Abstract
The clinical pathway has become popular strategies to improve the quality of medication and to obtain shorter period of hospitalization. The aim of this study was to establish the clinical pathway of lumbar microdiscectomy. Sixty-three cases of the lumbar microdiscectomy were included in this five-year retrospective study. Patient age ranged from 14 to 60 years with an average of 35.7 years. An average period of hospitalization was 27.3 days. The JOA score of before and after the operation were an average of 15.8 points and 25.4 points, respectively. The average rate of improvement was 71.1%. With regard to postoperative treatment, antibiotics were administrated intravenously an average period of 6.2 days. The cases were divided into 2 groups; patients with antibiotics for 7days or more, and those for less than 7 days. There is no difference between 2 groups in terms of the wound healing. The period of sitting and walking were divided into two groups; patients for 3 days or more, and those for less than 3 days. There is no difference between 2 groups in the average rate of improvement. Our clinical pathway is as follow; period of post operative antibiotic treatment is for 3 days, followed by a period of sitting and walking for 3 days.
