ABSTRACT
Objective: To compare the outcomes of conventional open lumbar discectomy on lumbar prolapsed intervertebral disc in relation to the presence or absence of degenerative spinal lesions
Study Design: Observational descriptive study
Patients and Methods: A total of 60 patients were included in the study having prolapsed intervertebral disc, divided into two groups. In group A, 30 patients having simple prolapsed intervertebral disc with radiculopathy with or without neurological deficit, while in group B 30 patients having prolapsed intervertebral disc and degenerative spinal lesion diagnosed on radiographs. MRI was main tool of investigation/ diagnosis in both groups. Surgical procedure hemilaminectomy and discectomy was done at the involved interspace on the appropriate side
Results: In group A, 19 patients were male and 11 patients were female while in group B, 22 patients were male and 8 patients were female. Twenty-seven patients [90%] in group A show good to excellent relief i.e. they are either completely pain free [23 patients] or had residual minor pain [4 patients], while 10% of patients shows little or no improvement. In group B, 76.6% of patients shows good to excellent improvement i.e. they are either completely pain free [19 patients] or had residual minor pain [4 patients], while only 7 patients remained either same or shows little improvement [p=0.29]
ABSTRACT
Objective: To find out the frequency and patterns of cervical spine injuries at Liaquat University Hospital Jamshoro and to compare it with other studies
Study Design: Retrospective descriptive study
Place and Duration of study: Department of Neurosurgery, Liaquat University Jamshoro, from September 2005 to August 2008
Patients and Methods: The records of 46 patients between 13-70 years age presenting with cervical spine injuries were included. After resuscitation all the patients underwent thorough neurological examination. Cervical spine X-Rays and MRI advised. The retrieved data was collected on proforma. Frequencies and percentages were calculated for categorical data, whereas mean and SD were calculated for numerical data
Results: out of 46 patients 39 were males, 7 patients were females. Mean age was 33 years [range 13-70 years]. Majority [43.37%] of patients sustained injuries due to fall from height. Six [13.64%] patients sustained C1-C2 injuries, while rest of patients had lower cervical injury between C3-T1. Radiological Studies showed vertebral body fracture with subluxation in 21 [45.6%] patients whereas only subluxation without fracture was observed in 10 [21.73%] patients. About 12 [26.08%] patients developed vertebral body fracture after injury, while 3[6.51%] patients had only neurological cord injury without any bony or ligamentous injury. About 31 [67.39%] patients sustained incomplete cord injury while 15 [32.60%] patients had complete cord injury
Conclusion: Majority of patients sustained cervical spine injuries after fall. Cervical spine injuries are common in young adult males. Subluxation associated with vertebral body fractures is the most common injury pattern