A Prospective Study of Outcome of Lumbar Disc Excision through Fenestration in Adults Shrinivas Kalliguddi1, Arun K N1, Rathod Chandrakanth V2, Somashekarappa T3, Karigoudar R N4, Chavadaki R H5 1Assistant Professor, Dept. of Orthopedics, Navodaya Medical College and Research Hospital, Raichur, Karnataka 2Associate Professor, Dept. of Pathology, Navodaya Medical College and Research Hospital, Raichur, Karnataka 3Professor, Dept. of Orthopedics, Navodaya Medical College and Research Hospital, Raichur, Karnataka 4Prof & HOD, Dept. of Orthopedics, Navodaya Medical College and Research Hospital, Raichur, Karnataka 5Associate Professor, Dept. of Orthopedics, Navodaya Medical College and Research Hospital, Raichur, Karnataka Online published on 6 November, 2014. Abstract Background Low back pain due to lumbar disc herniation is one of the common causes of morbidity in the form of limitation of activity in young adults. Discectomy is considered as gold standard for operative intervention in patients with lumbar disc herniation where conservative management has failed to cure the symptoms. The results of discectomy depends upon various factors such as patient selection, neurological involvement at the time of presentation. Method This is a prospective study of 60 patients with lumbar disc herniation who underwent fenestration and discectomy between 2009 to 2012. Results The results were evaluated using Japanese Orthopaedic Association (JOA) low back pain score. The post operative results were good in 90% of patients, fair in 6.66% and poor in 3.33% of patients. Conclusion Lumbar discectomy by fenestration method without much removal of lamina (standard laminectomy) is an effective surgical procedure in properly selected patients with lumbar disc herniation. The results of our study are comparable with micro discectomy. Top Keywords Limited Laminectomy, Fenestration, Discectomy, Lumbar Intervertebral Disc Herniation. Top |