Journal of AdvancedMedical and Dental Sciences Research

Background: Low back and sciatic pain have been one of the most common and disabling spinal disorders recorded in medical history. Lumbar disc herniation is a major cause of back pain and sciatica. The present study was conducted to assess efficacy of percutaneous endoscopic lumbar discectomy in management of cases of lumbar disc herniation. Materials & Methods: 48 patients of lumbar disc herniation were selected for percutaneous endoscopic lumbar discectomy. All patients were exposed to preoperative X-rays and magnetic resonance imaging (MRI) scans of lumbosacral spine. Clinical follow up was done at 1 month, 3 months, 6 months, 1 year, and at yearly interval thereafter. Results: Age group 30-40 years had 5, 40-50 years had 11, 50-60 years had 12 and >60 years had 20 patients. The difference was significant (P< 0.05). Approach was transforaminal in 30, interlaminar in 13 and combined in 5. Outcome was excellent in 22, good in 15, fair in 8 and poor in 3. The difference was significant (P< 0.05). Conclusion: Percutaneous endoscopic lumbar discectomy is a safe technique in management of cases of lumber disc herniation.