Evaluation of the Efficacy of Epiduroscopic Laser Neural Discectomy in Lumbar Disc Herniations: Retrospective Analysis of 163 Cases- Evaluation of the Efficacy of ELNP
| Autor: | Mustafa Erkan Inanmaz, Ali Metin Ülgen, Fatih Şahin, Serbülent Gökhan Beyaz |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Medicine (General) medicine.medical_specialty Percutaneous Article Subject Visual analogue scale medicine.medical_treatment Lasers Solid-State 03 medical and health sciences R5-920 0302 clinical medicine 030202 anesthesiology Discectomy Anesthesiology medicine Humans Aged Retrospective Studies Lumbar Vertebrae medicine.diagnostic_test business.industry Middle Aged Epidural space Surgery Oswestry Disability Index Endoscopy Anesthesiology and Pain Medicine medicine.anatomical_structure Treatment Outcome Neurology Neuroendoscopy Female Laser Therapy business Complication 030217 neurology & neurosurgery Intervertebral Disc Displacement Research Article Diskectomy |
| Zdroj: | Pain Research & Management Pain Research and Management, Vol 2020 (2020) |
| ISSN: | 1918-1523 1203-6765 |
| Popis: | Background. Epiduroscopy, or spinal endoscopy, is the visualisation of the epidural space using a percutaneous and minimally invasive imaging fiberoptic device. Recently, as a result of some studies, it has been reported that laser therapy with epiduroscopic laser neural discectomy (ELND) was applied during multiple lesions. Methods. In this study, ELND performed between January 2012 and July 2016 at the Algology Clinic of the Department of Anesthesiology and Reanimation, Sakarya University Training and Research Hospital, was examined retrospectively. The Oswestry Disability Index (ODI) and Visual Analogue Scale (VAS) scores were recorded preoperatively, as well as after 2 weeks and 2, 6, and 12 months after the ELND. Results. According to the preoperative VAS and ODI scores, the decrease in postoperative 2nd week, 2nd, 6th, and 12th month VAS and ODI scores was significantp=0.001. Similarly, according to the postoperative 2nd week VAS and ODI scores, decrease in postoperative 6th and 12th VAS and ODI scores was significantp=0.001. Conclusions. As a result, ELND with Holmium: YAG laser, which is a new technique in patients with lumbar disc herniated low back and/or leg pain, can reduce VAS and ODI scores from 2 weeks without any complications that open surgery can bring with it. We believe that it is a useful and advanced technique in treatment of lumbar disc herniation and has low complication rates that provides maximum efficacy from the first year. |
| Databáze: | OpenAIRE |
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