Abstract
We report on 71 cases of lumbar disc herniation (H group) and spinal canal stenosis (S group) with acute symptoms who were clinically investigated. Herniation was observed in 39 cases (55%) and stenosis in 32 cases (45%) at surgery.
Clinical symptoms and physical signs
Lumbago, leg pain and SLR (or FNS) Test were reported more in the H group compared to the S group. In comparison intermittent claudication was higher in the S group. Motor weaknes was seen in over 50% of both groups. Recto-vesical dysfunction was seen in 10% of the H group and 22% of the S group.
Surgical method
Unilateral clinical signs were found in 79% of the H group and 53% of the S group. But Love, hemi fenestration or hemi laminectomy were done in only 23% of the H group and 10% of the S group. In most cases, laminectomy was done for decompression of the Dura mater and nerve Root.
