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AI InsightDisc volume decreased after PDCT treatment in the patients who reported that they were excellentbased on the Odom criteria (p<0.01).Conclusion: This study demonstrated that PDCT is a safe, effective, and minimally invasive treatment technique for adequatelyselected patients with CDH.
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Özet
Objectives: Recently, plasma disc coagulation therapy (PDCT) has been used in the treatment of lumbar and cervical dischernia (CDH), but the long-term effects of PDCT have not been well documented. The aim of this study was to assess the longtermeffects of PDCT on pain score, disc volume, and patient satisfaction in patients with CDH.Methods: Eighty patients with CDH, who underwent PDCT treatment, were included in the study. The patients demographicsand pain scores [visual analog scale (VAS)] were recorded on the baseline and in the 1st, 3rd, 6th, and 12th months after PDCTtreatment. We evaluated patient satisfaction and disc volume on the 12th month after PDCT.Results: A statistically significant and time-dependent decrease was determined in VAS score. The initial mean VAS score was6.5±0.9, and it decreased to 3.4±0.2 on the final follow-up (p<0.01). According to magnetic resonance imaging pathology, VASscore after PDCT was higher in patients with an extruded disc when compared to patients with bulging and protruded discs atall times (p<0.05). After 12 months, 50% of the patients were reported as excellent and 8.7% of the patients reported as poorbased on the Odom criteria. Disc volume decreased after PDCT treatment in the patients who reported that they were excellentbased on the Odom criteria (p<0.01).Conclusion: This study demonstrated that PDCT is a safe, effective, and minimally invasive treatment technique for adequatelyselected patients with CDH.
Abstract
Amaç: Son zamanlarda, lomber ve servikal disk hernisi (SDH) tedavisinde plazma disk koagülasyon tedavisi (PDCT) kullanılmıştır, ancak PDCT’ nin uzun dönem etkileri tam olarak belgelenmemiştir. Bu çalışmanın amacı, servikal disk hernili hastalarda PDCT’ nin ağrı skoru, disk hacmi ve hasta memnuniyeti üzerindeki uzun dönem etkilerini değerlendirmektir. Gereç ve Yöntem: PDCT tedavisi uygulanan 80 SDH hastası çalışmaya alındı. Hastaların demografik özellikleri ve ağrı skorları (görsel analog skala-VAS) başlangıçta ve PDCT tedavisinden sonraki 1., 3., 6. ve 12. aylarda kaydedildi. PDCT’den sonraki 12. ayda hasta memnuniyeti ve disk hacmi değerlendirildi. Bulgular: VAS skorunda zaman bağımlı ve istatistiksel olarak anlamlı azalma saptandı. Başlangıçtaki VAS skoru 6.5±0.9 iken, son takipte 3.4±0.2 olarak tespit edildi (p<0.01). Manyetik rezonans görüntüleme patolojisine göre, PDCT sonrası VAS skoru ekstrüde diski olan hastalarda, bulging ve protrüzyon olan hastalara göre daha yüksekti (p<0.05). Tedaviden 12 ay sonra Odom kriterlerine göre hastaların %50’si mükemmel olduğunu bildirirken, %8,7’si kötü olduğunu rapor etti. PDCT tedavisinden sonra Odom kriterlerine göre mükemmel olduğunu bildiren hastalarda disk hacminin azaldığı tespit edildi (p<0.01). Sonuç: Bu çalışma PDCT’nin seçilmiş SDH’li hastalar için güvenli, etkili ve minimal invaziv bir tedavi tekniği olduğunu göstermiştir.