European Journal of Cardiovascular Medicine

Background: Back pain is regarded as one of the unrewarding problems that were dealt with in orthopedics. Of the various forms of low back pain, only those syndromes associated with neurologic compression of the cauda equina or nerve roots have a reasonably well-understood clinical presentation.

Objectives: The present study aims to study Micro lumbar Discectomy's functional outcome using a magnifying loop for lumbar intervertebral disc prolapse.

Materials and methods: Patients admitted in department of ortgopaedics in katuri medical college with a clinical diagnosis of lumbar disc herniation at either L4-L5, or L5-S1 levels and undergone lumbar microdiscectomy following the inclusion criteria specified in our protocol. Explained all the patients about the procedure, the necessity for follow up, and written consent was taken.

Results:48% of patients are between 41 to 50 years. 64% of the participants are males. The average pre-operative ODI (Oswerty disability index) score was 54.56. The ODI score at the most recent follow-up (3m) was 9.36. The result was excellent in all cases improving from severe disability to minimal disability. Mean ODI at each follow-up visit was compared with pre- operative using Paired T-test, and p-values were calculated. P-value was found to be significant with each comparison.(41-60%)Severe disability was present pre-operatively about 54.56 (21-40%)Moderate disability was present at 1st month about 24.24 and (0-20%)Minimum disability was present at 3rd month about 9.36.

Conclusion: Micro lumbar discectomy with loupe magnification is an excellent cheap procedure, which can be done on an daycare basis. The operated patients had less post-operative pain due to the minimal soft tissue exposure, minimal handling of paraspinal muscles on one side only, less or no damage to the lamina, and no damage to facet joints. All the patients required less dose of postoperative analgesics. Post-operative mobilization is very earlier compared to standard laminectomy and discectomy. All the patients had less postoperative morbidity avoiding complications. Functional outcomes are better compared to standard procedures