Efficacy of the Percutaneous Laser Disc Decompression in Patients with Lumbar Disc Herniation

Year 2017, , 130 - 133, 01.08.2017

Mustafa Kemal İlik

https://doi.org/10.5505/kjms.2017.57855

Abstract

Aim: The aim of this study is to examine the safety and efficacy
of the Percutaneous Laser Disc Decompression which is applied
to patients with lower back pain and radiculopathy due to lumbar
disc hernia.
Material and Method: In this study, we retrospectively examined
the data of patients who underwent Percutaneous Laser
Disc Decompression. Consecutive 71 patients who underwent
Percutaneous Laser Disc Decompression between 2014 and 2015
were included in the study (average age 38.6±7.3). Visual Analog
Scale was used in order to evaluate the pain levels of patients.
Preoperative Visual Analog Scale scores were compared to scores
obtained from the last examination. Student paired-sample t test
was used in order to analyze all parameters by considering the
statistical significance as p<0.05.
Results: There were 15 patients who were operated at L3–4 segment,
there were 30 patients who were operated at L4–5 segment
and there were 26 patients who were operated at L5-S1 segment.
Mean Visual Analog Scale scores of patients before the operation
decreased from 6.5±1.2 to 3.4±0.7 in the last neurological examination.
All changes were statistically significant.
Conclusion: In selected cases, Percutaneous Laser Disc Decompression
is an effective and safe technique in the short and medium
term. 

Keywords

lumbar disc herniation; percutaneous laser decompression; pain

Lomber Disk Hernili Hastalarda Perkütan Lazer Disk Dekompresyonunun Etkinliği

Abstract

Amaç: Bu çalışmanın amacı lomber disk hernisine bağlı bel ağrı-
sı ve radikülopatisi olan hastalara uygulanan Perkütan Lazer Disk
Dekompresyonu’nun etkinliğini ve güvenliğini araştırmaktır.
Materyal ve Metot: Çalışma Perkütan Lazer Disk Dekompresyonu
uygulanan hastaların dosyalarının retrospektif olarak taranması ile hazırlandı.
2014–2015 yıllarında Perkütan Lazer Disk Dekompresyonu
uygulanan ardışık 71 hasta (ortalama yaş 38,6±7,3) çalışmaya dahil
edildi. Visual Analog Skala hastaların ağrılarının değerlendirmesi için
kullanıldı. Preoperatif Visual Analog Skala skorları, son muayenedeki skorlarıyla karşılaştırıldı. Tüm parametreler Student paired-sample t
test ile analiz edildi ve p<0,05 istatistiksel olarak anlamlı kabul edildi.
Bulgular: L3–4 mesafesinden opere olan 15, L4–5 mesafesinden
opere olan 30, L5-S1 mesafesinden opere olan 26 hastaydı.
Hastaların operasyondan önceki ortalama Visual Analog Skala
skoru 6,5±1,2’ten son nörolojik muayenelerinde ise 3,4±0,7’e düş-
müştü. Tüm değişiklikler istatistiksel olarak anlamlıydı.
Sonuç: Seçilmiş olgularda Perkütan Lazer Disk Dekompresyonu’nun
kısa ve orta dönemde etkin ve güvenli bir yöntem olduğu
görülmüştür.

Keywords

lomber disk hernisi; perkütan lazer dekompresyon; ağrı

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