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A comparative study between laminectomy and laminotomy in patient of lumbar disc prolapse

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Original Article

Author Details : Pinakin I Vora*, Sanjay Kamol

Volume : 6, Issue : 1, Year : 2020

Article Page : 25-29

https://doi.org/10.18231/j.ijos.2020.005

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Abstract

Introduction and Objective: The study aims to compare the effectiveness of laminectomy and
laminotomy for treating lumbar disc prolapse.
Materials and Methods: A prospective study of comparative study between laminectomy and
laminotomy. In patient of lumbar disc bulge will be conducted in the department of Orhtopaedics, Sir
Takhtsinhji Hospital, Bhavnagar, after getting permission from Institutional Review Board, Government
Medical College, Bhavnagar. The Study will compose of 30 patients of lumbar disc bulge admitted in
the Department of Orhtopaedics, Sir Takhtsinhji General Hospital, Bhavnagar. Patients will be included
after approval of Institutional Review Board, Government Medical College, Bhavnagar. Detailed history
regarding personal date, history of mechanism, pre- injury ambulatory status, preexisting local and systemic
condition, menopausal status that may affect recovery. Full clinical examination will be done to assess
the general condition of the patient, range of movement and any associated complains. MRI whole spine
screening will be taken.
After deciding the appropriate plan, patient will be prepared for surgery. Every patient will be operated
upon as early as possible or within two days of getting fitness for anesthesia. All patients will be assessed
with regard to operative time day of getting fitness for anesthesia. All patients will be assessed with regard
to operative time, blood loose, hospital stay and post operative complications. Dressing will be checked on
the 2nd , 4th, 6th post – operative day. Patients will be discharged and then after will be followed on 2nd wk,
6th wk, 12th wk, and 6th month. On follow up visits patients’ will be evaluated with odoms criteria, general
and systemic examination.
Results: Laminotomy has definitive advantages over leminectomy in terms of SHORT hospital stay an
average of 5 days, less blood loss, Less postoperative pain and Epidural hematomas and Fibrosis, It has the
advantage that it’s shorter length of hospitalization leads to early return to work thus improving the quality
of life earlier.
Conclusion: The low complication rate makes laminotomy a choice of surgery in lumbar disc bulge.

Keywords: Disc prolapse, Laminectomy, Laminotomy.

How to cite : Vora P I, Kamol S, A comparative study between laminectomy and laminotomy in patient of lumbar disc prolapse. Indian J Orthop Surg 2020;6(1):25-29

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