SURGICAL OF LUMBAR DISC HERNIATION AT ZAINOEL ABIDIN GENERAL HOSPITAL BANDA ACEH: EXPERIENCE WITH 28 PATIENTS

Abstract: Surgery is one of the options in HNPL management if standar conservative treatment failed. HNP surgery results in Aceh have not been reported yet. Therefore, this study reported the HNPL surgery in Zainoel Abidin General Hospital, Banda Aceh period 2010-2012. This research was a descriptive retrospective.The incidence of HNPL who underwent surgery was 28 patients. There was no HNPL case in the age group I (0-18 years), age group II (19-40 years) was 7 patients (25%), and age group III (over 40 years) was 21 patients (75%). Based on HNPL location, no HNPL located in the L1-L2 and L3-L4, L2-L3 was 1 patient (3.57%), L4-L5 was 20 patients (71.42%), L5-S1 was 3 patients (10.71%), and there were 4 patients HNPL in multiple lumbar (14.28%). Hemilaminectomy was the most common type of surgery performed (27 patients or 96.42%), followed by laminotomy (1 patients or 3.57%). In summary, the most common lumbar disc herniation was in L4-L5. The surgical option is only for the patients that failed conservative treatment(in six weeks- six months period). Hemilaminectomy was the most common procedure performed in HNP patient in Aceh.
Keywords: Herniated nucleus pulposus, herniated nucleus pulposus surgery, lumbar disc herniation
Author: Azharuddin
Journal Code: jpkedokterangg140263

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