Laminectomy versus interlaminar approach for Lumbar disc herniation

  • Moneer K. Faraj Dept. of Surgery, College of Medicine , University of Baghdad.
  • Ammar S. Al-adhami Neurosciences Hospital, Baghdad, Iraq.
  • Mohammed Q. Abdulrazzaq  Neurosciences Hospital, Baghdad, Iraq.
  • Ahmed Aman    Neurosurgical Hospital, Baghdad, Iraq
Keywords: Lumbar Disc herniation, Interlaminar, Laminectomy, surgical management.

Abstract

Background: Low back pain is the most common health problem in men and women between the ages of 20 and 50 years. The lumbar disc prolapse has a major role in this condition. Treatment is either conservative or surgical. The most common surgical interventions are either laminectomy or interlaminar approach.

Objective: To determine which is the best surgical approach for the patient according to his/her type of disc herniation.

Patients and methods: A comparative clinical study conducted in the Neurosciences Hospital, Baghdad, Iraq from January 2016 to January 2018. In this paper we evaluated the clinical outcome following both approaches

Results: We studied sixty cases; thirty-four patients had interlaminar approach for lumbar discectomy while twenty-six patients had laminectomy with discectomy.

Conclusion: Both methods can manage different types of lumbar disc prolapse, apart from far-lateral disc which favors laminectomy approach. 

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Author Biographies

Moneer K. Faraj, Dept. of Surgery, College of Medicine , University of Baghdad.

 MD, FICMS, FACS, FICS, IFAANS                              

Ammar S. Al-adhami, Neurosciences Hospital, Baghdad, Iraq.

 MD, FICMS

Mohammed Q. Abdulrazzaq , Neurosciences Hospital, Baghdad, Iraq.

 MD 

Ahmed Aman   , Neurosurgical Hospital, Baghdad, Iraq

MD, FICMS

Published
2018-12-31
How to Cite
1.
Faraj M, Al-adhami A, Abdulrazzaq M, Aman  A. Laminectomy versus interlaminar approach for Lumbar disc herniation. JFacMedBagdad [Internet]. 31Dec.2018 [cited 26Sep.2020];60(3):126-30. Available from: http://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/594