Percutaneous plasma laser disc coagulation and navigable ablation decompression in the treatment of cervical disc herniation: a single center experience

Ayşegül CEYLAN; İbrahim AŞIK

Makale detayları

Percutaneous plasma laser disc coagulation and navigable ablation decompression in the treatment of cervical disc herniation: a single center experience

Yazarlar:

Ayşegül CEYLAN | İbrahim AŞIK

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2019 Vol.49 Issue 1, pp.258-264

Belge Tipi:

Makale

Yayın Tarihi:

1/2019

Belge Dili:

Türkçe

Document ID (Org No.):

2000750351

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144

Özet:

 

Background/aim:  We  aimed  to  compare  the  effectivity  of  percutaneous  disc  coagulation  therapy  (PDCT)  and  navigable  ablation  decompression treatment (L-DISQ) in patients who were diagnosed with cervical disc herniation. Materials and methods: Visual analog scale (VAS) and Neck Pain Index (NPI) scores were recorded initially and at the 1st, 3rd, 6th, and 12th months after the procedures. Patient Satisfaction Scale (PSS) scores were recorded 12 months after the procedures.Results: Mean VAS scores were 7.55 and 3.1 points in the PDCT group and 7.6 and 3.00 points in the L-DISQ group; mean NPI scores were 34.2 and 20.75 points in the PDCT group and and 34.1 and 20.4 points in the L-DISQ group initially and at the 12th month. When compared between months, there was a significant decrease in time-dependent VAS and NPI scores in both PDCT and L-DISQ groups (P  =  0.001).  Some  complications  included  esophageal,  vascular,  and  neural  injuries;  hoarseness;  Horner  syndrome;  infections;  dural  puncture; and muscle spasm. The only difference between groups was the rate of cervical spasm within 1 month after the procedure: 75% in the PDCT group and 15% in the L-DISQ group.Conclusion:  The  diameter  of  the  canal  of  the  cervical  vertebrae  is  narrower  than  of  the  lumbar  and  thoracic  regions;  therefore,  the  smaller  part  of  the  disc  may  be  sufficient  to  create  clinical  signs.  The  response  to  decompression  therapies  is  faster  in  the  case  of  cervical percutaneous procedures that are performed correctly. Proper patient selection and practitioner's experience are important in the treatment success.

Makale detayları

Percutaneous plasma laser disc coagulation and navigable ablation decompression in the treatment of cervical disc herniation: a single center experience

Yazarlar: Ayşegül CEYLAN | İbrahim AŞIK

Yayıncı: TUBITAK

Dergi: Turkish Journal of Medical Sciences 2019 Vol.49 Issue 1, pp.258-264

Belge Tipi: Makale

Yayın Tarihi: 1/2019

Belge Dili: Türkçe

Document ID (Org No.): 2000750351

Sıklık: İki Aylık

eISSN: 1303-6165

pISSN: 1300-0144

Sayı

Yazarlar:

Ayşegül CEYLAN | İbrahim AŞIK

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2019 Vol.49 Issue 1, pp.258-264

Belge Tipi:

Makale

Yayın Tarihi:

1/2019

Belge Dili:

Türkçe

Document ID (Org No.):

2000750351

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144