results of this study revealed that endoscopic removal of colloid cyst is promising technique that saves the operative and recovery time and decreases the risks of complications