EVALUATION OF THE EFFICACY OF PERCUTANEOUS CAUDAL AND COMBINED CAUDAL/TRANSFORAMINAL NEUROPLASTYADESIOLYSIS FOR TREATING SYMPTOMATIC LUMBAR SPINAL STENOSIS

AŞIR, ALPARSLAN; Akçakaya, Mehmet Osman; Comlek, Savas

doi:10.4274/jtss.galenos.2023.03522

EVALUATION OF THE EFFICACY OF PERCUTANEOUS CAUDAL AND COMBINED CAUDAL/TRANSFORAMINAL NEUROPLASTYADESIOLYSIS FOR TREATING SYMPTOMATIC LUMBAR SPINAL STENOSIS

Mehmet AKÇAKAYA, (Demiroğlu Bilim Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, İstanbul, Türkiye)

Alparslan AŞIR, (Ataşehir Florence Nightingale Hastanesi, Nöroşirürji Kliniği, İstanbul, Türkiye)

Savaş ÇÖMLEK (Gayrettepe Florence Nightingale Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, İstanbul, Türkiye)

Journal of Turkish Spinal Surgery

2 0

Yıl: 2023 Cilt: 34 Sayı: 2 Sayfa Aralığı: 61 - 70 Metin Dili: İngilizce DOI: 10.4274/jtss.galenos.2023.03522 İndeks Tarihi: 03-05-2023

EVALUATION OF THE EFFICACY OF PERCUTANEOUS CAUDAL AND COMBINED CAUDAL/TRANSFORAMINAL NEUROPLASTYADESIOLYSIS FOR TREATING SYMPTOMATIC LUMBAR SPINAL STENOSIS

Öz:

Objective: Lumbar spinal stenosis (LSS) is a narrowing of the canal diameter due to degenerative changes, particularly in elderly individuals. This narrowing sometimes accompanies foraminal stenosis. The aim of this study was to investigate the efficacy of caudal and combined caudal/transforaminal adhesiolysis for treating symptomatic LSS patients. Materials and Methods: Patients between the ages of 48-74, whose diagnosis was confirmed by magnetic resonance imaging were included in the study. The gender distribution was kept the same in both groups. The procedure was initially performed through the caudal way in all patients. Patients, with no evidence of foraminal passage in epidurography were categorized in group 2 as a combined caudal and transforaminal adhesiolysis groups. A total of 80 patients (40 patients in each group) were included in this study. Pain relief was evaluated using the walking distance, visual analog scale (VAS), and Oswestry Disability Index (ODI) before the procedure (baseline) and at the second week, the third and the sixth months after the procedure. Results: Baseline VAS values were found to be at least 5 and higher in the patients without foraminal passage by epidurography. These values were present in 35% of the patients in the caudal group. The increase in walking distance was similar in both groups (72.5% in the caudal group and 75% in the combined group). The improvement in VAS was significant in the combined group, and was observed in 39 of 40 patients. The improvement in ODI was 97.5% in both groups. No complications were encountered during and after the procedures. Conclusion: Caudal neuroplasty adhesiolysis is an effective method for treating chronic low back pain due to symptomatic LSS and its effectiveness is increased when adding a transforaminal procedures in cases with no foraminal passage in epidurography.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Akçakaya M, AŞIR A, Comlek S (2023). EVALUATION OF THE EFFICACY OF PERCUTANEOUS CAUDAL AND COMBINED CAUDAL/TRANSFORAMINAL NEUROPLASTYADESIOLYSIS FOR TREATING SYMPTOMATIC LUMBAR SPINAL STENOSIS. , 61 - 70. 10.4274/jtss.galenos.2023.03522
Chicago	Akçakaya Mehmet Osman,AŞIR ALPARSLAN,Comlek Savas EVALUATION OF THE EFFICACY OF PERCUTANEOUS CAUDAL AND COMBINED CAUDAL/TRANSFORAMINAL NEUROPLASTYADESIOLYSIS FOR TREATING SYMPTOMATIC LUMBAR SPINAL STENOSIS. (2023): 61 - 70. 10.4274/jtss.galenos.2023.03522
MLA	Akçakaya Mehmet Osman,AŞIR ALPARSLAN,Comlek Savas EVALUATION OF THE EFFICACY OF PERCUTANEOUS CAUDAL AND COMBINED CAUDAL/TRANSFORAMINAL NEUROPLASTYADESIOLYSIS FOR TREATING SYMPTOMATIC LUMBAR SPINAL STENOSIS. , 2023, ss.61 - 70. 10.4274/jtss.galenos.2023.03522
AMA	Akçakaya M,AŞIR A,Comlek S EVALUATION OF THE EFFICACY OF PERCUTANEOUS CAUDAL AND COMBINED CAUDAL/TRANSFORAMINAL NEUROPLASTYADESIOLYSIS FOR TREATING SYMPTOMATIC LUMBAR SPINAL STENOSIS. . 2023; 61 - 70. 10.4274/jtss.galenos.2023.03522
Vancouver	Akçakaya M,AŞIR A,Comlek S EVALUATION OF THE EFFICACY OF PERCUTANEOUS CAUDAL AND COMBINED CAUDAL/TRANSFORAMINAL NEUROPLASTYADESIOLYSIS FOR TREATING SYMPTOMATIC LUMBAR SPINAL STENOSIS. . 2023; 61 - 70. 10.4274/jtss.galenos.2023.03522
IEEE	Akçakaya M,AŞIR A,Comlek S "EVALUATION OF THE EFFICACY OF PERCUTANEOUS CAUDAL AND COMBINED CAUDAL/TRANSFORAMINAL NEUROPLASTYADESIOLYSIS FOR TREATING SYMPTOMATIC LUMBAR SPINAL STENOSIS." , ss.61 - 70, 2023. 10.4274/jtss.galenos.2023.03522
ISNAD	Akçakaya, Mehmet Osman vd. "EVALUATION OF THE EFFICACY OF PERCUTANEOUS CAUDAL AND COMBINED CAUDAL/TRANSFORAMINAL NEUROPLASTYADESIOLYSIS FOR TREATING SYMPTOMATIC LUMBAR SPINAL STENOSIS". (2023), 61-70. https://doi.org/10.4274/jtss.galenos.2023.03522

APA	Akçakaya M, AŞIR A, Comlek S (2023). EVALUATION OF THE EFFICACY OF PERCUTANEOUS CAUDAL AND COMBINED CAUDAL/TRANSFORAMINAL NEUROPLASTYADESIOLYSIS FOR TREATING SYMPTOMATIC LUMBAR SPINAL STENOSIS. Journal of Turkish Spinal Surgery, 34(2), 61 - 70. 10.4274/jtss.galenos.2023.03522
Chicago	Akçakaya Mehmet Osman,AŞIR ALPARSLAN,Comlek Savas EVALUATION OF THE EFFICACY OF PERCUTANEOUS CAUDAL AND COMBINED CAUDAL/TRANSFORAMINAL NEUROPLASTYADESIOLYSIS FOR TREATING SYMPTOMATIC LUMBAR SPINAL STENOSIS. Journal of Turkish Spinal Surgery 34, no.2 (2023): 61 - 70. 10.4274/jtss.galenos.2023.03522
MLA	Akçakaya Mehmet Osman,AŞIR ALPARSLAN,Comlek Savas EVALUATION OF THE EFFICACY OF PERCUTANEOUS CAUDAL AND COMBINED CAUDAL/TRANSFORAMINAL NEUROPLASTYADESIOLYSIS FOR TREATING SYMPTOMATIC LUMBAR SPINAL STENOSIS. Journal of Turkish Spinal Surgery, vol.34, no.2, 2023, ss.61 - 70. 10.4274/jtss.galenos.2023.03522
AMA	Akçakaya M,AŞIR A,Comlek S EVALUATION OF THE EFFICACY OF PERCUTANEOUS CAUDAL AND COMBINED CAUDAL/TRANSFORAMINAL NEUROPLASTYADESIOLYSIS FOR TREATING SYMPTOMATIC LUMBAR SPINAL STENOSIS. Journal of Turkish Spinal Surgery. 2023; 34(2): 61 - 70. 10.4274/jtss.galenos.2023.03522
Vancouver	Akçakaya M,AŞIR A,Comlek S EVALUATION OF THE EFFICACY OF PERCUTANEOUS CAUDAL AND COMBINED CAUDAL/TRANSFORAMINAL NEUROPLASTYADESIOLYSIS FOR TREATING SYMPTOMATIC LUMBAR SPINAL STENOSIS. Journal of Turkish Spinal Surgery. 2023; 34(2): 61 - 70. 10.4274/jtss.galenos.2023.03522
IEEE	Akçakaya M,AŞIR A,Comlek S "EVALUATION OF THE EFFICACY OF PERCUTANEOUS CAUDAL AND COMBINED CAUDAL/TRANSFORAMINAL NEUROPLASTYADESIOLYSIS FOR TREATING SYMPTOMATIC LUMBAR SPINAL STENOSIS." Journal of Turkish Spinal Surgery, 34, ss.61 - 70, 2023. 10.4274/jtss.galenos.2023.03522
ISNAD	Akçakaya, Mehmet Osman vd. "EVALUATION OF THE EFFICACY OF PERCUTANEOUS CAUDAL AND COMBINED CAUDAL/TRANSFORAMINAL NEUROPLASTYADESIOLYSIS FOR TREATING SYMPTOMATIC LUMBAR SPINAL STENOSIS". Journal of Turkish Spinal Surgery 34/2 (2023), 61-70. https://doi.org/10.4274/jtss.galenos.2023.03522