Ameliyathane Hizmetleri
https://hdl.handle.net/20.500.12511/4203
Operating Room Services2024-03-28T11:58:06ZTransforaminal epidural steroid injection for recurrent lumbar disc herniation
https://hdl.handle.net/20.500.12511/7287
Transforaminal epidural steroid injection for recurrent lumbar disc herniation
Yüce, İsmail; Kahyaoğlu, Okan; Ataseven, Müzeyyen; Çavuşoğlu, Halit; Aydın, Yunus
Aim: Transforaminal epidural steroid injection reduces the low back-leg pain which caused by lumbar disc herniation (LDH). The aim of our study is to evaluate the treatment of transforaminal epidural steroid injection for recurrent LDH. Materials and Methods: 19 patients were included in our study who were treated by transforaminal epidural steroid injection for recurrent LDH in our clinic between 2014 and 2018. We evaluated the patients pre-procedure and at 2 weeks, 3 and 6 months after treatment by Visual Analogue Scale / Oswestry Disability Index (ODI) and followed up for surgical treatment after 6 months. Results: The mean low back and leg pain VAS was 4.2±0.6 before TFESI procedure and it was 1.9±0.3 after two weeks. İt was 2.1±0.3, 3.6±0.8 at 3 and 6 months after procedure respectively. The reduction of low back and leg pain mean VAS is statistically significant between before treatment and at 2 weeks and at 3 months after TFESI procedure respectively (p<0.05). The mean ODI was 21.4±0.3 before TFESI procedure and it was 12.4±0.7 after two weeks. İt was 15.3±0.5 and 18.2±0.1 at 3 and 6 months after procedure respectively. The four of all patients were treated by microdiscectomy for recurrent LDH. Conclusion: The transforaminal epidural steroid injection is safely treatment for non-surgical treatment of recurrent LDH. Our study recommends that transforaminal epidural steroid injection should be considered before surgical intervention and this procedure may support to surgical indication of recurrent LDH.
2020-01-01T00:00:00ZSurgical treatment and outcomes of intramedullary tumors by minimally invasive approach
https://hdl.handle.net/20.500.12511/6520
Surgical treatment and outcomes of intramedullary tumors by minimally invasive approach
Yüce, İsmail; Kahyaoǧlu, Okan; Çavuşoğlu, Halit Arda; Ataseven, Müzeyyen; Çavuşoǧlu, Halit; Aydın, Yunus
Intramedullary tumors are uncommon neoplasms which, without treatment, can cause neurologic morbidity or mortality. The goal of the treatment is complete surgical resection with a minimally invasive approach while preserving neurological status and also spinal stability. Out of 1972 patients with tumors of the spinal canal treated between 1994 and 2017, 168 intramedullary tumors of 417 intradural tumors have been presented. All patients had undergone one surgical resection. The mean age is 43 ± 12 years (range 11–67 years). Tumors were subdivided into 4 groups: cervically located-tumors (n = 43), cervicothoracic-region-tumors (n = 32), thoracic-region-tumors (n = 57), and lumbosacral-region-tumors (n = 36). The mean follow-up time was 37 ± 29 months. Gross-total resection rate was higher in cervical located intramedullary tumors compared to the thoracic intramedullary tumors. Cervical intramedullary tumors showed better postoperative functional outcome than the thoracic intramedullary lesions. In intramedullary tumors, extending more than 3 spinal segments, postoperative worsening was significantly increased. A minimally invasive approach (the bilateral decompression via unilateral hemilaminectomy) was used to remove the tumor while preserving spinal stability. Perioperative permanent morbidity was very low. Intramedullary tumors should be surgically treated as soon as neurological symptoms appear. Patients with thoracic intramedullary tumors and tumor extension of more than three segments were at a higher risk for permanent morbidity. The minimally invasive approach allowed complete removal of the intramedullary tumors, and adequate preservation of vertebral stability while providing a good postoperative course.
2021-01-01T00:00:00ZDiagnosis and treatment of transforaminal epidural steroid injection in lumbar spinal stenosis
https://hdl.handle.net/20.500.12511/5899
Diagnosis and treatment of transforaminal epidural steroid injection in lumbar spinal stenosis
Yüce, İsmail; Kahyaoğlu, Okan; Ataseven, Müzeyyen; Çavuşoğlu, Halit; Aydın, Yunus
Objectives: Transforaminal epidural steroid injection reduces the low back-leg pain and enables daily activities of the patients. In this study, we aim to evaluate the treatment of transforaminal epidural steroid injection for lumbar spinal stenosis, which was mainly performed for lumbar disc herniation and share our diagnostic experience for lumbar spinal stenosis which is treated surgically.Methods: In our study, 37 patients were included who were treated by transforaminal epidural steroid injection for Grade B lumbar spinal stenosis in our clinic between June-2014 and June-2018. We evaluated the patients at the second weeks, third/sixth months and one year after the treatment by Oswestry-Disability-Index and Visual-Analogue-Scale and followed up for surgical treatment after one year.Results: The mean low back and leg pain Visual Analogue Scale was 5.1 +/- 0.3 before the transforaminal epidural steroid injection procedure, and it was 2.7 +/- 0.1 after two weeks. It was 2.8 +/- 0.2, 3.1 +/- 0.1 at three and six months after procedure, respectively. The improvement of low back-leg pain mean Visual-Analogue-Scale is statistically significant at two weeks, three and six months after transforaminal epidural steroid injection procedure, respectively. The mean Oswestry-Disability-Index was 29.6 +/- 0.4 before the transforaminal epidural steroid injection procedure, and it was 14.1 +/- 0.3 after two weeks. It was 15.3 +/- 0.5, 24.4 +/- 0.2 at three and six months after procedure, respectively. The improvement of Oswestry-Disability-Index is statistically significant at two weeks, three-six months.Conclusion: The transforaminal epidural steroid injection is safe procedure for non-surgical treatment of lumbar spinal stenosis and this procedure may be preferred support to the indication of the surgical treatment of level of lumbar spinal stenosis.
2020-01-01T00:00:00Z