BAŞARISIZ BEL CERRAHİSİ SENDROMUNUN AĞRI YÖNETİMİNDE EPİDUROSKOPİ KULLANIMI

The changes in VAS scores at 1st, 3rd, 6th, and 12th months when compared to the pre-procedure VAS scores were 45.7%, 48.3%, 43.6%, and 44.2%, respectively.Conclusion: Epiduroscopy could be an option as a final step of pain management for FBSS before palliative procedures, such as spinal cord stimulation or intrathecal drug delivery

📌 3 Key Takeaways

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Objective & Hypothesis:Purpose: The aim of this study is to evaluate the pain relief ratio of epiduroscopy on patients with failed back surgery syndrome.Materials-Methods: We inspected 19 patients who are diagnosed as FBSS and 2 patients who were operated for disc herniation that had recurrent discopathy.

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Key Findings & Data:Each patient underwent a standard physical examination and was asked to complete a 100-mm visual analogue scale (VAS) questionnaire before epiduroscopy and 1st, 3rd, 6th and 12th months after epiduroscopy.Results: Mean pre- and post-procedure VAS scores at 1st, 3rd, 6th, and 12th months were 8.44±0.71 (7.24-9.64), 4.67±2.13 (2.45-9.50), 4.34±1.26 (2.12-6.87), 4.28±1.73 (2.65-7.12), 4.68±1.09 (2.53-6.15), respectively.

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Conclusion & Impact:The changes in VAS scores at 1st, 3rd, 6th, and 12th months when compared to the pre-procedure VAS scores were 45.7%, 48.3%, 43.6%, and 44.2%, respectively.Conclusion: Epiduroscopy could be an option as a final step of pain management for FBSS before palliative procedures, such as spinal cord stimulation or intrathecal drug delivery

🔬Design:Survey & Empirical Study

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Purpose: The aim of this study is to evaluate the pain relief ratio of epiduroscopy on patients with failed back surgery syndrome.Materials-Methods: We inspected 19 patients who are diagnosed as FBSS and 2 patients who were operated for disc herniation that had recurrent discopathy. Data was collected retrospectively from patient's files. Each patient underwent a standard physical examination and was asked to complete a 100-mm visual analogue scale (VAS) questionnaire before epiduroscopy and 1st, 3rd, 6th and 12th months after epiduroscopy.Results: Mean pre- and post-procedure VAS scores at 1st, 3rd, 6th, and 12th months were 8.44±0.71 (7.24-9.64), 4.67±2.13 (2.45-9.50), 4.34±1.26 (2.12-6.87), 4.28±1.73 (2.65-7.12), 4.68±1.09 (2.53-6.15), respectively. The changes in preprocedure and post-procedure VAS scores through followups were statistically significant (p<0.001). Post-hoc tests (Wilcoxon signed-ranks test) revealed that the pre-procedure VAS levels were significantly higher than the post-procedure VAS scores. The changes in VAS scores at 1st, 3rd, 6th, and 12th months when compared to the pre-procedure VAS scores were 45.7%, 48.3%, 43.6%, and 44.2%, respectively.Conclusion: Epiduroscopy could be an option as a final step of pain management for FBSS before palliative procedures, such as spinal cord stimulation or intrathecal drug delivery

Özet

Amaç: Bu çalışmanın amacı başarısız bel cerrahisi sendromlu hastalarda epiduroskopinin ağrıyı dindirme oranı bulmaya çalışmaktır.Materyal ve Metod: 19 başarısız bel cerrahi sendromlu hasta ve 2 bel fıtığından ameliyat olmuş ve nüks etmiş hasta incelendi. Veriler hasta dosyalarından retrospektif olarak toplandı. Her hasta standart fizik muayeneden geçti ve 100mm'lik vizüel analog skala skorları prosedür öncesi ve prosedürden 1,3,6 ve 12 ay sonra hesaplandı.Sonuçlar: İşlem öncesi ve sonrası 1,3,6 ve 12. aylardaki ortalama VAS değerleri 8.44±0.71 (7.24-9.64), 4.67±2.13 (2.45-9.50), 4.34±1.26 (2.12-6.87), 4.28±1.73 (2.65-7.12), 4.68±1.09 (2.536.15) olarak hesaplanmıştır. İşlem öncesi ve sonrası değerler arasında istatistiksel olarak anlamlı değişim bulunmuştur (p<0.001). Post-hoc testi (Wilcoxon signed-ranks test) işlem öncesi değerlerin işlem sonrasına göre anlamlı derecede yüksek olduğunu göstermiştir. İşlem sonrası 1,3,6 ve 12. aylardaki VAS skorlarının işlem öncesi değerler arasındaki değişim oranı ise %45.7 , %48.3, %43.6 ve %44.2 olarak hesaplanmıştır.Çıkarım: Epiduroskopi başarısız bel cerrahisi sendromlu hastalarda, spinal kord stimülasyonu ve intratekal ilaç kullanımı gibi palyatif prosedürler öncesi ağrı yönetiminde son basamak olarak önerilebilir

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Cite This Article

SÜSLÜ, H., YALTIRIK, C. K., ÖZDOĞAN, S., ŞENOL, Ö., TATARLI, N., DÜZKALIR, A. H., DÜZKALIR, H. G. (2015). BAŞARISIZ BEL CERRAHİSİ SENDROMUNUN AĞRI YÖNETİMİNDE EPİDUROSKOPİ KULLANIMI. Journal of Turkish Spinal Surgery, Cilt: 26 - Sayı: 2, 135–140. https://ajindex.com/articles/204494

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