From the Department of Neurosurgery, Shohada Medical Center, Shaheed Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran.
Abstract: (4650 Views)
In a retrospective study the clinical presentations, neurological findings, contrast
studies, operative findings, and the follow-up results of 314 patients with disc
herniation were studied over a 10-year period. This disease was most frequent
between the ages of 30 to 40 and mostly in males. Low back pain with or without
radicular pain was the most frequent symptom, involving the left leg in the majority
of patients and the average duration of pain was more than a year. In this study
L4 -L5 disc herniation had the highest frequency (50%). The most encouraging sign
to perform myelography was motor deficit (57%). Postoperatively, our patients were
followed for an average of 12 months with excellent to good results noted in 96% of
them. Reherniation of a previously resected disc was noted only in two patients
(0.6%). It is concluded that with precise selection wecould have more than 90% good
results in a conventional method of disc surgery and the chances of recurrence are
negligible.