What is an absolute indication for surgery in disc prolapse?
Correct Answer: Cauda equina paralysis
Description: Ans. C. Cauda equine paralysisAbsolute indications for disc prolapse surgery are:* Failed conservative management* Marked progressive weakness of muscles* Progressive neurological deficit* Cauda equina paralysisRelative indications are:* Recurrent episodes of incapacitating sciatica* Pain not relieved by complete rest from activities* Surgery is done to ensure that the pressure on the nerve root is relieved by removing the prolapsed disk.Note:* The most common cause of sciatica is IVDP.
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Orthopaedics
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