Kemal Yücesoy MD

Citation: K. Yücesoy : Two Years Follow-Up Results Of Over 400 Lumbar Nucleoplasty Cases. The Internet Journal of Minimally Invasive Spinal Technology. 2009 Supplement II - to IJMIST Vol III No 4

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Abstract

Objective: To evaluate long term follow-up period results of lumbar disc nucleoplasty for the treatment of degenerative disc disease. Methods: We presented four hundred and two cases. All patients were evaluated with visual analogue scores and Oswestry back pain questionnaire results. Preoperative, early postoperative, first, third, and sixth month, one, and two year follow-up results were discussed. Results: 494 levels were treated by percutaneous disc nucleoplasty using coblation technique in four hundred and thirty six cases. 327 of these patients were female, and mean age was found 42.7 (14-64 years old). One level coblation was performed in 378 cases, and two level in fifty-eight (L5-S1 level in eighty-six, L4-5 level in three hundred and thirty-eight, L3-4 level in sixty-two, L2-3 level in five, L1-2 level in two, and T12-L1 level in one) without any complications. 34 of these cases dismissed during one and two years control follow-up examination, and we presented as late results of 402 cases. Mean visual analogue score was detected preoperatively, postoperatively, at one, three and sixth month, one, and two year follow-up controls and, 8.30, 1.02, 2.37, 1.55, 1.36, 1.48, and 1.64 was found, respectively. Also Oswestry back pain questionnaire scores were detected as 53.69, 16.18, 12.19, 7.18, 4.52, 6.38, and 8.04 at the same examinations. During the follow-up period second disc nucleoplasty was performed at same level in thirteen cases, and open surgery was performed in twenty-two. Conclusion: We can conclude that successful results are directly related to patient selection, physical examination and changing of life style.

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