Effectiveness of nucleoplasty applied for chronic radicular pain

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dc.contributor.authorKaraman, Haktan
dc.contributor.authorTufek, Adnan
dc.contributor.authorKavak, Gonul Olmez
dc.contributor.authorYildirim, Zeynep Baysal
dc.contributor.authorTemel, Vildan
dc.contributor.authorCelik, Feyzi
dc.contributor.authorAkdemir, Mehmet Salim
dc.date.accessioned2024-04-24T17:15:06Z
dc.date.available2024-04-24T17:15:06Z
dc.date.issued2011
dc.departmentDicle Üniversitesien_US
dc.description.abstractBackground: Over the last several decades there has been a general trend toward reduction and minimalization in surgical treatment of chronic back pain, since open surgery brings complications in small and contained disc herniations instead of achieving expected success. Attention has been focussed on percutaneous nucleoplasty due to the limited success of other minimally invasive methods, as well due to their associated complications. However, there have been few studies in the English literature with a follow-up period of more than I year. Material/Methods: Patients with chronic disc herniations having more significant radicular leg pain, who did not respond to non-invasive treatment methods and for whom open surgery was not an option were selected for percutaneous nucleoplasty application. Upon intervention, patients were prospectively questioned by an independent physician regarding pain, physical improvement, and operation satisfaction at 1, 6, 12 and 24 months. Pain was evaluated with VAS, and physical improvement was evaluated based on the Oswestry Disability Index. Results: Mean VAS that was 8.7 +/- 1.1 before the procedure was determined to be 3.4 +/- 1.9 at 24 months follow-up. At the latest follow-up, 87.5% of the patients reported a 30% or higher decrease in their pain. While Oswestry scores were 76.1 +/- 10.2 in the beginning, they went down to 33.9 +/- 14.9 at the end of 2 years. The percent of those stating good and excellent satisfaction was 66% (23 persons) on the last follow-up. Conclusions: While it is once more shown that nucleoplasty is a safe method, it is also shown that its effectiveness continues at the end of 2 years.en_US
dc.identifier.doi10.12659/MSM.881908
dc.identifier.endpageCR465en_US
dc.identifier.issn1643-3750
dc.identifier.issue8en_US
dc.identifier.pmid21804466
dc.identifier.scopus2-s2.0-80051514770
dc.identifier.scopusqualityQ1
dc.identifier.startpageCR460en_US
dc.identifier.urihttps://doi.org/10.12659/MSM.881908
dc.identifier.urihttps://hdl.handle.net/11468/18337
dc.identifier.volume17en_US
dc.identifier.wosWOS:000295899700015
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherInt Scientific Information, Incen_US
dc.relation.ispartofMedical Science Monitor
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPercutaneous Nucleoplastyen_US
dc.subjectChronic Back Painen_US
dc.subjectRadiculopathyen_US
dc.subjectDisc Decompressionen_US
dc.titleEffectiveness of nucleoplasty applied for chronic radicular painen_US
dc.titleEffectiveness of nucleoplasty applied for chronic radicular pain
dc.typeArticleen_US

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