A retrospective study of ۱۲۵۰ cases of lumber disc herniation operated upon at two hospitals of Isfahan university of medical sciences

In this study ۱۲۵۰ patients who have been operated for lumber disc herniation during ۱۰ years were analyzed. Seventy one percent of patients were male.with an average age of ۳۷.۲ +_ ۰.۹ years in which ۶۱℅ had backache for many years ( average ۳.۵ +_  ۲.۱ year) before experiencing root pain, and in ۵۴℅ of them backache started following a heavy weight lifting or heavy job. ۲۹℅ of patients were female with an average age of ۴۱.۱+_۸.۴ years in which ۶۹℅ had backache for an average of ۵.۷+_۳.۲ years before back experiencing root pain and in ۱۱℅ of them backache started following  a heavy job. Worker incidence of back pain prevalence was ۴۱℅ housewives ۲۱℅ , sedentary employees ۱۹℅, drivers ۱۲℅, and others ۷℅ . The commonest indications for operation were, backache in association with root pain not relieved by rest in ۹۱.۵℅ atrophy and motor disturbancise in ۷℅, sphincteric disturbances in ۱.۵℅ . There percent of patients had backache with no root pain. ۲۹℅ of patients had root pain only. S.L.R were positive in ۶۵.۲℅ and ۶۱℅ had H۴- L۵, P.I.D. and in ۲۵.۳℅ disc was bilateral and ۳۲℅ of patients had dick herniation at two levels. Complete recovery from root pain was seen in ۸۴℅ of patients post.op. ۱۶℅ of patients had partial recovery or faced with complications.۵℅ of patients found to have another pathology rather than disc such as focal abscess, tumor, hydatid cyst, and congested veins. The key success to this operation found to be in correct of patients. Right diagnosis, perfect and on time operation by an experienced surgeon.

Keywords:

Lumber disc hernia , Complications , Epidemiology , sciatica pain