SPINE SURGERY

Introduction: low back pain is basic medical issue in our general population,it influence our day by day life exercises and bargains our personal satisfaction. Intervertebraldisc herniation is one of the commonest reasons for backache and sciatica. Discectomy isthe essential treatment of decision for disc herniation. Objective: To determine the incidenceand indication of revision spine surgery after lumber discectomy. Study Design: Retrospectivestudy. Setting: Spine Surgery Unit of Central Military Hospital Rawalpindi. Period: Ten yearsfrom July 2007 to August 2017. Methods: Patients who presented with disc herniation for whichdiscectomy was done were included into this retrospective study. Patient’s statistic profile,indications, signs and imaging finding were recorded. Discectomy was performed throughone-sided Fenestration at symptomatic side. Post-operative patient’s changes was notedand recorded. Three hundred and fifty two patients were contemplated amid most recent tenyears. Results: out of 352 patients, 214 were male 138 were female patients; age ranged from20 to 70 years. 74(21.02 %) patients out of 352 again presented with severe backache andsciatica, recurrent disc herniation was confirmed on MRI lumbosacral. 46 (62.16%) out of 74patients were complaining of backache than sciatica, backache more severe on activity andrelieved on rest. 28(37.83%) out of 74 patients had sciatica than backache. TLIF was done in46 patients and remaining 28 patients treated with laminectomy and discectomy. Back painand sciatica was relieved in all patients (100%) after TLIF and discectomy and quality of lifeimproved. Conclusion: Our study concluded that incidence of spine surgery revision is 21%and indication of surgery is either stability or recurrence of disc herniation. TLIF is having goodresult in patient with stability issue and discectomy in patients’ with sciatica than backache.