Limited surgical discectomy and microdiscectomy. A clinical comparison.
This study was performed in an attempt to determine if there was any clinical or cost benefit of microdiscectomy over surgical discectomy. Each patient was asked to rate his pain or neurologic deficit on a scale from 1 to 10 (1 = no pain or deficit and 10 = the most severe pain or deficit). Thirty patients underwent microdiscectomy. Average preoperative back pain was rated 8.03 and leg pain 8.53. Preoperative numbness was rated 5.29 and weakness 5.38. The median time off work preoperatively was 4 weeks. The mean hospitalization was 2 days, and a postoperative median of 8 weeks for returning to work. Average follow-up was 17.4 months. Mean back pain was 1.8, with 57% having no back pain at follow-up. Mean leg pain at follow-up was 1.3, with 67% having no leg pain. Numbness was rated 0.97, with 85% having none at follow-up. Weakness was rated 1.4, with 76% having none at follow-up. Thirty-four patients underwent surgical discectomy. Average preoperative back pain was rated 7.56 and leg pain 9.32. Preoperative numbness was rated 6.94 and weakness 5.88. The median time off work preoperatively was 6 weeks. The mean hospitalization was 7 days, and a median of 7 weeks postoperative before returning to work. Average follow-up was 18.5 months. The mean pain rating for back pain was 1.09, with 74% having no back pain at follow-up. The average leg pain was 1.09, with 74% having no leg pain at follow-up.(ABSTRACT TRUNCATED AT 250 WORDS)
Kahanovitz
N
N
Hospital for Joint Diseases, Orthopaedic Institute, New York, New York.
Viola
K
K
Muculloch
J
J
D000328:Adult; D003365:Costs and Cost Analysis; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007403:Intervertebral Disc / Q000601:surgery*; D007405:Intervertebral Disc Displacement / Q000601:surgery*; D007796:Laminectomy / Q000379:methods; D007902:Length of Stay / Q000191:economics; D008297:Male; D008866:Microsurgery