Patients operated on by lumbar disc herniation at "Abel Santamaría Cuadrado" hospital

Abstract

Introduction: lumbar disc herniation is one of the main causes of back pain provoking inability for work activities; its surgical intervention is a fundamental pillar for its treatment. Objective: to characterize patients operated on lumbar disc herniation at Abel Santamaría Cuadrado General Teaching Hospital. Method: an observational, descriptive and cross-sectional study was carried out in this institution during 2015, working with a target group of 37 patients operated on lumbar disc herniation. The information obtained from the medical records was processed using descriptive statistics techniques. Medical ethics was respected. Results: female gender predominated and the age group 40-49 years, hypertension constituted the main personal pathological antecedent, and smoking the main toxic habit, patients who worked exerting a great physical effort predominated, including 18.9% of the sample with a history of operated lumbar disc herniation. Lesions predominated at the level of L5-S1 (45, 9%), with lumbo-sciatica being the main clinical manifestation (51.4%). Interlaminar micro-diskectomy was the most used surgical procedure (67.6%), with 86.5% of the sample showing postsurgical progress, laminectomy was the most effective surgical method. There was a predominance of cases with ineffective back syndrome (33.3%), after performing the laminectomy and diskectomy. Conclusions: the study of patients operated on lumbar disc herniation allows evaluating the quality of the surgical procedure developed, drawing new guidelines with a view of the implementation of more effective and less risky intervention protocols for the patient.

Keywords

• desplazamiento del disco intervertebral
• hernia
• microcirugía.