Effectiveness of Fenestration and Discectomy among Patients Presenting with Lumbar Disc Herniation

Background:Research-StackExchange47, BackgroundLumbar disc herniation (LDH) is a frequent cause of back pain and neurological dysfunction that often requires surgical treatment. There writing was another popular technique fenestration the other favorite disceyotomy, to relieve symptoms by decompressing ✓ spinal nerve roots. The study is an investigation of these existing methods and their comparison with the aim of evaluating efficacy in symptom relief as well as patient outcome. Objective: aim to compare the clinical outcomes of fenestration and discectomy in lumbar disc herniation. Study design : Descriptive case series comparative study. Place and duration of study. 6th September 2023 to 6the March, 2024 at the Department of Neurosurgery, Qazi Hussain Ahmad Medical Complex Nowshera. Methods: The patients were included in this descriptive case series study that was conducted from 6th September 2023 to 6the March, 2024 at the Department of Neurosurgery, Qazi Hussain Ahmad Medical Complex Nowshera. A sample size was determined at 46% success rate with the help of WHO software, a confidence interval of 95% and margin of error was set at 9%. Assessment of the outcomes in patients including pain and functional improvement were calculated using p-values between groups by standard deviation. Results: This retrospective study included 118 patients (34 females and 84 males) with lumbar disc herniation. Overall, the proportion of males to females was 2.47:1 In a total of 88 patients (74.58%), efficacy was reported, and the mean score for effective relief from symptoms was 3.5 ± 1.2 (SD). Statistical analysis revealed significant differences between the techniques (p < 0.05) with fenestration being marginally superior. Conclusion: Fenestration and discectomy for lumbar disc herniation: a follow-up study. As for symptomatic relief, fenestration seemed to be slightly better. Conclusions. This study provides evidence for both surgical methods as valid surgical options; however, choice of technique should be individualized based on patient characteristics. It is recommended that future studies with larger samples, to provide for more inclusive results.