Surgical Outcomes of Lumbar Spine Procedures; A Prospective Cohort Study in A Tertiary Care Hospital

Objective: To know about the surgical results of lumbar spine procedures performed at MTI Hayatabad Medical Complex and Naseer Teaching Hospital Peshawar. Material and Methods: This prospective cohort study was carried out in the Neurosurgery department at Nasser Teaching Hospital and MTI Hayatabad Medical Complex, from 1st January 2020 to 25th January 2024. We included 267 patients, consisting of both genders, that is, male and female, with the ages ranging from 17 years to 72 years. The Lumbar spine procedures included in our study were; Laminectomy, Partial laminectomy, Discectomy, Right and Left Fenestration, all the rest of the lumbar spine procedures were excluded. The surgical outcome was assessed using a VAS score for grading pain before the procedure and 6 months after the procedure. Results: The study revealed that the average age of the patients was 41.87 years, with a standard deviation of 12.827 years. The youngest patient was 17 years old, and the oldest was 72 years. In terms of gender distribution, males accounted for 46.1% (123 out of 267), while females made up 53.9% (144 out of 267). The most commonly affected site was the L4-L5 level, observed in 133 patients (49.8%), followed by the L5-S1 level, which affected 105 patients (39.3%). Conclusion: The results indicate that such surgeries can significantly improve patient outcomes in terms of pain relief.