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A Comparison of Pre Operative and Post Operative Clinical Signs with Electrophysiological Parameters in Degenerative Lumbar Disc Disease

Raghavendran R., Professor, Department of Neurosurgery, Institute of Neurosurgery, Rajiv Gandhi Government General Hospital and Madras Medical College, Chennai, Tamil Nadu 600003, India . , Saranyan R.1 , Raghavendran R.2

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International Journal of Neurology and Neurosurgery 10(3):p 203-207, Jul-Sep 2018. | DOI: DOI: http://dx.doi.org/10.21088/ijnns.0975.0223.10318.10

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Abstract

In this present world, Low Back Ache is a common debilitating problem. It is mostly because of degenerative disc disease. There is no definitive management available to evaluate the patient before surgery and predict the probable outcome. Objective: There is a discrepancy between the MRI findings and Clinical findings which creates false positive and false negative results. These shows there are no definitive investigation criteria and patient selection for degenerative disc disease and the surgical success rate is moderately high. So it is important that we identify the group of patients who will benefit from surgical procedure and we can give them a reliable prognosis. Methods: Nerve conduction study is done pre­ op and repeated twice after surgery on second and tenth post op day. Amplitude, latency and velocity results of all three Nerve conduction studies were analysed and compared. Results: Electrophysiological studies augments selection criteria of patients undergoing surgery for Low back pain. It is also helpful in Prognosticating Outcome. Conclusion: Combining Electrophysiological studies with Clinical and Imaging modalities gives better outcome.

Keywords: Lumbar Spine; Degenerative Disease; Neural Compression.

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DOI: DOI: http://dx.doi.org/10.21088/ijnns.0975.0223.10318.10

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