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Medicinski pregled 2023 Volume 76, Issue 7-8, Pages: 192-196
https://doi.org/10.2298/MPNS2308192R
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Early outcomes of surgical treatment with microdiscectomy in patients with lumbar disc herniation

Rodić Dušan (University Clinical Center of Vojvodina, Neurosurgery Clinic, Novi Sad), 22dusanrodic@gmail.com
Đilvesi Đula (University Clinical Center of Vojvodina, Neurosurgery Clinic Novi Sad + University of Novi Sad, Faculty of Medicine, Novi Sad), djula.djilvesi@mf.uns.ac.rs
Jelača Bojan ORCID iD icon (University Clinical Center of Vojvodina, Neurosurgery Clinic Novi Sad + University of Novi Sad, Faculty of Medicine, Novi Sad)
Rodić Jovana (University Clinical Center of Vojvodina, Gynecology and Obstetrics Clinic, Novi Sad)
Lasica Nebojša ORCID iD icon (University Clinical Center of Vojvodina, Neurosurgery Clinic Novi Sad + University of Novi Sad, Faculty of Medicine, Novi Sad)
Vuleković Petar (University Clinical Center of Vojvodina, Neurosurgery Clinic Novi Sad + University of Novi Sad, Faculty of Medicine, Novi Sad)

Introduction. The treatment of patients with lumbar disc herniation can be conservative or surgical, depending on the patient’s characteristics, the disease, and treatment possibilities. This study aims to compare the intensity of pain, the presence of Lasègue’s sign, and the degree of neurological deficits in patients with lumbar disc herniation before and after the operation. Additionally, the degree of intervertebral disc degeneration, evaluated by magnetic resonance imaging findings on the outcome will be determined. Material and Methods. A retrospective study involved 50 patients aged 18 to 45 who underwent microdiscectomy procedure. Parameters including pain intensity on the visual-analog scale, Lasègue’s nerve stretching test, sensory deficits, motor deficits, and the degree of intervertebral disc degeneration according to the Pfirrmann grading system were assessed preoperatively and in the early postoperative period. Results. Intervertebral disc herniation most commonly occurred at the L4-5 and L5-S1 levels in our patients. Pain intensity significantly decreased from a preoperative score of 7.6 to 2.4 postoperatively. There was also a significant decrease in the number of patients with positive Lasègue’s sign. According to the Pfirrmann grading system, 38% of patients had mild degenerative changes in the intervertebral disc, while 62% had severe degenerative changes. Conclusion. Microdiscectomy is the gold standard in surgical treatment of lumbar disc herniation. In the early postoperative period, patients experience a significant reduction in pain intensity with subsequent improvement of sensory and motor deficits. Surgical treatment of lumbar disc herniation, when indicated appropriately, carries a high success rate.

Keywords: Intervertebral Disc Displacement, Treatment Outcome, Microdissection, Pain, Lumbar Vertebrae, Postoperative Period

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