THE LONG-TERM EFFECT OF TRANS-SACRAL EPIDUROSCOPIC FORAMINOPLASTY IN INTRACTABLE LUMBAR RADICULOPATHY
Journal Title: Journal of Turkish Spinal Surgery - Year 2018, Vol 29, Issue 2
Abstract
Introduction: Lumbar radiculopathy is commonly associated with lumbar disc herniation. Epiduroscopy is a method that can be applied in patients who do not benefit from conservative treatment by entering the epidural space with a fiber optic endoscope through the sacral hiatus. We present trans-sacral epiduroscopic foraminoplasty (TSEF) procedure with the Fogarty balloon catheter. Methods: We collected retrospectively 43 patients who had undergone TSEF between 2013 and 2016. Pain intensity was recorded with visual analogue scale (VAS), and functional outcome was recorded with Oswestry Disability Index (ODI) at preoperative, postoperative 1st, 6th and 12th month follow-ups. Surgery satisfaction was evaluated with Macnab criteria at 1st, 6th and 12th month follow-ups. Results: There were 27 female (62.8%) and 16 male (37.2%) patients. The mean age of the patients were 70.04 ± 7.78 years. The mean follow-up period was 15.25 ± 1.97 months. Preoperative VAS score averages were 6.44 ± 0.88, decreased to 1.72 ± 1.34, 3.21 ± 0.91 and 3.41 ± 1.17 in postoperative 1st, 6th and 12th month respectively (p<0.0001). The preoperative ODI scores decreased from 71.52 ± 6.72 to 19.31 ± 5.49, 27.61 ± 5.37, 31.31 ± 7.91 postoperative 1st, 6th and 12th month respectively (p <0.0001). The surgical satisfaction in terms of Macnab criteria were found at 12th month follow up as 60% excellent, 35% good and 5% fair results. Conclusion: The TSEF procedure is a minimally invasive surgical technique that is easily performed to the patients who are resistant to lumbar radiculopathy, especially those who do not respond to epidural steroid injections, with good long-term results.
Authors and Affiliations
Atilla KIRCELLİ, İlker ÇÖVEN
Keywords
Related Articles
- EP ID EP677000
- DOI -
- Views 120
- Downloads 0
HARRINGTON STABILIZATION IN THORACOLUMBAR INJURIES WITH NEUROLOGIC DEFICIT
Laminectomy, Harrington instrumentation and posterolateral spine fusion were performed in the patients with thoracolumbar vertebra fracture and neurologic deficits. Progressive improvement in neural deficits was found in...
K‹FOSKOLYOZ VE B‹LATERAL TOKS‹K S‹NOV‹T EÞL‹K EDEN HADJU - CHENEY SENDROMU Vaka Takdimi ve Ortopedik - Nöroßirurjik Tedavi Sonuçlar›n›n De¤erlendirilmesi
Hadju - Cheney sendromu, yayg›n osteoporoz ve buna ba¤l› iskelet sistemi deformiteleri, el ve ayak parmaklar›n›n terminal falankslar›ndaki erime (acroosteolysis) dolikosefali, kraniyal sütürlerde geç kapanma, frontal s...
CONSERVATIVE MANAGEMENT OF TUBERCULOSIS OF CERVICAL SPINE-A CLİNİCAL STUDY
Aim: To evaluate the occurrence of cervical tuberculosis and to see objectively the effectiveness of conservative treatment in the management of tuberculosis of the cervical spine with neurological involvement. Metho...
HYDATID CYST OF SACRUM AFFECTING THE SACROILIAC JOINT: A CASE REPORT
Objective: To describe a rare instance of a hydatid cyst that caused severe and progressive lower back pain and was misdiagnosed as sacroiliitis. Introduction: Hydatid disease or hydatidosis is a serious human ces...
ALGORITM OF TREATMENT AND CLASSIFICATION SYSTEMS FOR METASTATIC SPINAL TUMORS
Surgical treatment of spinal metastases is controversial, largely because of a lack of cont-rolled clinical studies comparing the many ava-ilable treatment modalities. The lack of a valida-ted set of criteria to predict...