The Results of Lomber Disc Hernia Patients Treated with Disc Restoration Hydrogel Implant (Gelstixtm): A Retrospective Cohort Study

Ayşe Azak Bozan; Sibel Özcan; Mikail Kılınç; Meryem Işık Seç; Selami Ateş Önal

Makale detayları

The Results of Lomber Disc Hernia Patients Treated with Disc Restoration Hydrogel Implant (Gelstixtm): A Retrospective Cohort Study

Yazarlar:

Ayşe Azak Bozan | Sibel Özcan | Mikail Kılınç | Meryem Işık Seç | Selami Ateş Önal

Yayıncı:

Kahramanmaras Sutcu Imam University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi Vol.19 Issue 1, pp.27-32

Belge Tipi:

Makale

Yayın Tarihi:

3/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001314356

pISSN:

1303-6610

Anahtar kelimeler:

Özet:

 Objective: This study aims to evaluate the results of disc restoration hydrogel implanted GelstixTM lumber disc hernia patients. Materials and Method: Patients suffering from chronic back pain diagnosed with lumber disc hernia who were admitted to Firat University Algology Clinic and treated with disc restoration hydrogel between January 2013 and January 2014 were evaluated. Cases were evaluated for demographic characteristics, magnetic resistance imaging findings, preoperative and postoperative visual analog scale VAS scores, complications, side effects, and patient satisfaction after the procedure. Results: Of the operated 62 patients were 25 male 40.3 and 37 female 59.7. The mean age of all patients was 49.1814.18 years, the mean age of female patients was 50.8113.37 years and the mean age of male patients was 46.7615.27 years. The mean duration of pain in female and male patients was 37.8137.92 months and 25.3633.58 months, respectively. Preoperative and postoperative VAS scores of female patients were 8.241.09 and 3.562.11; male patients were 7.881.01 and 3.762.17, respectively. Of the 62 patients suffered from 16 right leg pain 25.8, 20 left leg pain 32. 3, and 26 bilateral lower limb pain 41.9. Of 62 patients 31 had no additional disorders 50, 12 had cardiac disorders 19.4, 3 had 4.8 respiratory disorders, 7 had endocrine disorders 11.3, 4 had both endocrine and cardiac disorders 6.5, 2 had both cardiac and respiratory disorders 3.2, 1 had both endocrine and respiratory disorders 1.6, and 2 had both endocrine, cardiac and respiratory disorders 3.2. Of the 62 patients 25 had bulging 40.3, 5 had protrusion 8.1, 4 had narrowed neural foramen 6.5, 18 had bulgingnarrowed neural foramen 29, 3 had narrowed neural foramen  protrusion 4.8 and 7 had bulging  protrusion 11.3. Thirteen patients hadnt had previous therapy 20.97, transforaminal steroid injection was applied to 29 patients 46.77, and medical therapy such as NSAID, miyorelactants was applied to 20 32.26. Levels of complaints were 2 at L2-L3 3. 2, 17 at L3-L4 27.4, 28 at L4-L5 45.2, and 15 at L5-S1 24.2. Without L2-L3 level other operated levels had significant differences between preoperative VAS scores and postoperative VAS scores. The number of unsatisfied patients was 9 14.5, moderated satisfied patients number 1625.8, good satisfied patients number was 16 25. 8, and perfectly satisfied patients number was 21 33.9. Conclusion: Disc restoration hydrogel is a safe minimal invasive technique with satisfactory results, low complication rates, and low side effect risk especially in young and middle-aged patients.

 Objective: This study aims to evaluate the results of disc restoration hydrogel implanted GelstixTM lumber disc hernia patients. Materials and Method: Patients suffering from chronic back pain diagnosed with lumber disc hernia who were admitted to Firat University Algology Clinic and treated with disc restoration hydrogel between January 2013 and January 2014 were evaluated. Cases were evaluated for demographic characteristics, magnetic resistance imaging findings, preoperative and postoperative visual analog scale VAS scores, complications, side effects, and patient satisfaction after the procedure. Results: Of the operated 62 patients were 25 male 40.3 and 37 female 59.7. The mean age of all patients was 49.1814.18 years, the mean age of female patients was 50.8113.37 years and the mean age of male patients was 46.7615.27 years. The mean duration of pain in female and male patients was 37.8137.92 months and 25.3633.58 months, respectively. Preoperative and postoperative VAS scores of female patients were 8.241.09 and 3.562.11; male patients were 7.881.01 and 3.762.17, respectively. Of the 62 patients suffered from 16 right leg pain 25.8, 20 left leg pain 32. 3, and 26 bilateral lower limb pain 41.9. Of 62 patients 31 had no additional disorders 50, 12 had cardiac disorders 19.4, 3 had 4.8 respiratory disorders, 7 had endocrine disorders 11.3, 4 had both endocrine and cardiac disorders 6.5, 2 had both cardiac and respiratory disorders 3.2, 1 had both endocrine and respiratory disorders 1.6, and 2 had both endocrine, cardiac and respiratory disorders 3.2. Of the 62 patients 25 had bulging 40.3, 5 had protrusion 8.1, 4 had narrowed neural foramen 6.5, 18 had bulgingnarrowed neural foramen 29, 3 had narrowed neural foramen  protrusion 4.8 and 7 had bulging  protrusion 11.3. Thirteen patients hadnt had previous therapy 20.97, transforaminal steroid injection was applied to 29 patients 46.77, and medical therapy such as NSAID, miyorelactants was applied to 20 32.26. Levels of complaints were 2 at L2-L3 3. 2, 17 at L3-L4 27.4, 28 at L4-L5 45.2, and 15 at L5-S1 24.2. Without L2-L3 level other operated levels had significant differences between preoperative VAS scores and postoperative VAS scores. The number of unsatisfied patients was 9 14.5, moderated satisfied patients number 1625.8, good satisfied patients number was 16 25. 8, and perfectly satisfied patients number was 21 33.9. Conclusion: Disc restoration hydrogel is a safe minimal invasive technique with satisfactory results, low complication rates, and low side effect risk especially in young and middle-aged patients.

 Objective: This study aims to evaluate the results of disc restoration hydrogel implanted GelstixTM lumber disc hernia patients. Materials and Method: Patients suffering from chronic back pain diagnosed with lumber disc hernia who were admitted to Firat University Algology Clinic and treated with disc restoration hydrogel between January 2013 and January 2014 were evaluated. Cases were evaluated for demographic characteristics, magnetic resistance imaging findings, preoperative and postoperative visual analog scale VAS scores, complications, side effects, and patient satisfaction after the procedure. Results: Of the operated 62 patients were 25 male 40.3 and 37 female 59.7. The mean age of all patients was 49.1814.18 years, the mean age of female patients was 50.8113.37 years and the mean age of male patients was 46.7615.27 years. The mean duration of pain in female and male patients was 37.8137.92 months and 25.3633.58 months, respectively. Preoperative and postoperative VAS scores of female patients were 8.241.09 and 3.562.11; male patients were 7.881.01 and 3.762.17, respectively. Of the 62 patients suffered from 16 right leg pain 25.8, 20 left leg pain 32. 3, and 26 bilateral lower limb pain 41.9. Of 62 patients 31 had no additional disorders 50, 12 had cardiac disorders 19.4, 3 had 4.8 respiratory disorders, 7 had endocrine disorders 11.3, 4 had both endocrine and cardiac disorders 6.5, 2 had both cardiac and respiratory disorders 3.2, 1 had both endocrine and respiratory disorders 1.6, and 2 had both endocrine, cardiac and respiratory disorders 3.2. Of the 62 patients 25 had bulging 40.3, 5 had protrusion 8.1, 4 had narrowed neural foramen 6.5, 18 had bulgingnarrowed neural foramen 29, 3 had narrowed neural foramen  protrusion 4.8 and 7 had bulging  protrusion 11.3. Thirteen patients hadnt had previous therapy 20.97, transforaminal steroid injection was applied to 29 patients 46.77, and medical therapy such as NSAID, miyorelactants was applied to 20 32.26. Levels of complaints were 2 at L2-L3 3. 2, 17 at L3-L4 27.4, 28 at L4-L5 45.2, and 15 at L5-S1 24.2. Without L2-L3 level other operated levels had significant differences between preoperative VAS scores and postoperative VAS scores. The number of unsatisfied patients was 9 14.5, moderated satisfied patients number 1625.8, good satisfied patients number was 16 25. 8, and perfectly satisfied patients number was 21 33.9. Conclusion: Disc restoration hydrogel is a safe minimal invasive technique with satisfactory results, low complication rates, and low side effect risk especially in young and middle-aged patients.

 Giriş: Lomber disk hernisi hastalarında disk restorasyon hidrojel implant GelstixTM uygulanmasının kliniğimizdeki sonuçlarını değerlendirmek amaçlanmıştır. Gereç ve Yöntemler: Fırat Üniversitesi Hastanesi Algoloji Polikliniğine başvuran lomber disk hernisi tanısı almış,kronik diskojenik ağrılı, Ocak 2013Ocak 2014 tarihleri arasında bir yıllık sürede disk restorasyon hidrojel uygulanan hastalar retrospektif olarak değerlendirildi. Olgular demografik karakteristikleri,magnetik rezonans görüntüleme bulguları, preoperatif ve postoperatif vizüel analog skala VAS skorları, komplikasyonlar, yan etkiler ve işlem sonrası hasta memnuniyeti açısından incelendi. Bulgular: Yirmi beşi erkek 40,3, 37si kadın 59,7 toplam 62 hastaya işlem yapıldı. Hastaların yaş ortalaması 49,18  14,18 yıl,kadın hastaların yaşları 50,8113,37 yıl ve erkek hastaların yaşları 46,7615,27 yıldı. Kadın ve erkek hastaların ağrı süreleri sırasıyla 37,8137,92 ay ve 25,3633,58 aydı. Preoperatif ve postoperatif VAS skorları kadın hastalarda 8,241,09 ve 3,562,11; erkek hastalarda 7,881,01 ve 3,762,17 idi. Onaltı  25,8 sağ bacak ağrısı, 2032,3 sol bacak ağrısı, 2641,9 bilateral alt ekstremite ağrısıyla kliniğimize başvurdu. Hastaların 31inde 50 ek bir hastalık olmadığı, 12sinde 19,4 kardiak hastalık, 3ünde 4,8 respiratuar hastalık, 7sinde 11,3 endokrin hastalık, 4ünde 6,5 endokrin ve kardiyak hastalık beraber, 2sinde 3,2 kardiyak ve respiratuar hastalık beraber, 1inde 1,6 endokrin ve respiratuar hastalığın beraber ve 2sinde 3,2 endokrin, kardiyak ve respiratuar ek hastalığının beraber olduğu görüldü. Hastaların 25inde bulging 40,3, 5inde protrüzyon 8,1, 4ünde NFD 6,5, 18inde bulging  NFD 29, 3ünde NFD  protrüzyon4,8 ve 7sinde bulging  protrüzyon 11,3 vardı. Onüç hastanın 20,97 daha önce tedavi almadığı, 29unun 46,77 transforaminal steroid tedavisi aldığı ve 20sinin32,26 sadece medikal tedavi aldığı tespit edildi. Şikayet seviyesi 2 hastada L2-L3 3,2, 17sinde L3-L4 27,4, 28inde L4-L5 45,2 ve 15inde L5-S1di 24,2. Memnun olmayan hasta sayısı 914,5, orta derecede memnun kalan hasta sayısı 1625,8, iyi derecede memnun olan hasta sayısı 16 25,8, mükemmel derecede memnun olan hasta sayısı ise 21di 33,9. Sonuç: Disk restorasyon hidrojel özellikle genç ve orta yaş hastalarda diskojenik ağrıya karşı tatmin edici sonuçlarla kullanılabilen, düşük komplikasyon ve yan etki riskine sahip güvenli bir minimal invazif tekniktir.

Makale detayları

The Results of Lomber Disc Hernia Patients Treated with Disc Restoration Hydrogel Implant (Gelstixtm): A Retrospective Cohort Study

Yazarlar:

Ayşe Azak Bozan | Sibel Özcan | Mikail Kılınç | Meryem Işık Seç | Selami Ateş Önal

Yayıncı:

Kahramanmaras Sutcu Imam University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi Vol.19 Issue 1, pp.27-32

Belge Tipi:

Makale

Yayın Tarihi:

3/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001314356

pISSN:

1303-6610

Back Pain

Lomber Disc Hernia

Intervertebral Disc

Disc Restoration Hydrogel ImplantBel ağrısı

Lumber Disk Hernisi

İntervertebral Disk

Disk Restorasyon Hidrojel İmplant

Sayı

Makale detayları

Yazarlar: Ayşe Azak Bozan | Sibel Özcan | Mikail Kılınç | Meryem Işık Seç | Selami Ateş Önal

Yayıncı: Kahramanmaras Sutcu Imam University

Ana Başlıklar: Sağlık Kurumları Yönetimi

Dergi: Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi Vol.19 Issue 1, pp.27-32

Belge Tipi: Makale

Yayın Tarihi: 3/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001314356

pISSN: 1303-6610

Sayı

Yazarlar:

Ayşe Azak Bozan | Sibel Özcan | Mikail Kılınç | Meryem Işık Seç | Selami Ateş Önal

Yayıncı:

Kahramanmaras Sutcu Imam University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi Vol.19 Issue 1, pp.27-32

Belge Tipi:

Makale

Yayın Tarihi:

3/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001314356

pISSN:

1303-6610