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1 Assistant Professor of Orthopedics, Holy Family Red Crescent Medical College Hospital, Dhaka, Bangladesh 2 Chairman & Head, Department of Orthopedics, BSMMU, Dhaka, Bangladesh 3 Professor of Spine Surgery, BSMMU, Dhaka, Bangladesh 4 Professor of Orthopedics, NITOR, Dhaka, Bangladesh 5 Associate Professor of Orthopedics, NITOR, Dhaka, Bangladesh 6 RS (Orthopaedics), SSMC and Mitford Hospital, Dhaka, Bangladesh 7 Registrar, NITOR, Dhaka, Bangladesh 8 Assistant Professor of Orthopedics, Bashundhara Ad-din Medical College, Dhaka, Bangladesh Medical Officer, NITOR, Dhaka, Bangladesh *Corresponding Author Dr Muhammad Sieful Islam Abstract Majority of cases the backache is associated with degeneration of the intervertebral discs in the lower lumbar spine. This is an age-related phenomenon that occurs in over 80 percent of people who live for more than 50 years and in most cases it is asymptomatic. Disc excision by fenestration technique has superiority over laminectomy in respect of tissue damage, neurological decompression, early postoperative mobilization, early return to work and low incidence of backache. It is safe, effective and reliable surgical technique for treating properly selected patients with the herniated disc. The technique is free from spinal instability. The general objective of this study is to find out the effectiveness and functional outcome of fenestration and discectomy for the prolapsed lumbar intervertebral disc in Bangladesh. The study was undertaken in National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Dhaka, Bangladesh from July 2016 to June 2018.Out of 31 patients Majority of 20 (64.51%) patients showed good outcome followed by excellent in 08 (25.80%) patients, 02 (06.45%) patients had fair outcome and 01 (03.22%) patient had poor outcome. By considering all aspects fenestration and discectomy is a better technique in the context of our country with the advantage of less tissue injury, good spinal function, smooth patient recovery, improve working status with early rehabilitation and maintain clinical efficacy.

Fenestration and Discectomy is Safe and Effective Procedure for the Treatment of Prolapse Lumbar Intervertebral Disc