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Journals / Turkish Neurosurgery / 2019 / Cilt: 29 - Sayı: 6

Microsurgery versus Medical Treatment for Neuropathic Pain Caused by Foraminal Extraforaminal Lumbar Disc Herniation: An Observational Study

Vaner KÖKSAL
Rahmi Kemal KOC
Pages
915–926
DOI
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⚡ TL;DR(Too Long; Didn't Read)

If surgical treatment isdelayed for FEFLDH, the risk of persistent NP may increase.

📌 3 Key Takeaways

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Objective & Hypothesis:AIM: To investigate the incidence of neuropathic pain (NP) in patients with foraminal/extraforaminal lumbar disc herniation (FEFLDH),the prognosis of NP and the effect of microsurgery on patients treatment.MATERIAL and METHODS: Two patient groups with FEFLDH were investigated: the surgery group underwent surgical treatment,and the medical-treated group received medical treatment.
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Key Findings & Data:Patients were diagnosed with NP when the Self-Administered LeedsAssessment of Neuropathic Symptoms and Signs (S-LANSS) pain scale was ≥ 12 points.
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Conclusion & Impact:If surgical treatment isdelayed for FEFLDH, the risk of persistent NP may increase.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

AIM: To investigate the incidence of neuropathic pain (NP) in patients with foraminal/extraforaminal lumbar disc herniation (FEFLDH),the prognosis of NP and the effect of microsurgery on patients treatment.MATERIAL and METHODS: Two patient groups with FEFLDH were investigated: the surgery group underwent surgical treatment,and the medical-treated group received medical treatment. Patients were diagnosed with NP when the Self-Administered LeedsAssessment of Neuropathic Symptoms and Signs (S-LANSS) pain scale was ≥ 12 points. The NP scores were evaluated duringpatient admission and at 1, 6 and 12 months postoperation or during medical treatment.RESULTS: The surgery group included 37 patients (18 women, 19 men); FEFLDHs were localised at the L3–4 (n=9), L4–5 (n=23)and L5–S1 (n=5) levels. NP was detected in 16 patients before surgery (43%). The medical-treated group included 46 patients (19women, 27 men); FEFLDHs were localised at the L2–3 (n=7), L3–4 (n=12) and L4–5 (n=27) levels. NP was detected in 20 patientsbefore medical treatment (43%). The most common neuropathic symptom for patients was a burning sensation. NP was found morecommon in patients who were of at advanced age (> 65 years) (p=0.019), had a longer clinical duration (p=0.007) or had a foraminaldisc herniation (p=0.038).CONCLUSION: Chronic compression of the dorsal root ganglion by FEFLDH is a significant cause of NP. If surgical treatment isdelayed for FEFLDH, the risk of persistent NP may increase.

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KÖKSAL, V., KOC, R. K. (2019). Microsurgery versus Medical Treatment for Neuropathic Pain Caused by Foraminal Extraforaminal Lumbar Disc Herniation: An Observational Study. Turkish Neurosurgery, Cilt: 29 - Sayı: 6, 915–926. https://ajindex.com/articles/404410

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References (1)

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