Ahmet Kürşad POYRAZ, Sibel ÖZCAN, Serhat TAŞKIN, Arzu MUZ, Selami Ateş ÖNAL

Servikal disk hernisinde plazma disk koagülasyon tedavisinin uzun dönem etkileri

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

The long-term effects of plasma disc coagulation therapy for cervical disc hernia

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

PDF

___

1. Corniola MV, Tessitore E, Schaller K, Gautschi OP. Cervical disc herniation-diagnosis and treatment. Rev Med Suisse 2015;11(492):2023–9. [CrossRef ]
2. Kloth DS, Calodney AK, Derby R, Lagattuta FP, O’Neill C, Yurth E, et al. Improving the safety of transforaminal epidural steroid injections in the treatment of cervical radiculopathy. Pain Physician 2011;14(3):285–93. [CrossRef ]
3. Mansfield M, Smith T, Spahr N, Thacker M. Cervical spine radiculopathy epidemiology: A systematic review. Musculoskeletal Care 2020;18(4):555–67. [CrossRef ]
4. Gebremariam L, Koes BW, Peul WC, Huisstede BM. Evaluation of treatment effectiveness for the herniated cervical disc: A systematic review. Spine (Phila Pa 1976) 2012;37(2):109–18. [CrossRef ]
5. Nasser R, Yadla S, Maltenfort MG, Harrop JS, Anderson DG, Vaccaro AR, et al. Complications in spine surgery. J Neurosurg Spine 2010;13(2):144–57. [CrossRef ]
6. Harada J, Dohi M, Fukuda K, Nakazaki H, Koyama T, Abe T. CTguided percutaneous laser disk decompression (PLDD) for cervical disk hernia. Radiat Med 2001;19(5):263–6.
7. Romero-Rangel JA, Soriano-Solís S, Rodríguez-García M, Soto-García ME, Soriano-Solís H, Aranda-Torres BY, et al. Dysphagia rates after minimally invasive tubular approach to the anterior cervical spine. Cir Cir 2020;88(3):286–91.
8. Kelekis AD, Filippiadis DK, Martin JB, Brountzos E. Standards of practice: Quality assurance guidelines for percutaneous treatments of intervertebral discs. Cardiovasc Intervent Radiol 2010;33(5):909–13. [CrossRef ]
9. Alo KM, Wright RE, Sutcliffe J, Brandt SA. Percutaneous lumbar discectomy: One-year follow-up in an initial cohort of fifty consecutive patients with chronic radicular pain. Pain Pract 2005;5(2):116–24. [CrossRef ]
10. Filippiadis DK, Kelekis A. A review of percutaneous techniques for low back pain and neuralgia: Current trends in epidural infiltrations, intervertebral disk and facet joint therapies. Br J Radiol 2016;89(1057):20150357. [CrossRef ]
11. Zhao XL, Fu ZJ, Xu YG, Zhao XJ, Song WG, Zheng H. Treatment of lumbar intervertebral disc herniation using C-arm fluoroscopy guided target percutaneous laser disc decompression. Photomed Laser Surg 2012;30(2):92–5. [CrossRef ]
12. Kim SH, Kim SC, Cho KH. Clinical outcomes of percutaneous plasma disc coagulation therapy for lumbar herniated disc diseases. J Korean Neurosurg Soc 2012;51(1):8–13.
13. Zini C, Notaro D, Sadotti G, Zini G, Monti L, Bellini M. Percutaneous intervertebral disc coagulation therapy (PDCT) by plasma light: Preliminary data from the first experience in Europe. Cardiovasc Intervent Radiol 2020;43(1):94–102.
14. Ceylan A, Aşık İ. Percutaneous plasma laser disc coagulation and navigable ablation decompression in the treatment of cervical disc herniation: A single center experience. Turk J Med Sci 2019;49(1):258–64. [CrossRef ]
15. Lee SH, Kim KT, Jeong BO, Seo EM, Suk KS, Lee JH, et al. The safety zone of percutaneous cervical approach: A dynamic computed tomographic study. Spine (Phila Pa 1976) 2007;32(20):569–74. [CrossRef ]
16. Odom GL, Finney W, Woodhall B. Cervical disk lesions. J Am Med Assoc 1958;166(1):23–8. [CrossRef ]
17. Kelekis A, Filippiadis DK. Percutaneous treatment of cervical and lumbar herniated disc. Eur J Radiol 2015;84(5):771–6.
18. Freemont AJ. The cellular pathobiology of the degenerate intervertebral disc and discogenic back pain. Rheumatology (Oxford) 2009;48(1):5–10. [CrossRef ]
19. Belykh E, Yagmurlu K, Martirosyan NL, Lei T, Izadyyazdanabadi M, Malik KM, et al. Laser application in neurosurgery. Surg Neurol Int 2017;8:274. [CrossRef ]
20. Plapler H, Mancini MW, Sella VR, Bomfim FR. Evaluation of different laser wavelengths on ablation lesion and residual thermal injury in intervertebral discs of the lumbar spine. Lasers Med Sci 2016;31(3):421–8. [CrossRef ]
21. Schenk B, Brouwer PA, Peul WC, van Buchem MA. Percutaneous laser disk decompression: A review of literature. AJNR Am J Neuroradiol 2006;27(1):232–5.
22. Ren L, Guo B, Zhang T, Bai Q, Wang XH, Zhang L, et al. Medium- term follow-up findings in imaging manifestation after percutaneous laser disc decompression. Photomed Laser Surg 2013;31(6):247–51. [CrossRef ]
23. Radcliff K, Vaccaro AR, Hilibrand A, Schroeder GD. Lasers in spine surgery. J Am Acad Orthop Surg 2019;27(17):621–32.
24. Tassi GP. Comparison of results of 500 microdiscectomies and 500 percutaneous laser disc decompression procedures for lumbar disc herniation. Photomed Laser Surg 2006;24(6):694–7. [CrossRef ]
25. Gerszten PC, Smuck M, Rathmell JP, Simopoulos TT, Bhagia SM, Mocek CK, et al. Plasma disc decompression compared with fluoroscopy-guided transforaminal epidural steroid injections for symptomatic contained lumbar disc herniation: A prospective, randomized, controlled trial. J Neurosurg Spine 2015;12(4):357–71. [CrossRef ]
26. Park CW, Lee JY, Choi WJ, Chang SK. Percutaneous disc coagulation therapy (PDCT) comparing with automated percutaneous lumbar discectomy (APLD) in patients of herniated lumbar disc disease: Preliminary report. Korean J Spine 2012;9(3):159–64. [CrossRef ]