Research Article
BibTex RIS Cite

LOMBER DİSK HERNİSİNDE POSTOPERATİF AĞRILARDA KORSENİN ETKİSİ

Year 2023, , 112 - 117, 27.09.2023
https://doi.org/10.46810/tdfd.1341752

Abstract

Amaç: Bu araştırmada, tek ve çok seviyeli lomber disk hernilerinde bel korselerinin postoperatif ağrı üzerine etkisini Visual analog skala (VAS) ile ve Oswestry Disabilite İndeksi (ODI) ile sağlık sonuçlarına etkisini araştırmayı amaçladık.
Gereç ve Yöntemler: Bu çalışmaya lomber cerrahi öyküsü olmayan, tek veya çift seviyeli unilateral lomber disk hernisi olan hastalar (n=101) dahil edildi. Operasyona karar verilen tüm hastalara operasyondan 4 – 6 hafta önce non-steroidal NSAİİ ve kas gevşetici verildi. Tüm hastalara postoperatif dönemde lomber korse kullanmaları önerildi. Korse kullanımının klinik sonuçlarını ölçmek için bir VAS ve ODI kullanıldı.
Bulgular: Korse grubunda 1. hafta ve 1. ay ortalama VAS skorları korse kullanmayanlara göre istatistiksel olarak anlamlı derecede düşüktü (p<0.001, p=0.002). Korse kullanmayan hastaların 1. hafta ve 1. ay VAS değişimlerinde istatistiksel olarak anlamlı fark bulunmadı (p=0.059). Korse grubunda 1. hafta ve 1. ay ortalama ODI skorları kullanmayanlara göre istatistiksel olarak anlamlı derecede düşüktü (p=0.012, p<0.001). ODI puanlarının birinci haftadan birinci aya göre değişimi korse kullanan hastalarda istatistiksel olarak anlamlı derecede yüksekti (p<0,001).
Sonuç: Postoperatif dönemde korsenin erken dönemde benimsenmesi, dinlenmeye yardımcı olabilir ve ağrıyan sırt kaslarının dinamik iyileşmesini destekleyebilir. Bulgularımız, korse kullanımının rehabilitasyondan erken iyileşmeyi ve günlük aktivitelere dönüşü desteklediğini göstermiştir.

References

  • [1] Al Qaraghli MI, De Jesus O. Lumbar Disc Herniation. 2023 Feb 12. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. PMID: 32809713.
  • [2] Carnevale JA, Goldberg JL, Schwarz J. Lumbar Herniated Disc. World Neurosurg. 2022;166:52-53. doi:10.1016/j.wneu.2022.07.059
  • [3] Grooten WJA, Boström C, Dedering Å, Halvorsen M, Kuster RP, Nilsson-Wikmar L, et al. Summarizing the effects of different exercise types in chronic low back pain - a systematic review of systematic reviews. BMC Musculoskelet Disord. 2022;23(1):801. Published 2022 Aug 22. doi:10.1186/s12891-022-05722-x
  • [4] Roiha M, Marjamaa J, Siironen J, Koskinen S, Koski-Palkén A. Favorable long-term health-related quality of life after surgery for lumbar disc herniation in young adult patients. Acta Neurochir (Wien). 2023;165(3):797-805. doi:10.1007/s00701-023-05522-9
  • [5] Zhao X, Yang Y, Yue R, Su C. Potential causal association between leisure sedentary behaviors, physical activity and musculoskeletal health: A Mendelian randomization study. PLoS One. 2023;18(3):e0283014. Published 2023 Mar 16. doi:10.1371/journal.pone.0283014
  • [6] Mörl F, Bradl I. Lumbar posture and muscular activity while sitting during office work. J Electromyogr Kinesiol. 2013;23(2):362-368. doi:10.1016/j.jelekin.2012.10.002
  • [7] Gibbs D, McGahan BG, Ropper AE, Xu DS. Back Pain: Differential Diagnosis and Management. Neurol Clin. 2023;41(1):61-76. doi:10.1016/j.ncl.2022.07.002
  • [8] Mescouto K, Olson RE, Hodges PW, Setchell J. A critical review of the biopsychosocial model of low back pain care: time for a new approach?. Disabil Rehabil. 2022;44(13):3270-3284. doi:10.1080/09638288.2020.1851783
  • [9] Hebelka H, Brisby H, Erkmar A, Lagerstrand K. Loading of the Spine in Low Back Pain Patients Does Not Induce MRI Changes in Modic Lesions: A Prospective Clinical Study. Diagnostics (Basel). 2022;12(8):1815. Published 2022 Jul 28. doi:10.3390/diagnostics12081815
  • [10] Alizadeh R, Sharifzadeh SR. Pathogenesis, etiology and treatment of failed back surgery syndrome. Neurochirurgie. 2022;68(4):426-431. doi:10.1016/j.neuchi.2021.09.005
  • [11] O'Keeffe M, Ferreira GE, Harris IA, Darlow B, Buchbinder R, Traeger AC, et al. Effect of diagnostic labelling on management intentions for non-specific low back pain: A randomized scenario-based experiment. Eur J Pain. 2022;26(7):1532-1545. doi:10.1002/ejp.1981
  • [12] Li WS, Yan Q, Cong L. Comparison of Endoscopic Discectomy Versus Non-Endoscopic Discectomy for Symptomatic Lumbar Disc Herniation: A Systematic Review and Meta-Analysis. Global Spine J. 2022;12(5):1012-1026. doi:10.1177/21925682211020696
  • [13] Masuda S, Fukasawa T, Takeuchi M, Fujibayashi S, Otsuki B, Murata K, et al. Reoperation Rates of Microendoscopic Discectomy Compared With Conventional Open Lumbar Discectomy: A Large-database Study. Clin Orthop Relat Res. 2023;481(1):145-154. doi:10.1097/CORR.0000000000002322
  • [14] Lew SM, Mehalic TF, Fagone KL. Transforaminal percutaneous endoscopic discectomy in the treatment of far-lateral and foraminal lumbar disc herniations. J Neurosurg. 2001;94(2Suppl):216-220. doi: 10.3171/spi.2001.94.2.0216
  • [15] Jang JS, An SH, Lee SH. Transforaminal percutaneous endoscopic discectomy in the treatment of foraminal and extraforaminal lumbar disc herniations. J Spinal Disord Tech. 2006;19(5):338-343. doi:10.1097/01.bsd.0000204500.14719.2e
  • [16] Yeung AT, Tsou PM. Posterolateral endoscopic excision for lumbar disc herniation: Surgical technique, outcome, and complications in 307 consecutive cases. Spine (Phila Pa 1976). 2002;27(7):722-731. doi:10.1097/00007632-200204010-00009
  • [17] Imoto R, Umakoshi M, Yunoki M, Tatano M, Hirashita K, Yoshino K, et al. Surgical Outcomes of Full-Endoscopic Lumbar Discectomy in the Early Adoption Phase. Asian J Neurosurg. 2022;17(3):474-479. Published 2022 Sep 1. doi:10.1055/s-0042-1751012
  • [18] Holmström E, Moritz U. Effects of lumbar belts on trunk muscle strength and endurance: a follow-up study of construction workers. J Spinal Disord. 1992;5(3):260-266. doi:10.1097/00002517-199209000-00003
  • [19] Butler AJ, Munakomi S, Donnally III CJ. Discectomy. In: StatPearls. Treasure Island (FL): StatPearls Publishing; August 13, 2023.
  • [20] Kawaguchi Y, Gejo R, Kanamori M, Kimura T. Quantitative analysis of the effect of lumbar orthosis on trunk muscle strength and muscle activity in normal subjects. J Orthop Sci. 2002;7(4):483-489. doi:10.1007/s007760200084
  • [21] Fercho J, Krakowiak M, Yuser R, Szmuda T, Zieliński P, Szarek D, et al. Evaluation of Movement Restriction of Spinal Orthoses Using Inertial Measurement Units. Int J Environ Res Public Health. 2022;19(24):16515. Published 2022 Dec 8. doi:10.3390/ijerph192416515
  • [22] Yee AJ, Yoo JU, Marsolais EB, Carlson G, Poe-Kochert C, Bohlman HH, et al. Use of a postoperative lumbar corset after lumbar spinal arthrodesis for degenerative conditions of the spine. A prospective randomized trial. J Bone Joint Surg Am. 2008;90(10):2062-2068. doi:10.2106/JBJS.G.01093
  • [23] Zoia C, Bongetta D, Alicino C, Chimenti M, Pugliese R, Gaetani P. Usefulness of corset adoption after single-level lumbar discectomy: a randomized controlled trial. J Neurosurg Spine. 2018;28(5):481-485. doi:10.3171/2017.8.SPINE17370
  • [24] Takasaki H, Miki T. The impact of continuous use of lumbosacral orthoses on trunk motor performance: a systematic review with meta-analysis. Spine J. 2017;17(6):889-900. doi:10.1016/j.spinee.2017.03.003

THE EFFECT OF CORSET ON POSTOPERATIVE PAIN FOLLOWING LUMBAR DISC HERNIATIONS

Year 2023, , 112 - 117, 27.09.2023
https://doi.org/10.46810/tdfd.1341752

Abstract

Objective: In this research, we aimed to investigate the effect of lumbar corsets on the postoperative pain of single and multiple-level lumbar disc herniations by the Visual analog scale (VAS) and the health outcomes via the Oswestry Disability Index (ODI).
Materials & Methods: Patients (n=101) with a single or double-level unilateral lumbar disc hernia with no history of lumbar surgery were included in this study. All patients decided for operation have been administered non-steroidal NSAIDs and muscle relaxants for 4 – 6 weeks before the operation. All patients were recommended to use a lumbar corset in the postoperative period. A VAS and ODI were utilized to measure the clinical outcomes of corset usage.
Results: The first-week and first-month average VAS scores in the corsets group were statistically significantly lower than those who did not use corsets (p<0.001, p=0.002). No statistically significant difference was found in the first-week and first-month VAS changes of the patients who did not use corsets (p=0.059). The first-week and first-month average ODI scores in the corsets group were statistically significantly lower than those who did not use (p=0.012, p<0.001). The change in ODI scores from the first week to the first month was statistically significantly higher in patients wearing corsets (p<0.001).
Conclusion: Early adoption of the corset in the postoperative period can help rest and promote the dynamic healing of aching back muscles. Our findings indicated that the use of corsets promoted early recovery from rehabilitation and returns to daily activities.

References

  • [1] Al Qaraghli MI, De Jesus O. Lumbar Disc Herniation. 2023 Feb 12. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. PMID: 32809713.
  • [2] Carnevale JA, Goldberg JL, Schwarz J. Lumbar Herniated Disc. World Neurosurg. 2022;166:52-53. doi:10.1016/j.wneu.2022.07.059
  • [3] Grooten WJA, Boström C, Dedering Å, Halvorsen M, Kuster RP, Nilsson-Wikmar L, et al. Summarizing the effects of different exercise types in chronic low back pain - a systematic review of systematic reviews. BMC Musculoskelet Disord. 2022;23(1):801. Published 2022 Aug 22. doi:10.1186/s12891-022-05722-x
  • [4] Roiha M, Marjamaa J, Siironen J, Koskinen S, Koski-Palkén A. Favorable long-term health-related quality of life after surgery for lumbar disc herniation in young adult patients. Acta Neurochir (Wien). 2023;165(3):797-805. doi:10.1007/s00701-023-05522-9
  • [5] Zhao X, Yang Y, Yue R, Su C. Potential causal association between leisure sedentary behaviors, physical activity and musculoskeletal health: A Mendelian randomization study. PLoS One. 2023;18(3):e0283014. Published 2023 Mar 16. doi:10.1371/journal.pone.0283014
  • [6] Mörl F, Bradl I. Lumbar posture and muscular activity while sitting during office work. J Electromyogr Kinesiol. 2013;23(2):362-368. doi:10.1016/j.jelekin.2012.10.002
  • [7] Gibbs D, McGahan BG, Ropper AE, Xu DS. Back Pain: Differential Diagnosis and Management. Neurol Clin. 2023;41(1):61-76. doi:10.1016/j.ncl.2022.07.002
  • [8] Mescouto K, Olson RE, Hodges PW, Setchell J. A critical review of the biopsychosocial model of low back pain care: time for a new approach?. Disabil Rehabil. 2022;44(13):3270-3284. doi:10.1080/09638288.2020.1851783
  • [9] Hebelka H, Brisby H, Erkmar A, Lagerstrand K. Loading of the Spine in Low Back Pain Patients Does Not Induce MRI Changes in Modic Lesions: A Prospective Clinical Study. Diagnostics (Basel). 2022;12(8):1815. Published 2022 Jul 28. doi:10.3390/diagnostics12081815
  • [10] Alizadeh R, Sharifzadeh SR. Pathogenesis, etiology and treatment of failed back surgery syndrome. Neurochirurgie. 2022;68(4):426-431. doi:10.1016/j.neuchi.2021.09.005
  • [11] O'Keeffe M, Ferreira GE, Harris IA, Darlow B, Buchbinder R, Traeger AC, et al. Effect of diagnostic labelling on management intentions for non-specific low back pain: A randomized scenario-based experiment. Eur J Pain. 2022;26(7):1532-1545. doi:10.1002/ejp.1981
  • [12] Li WS, Yan Q, Cong L. Comparison of Endoscopic Discectomy Versus Non-Endoscopic Discectomy for Symptomatic Lumbar Disc Herniation: A Systematic Review and Meta-Analysis. Global Spine J. 2022;12(5):1012-1026. doi:10.1177/21925682211020696
  • [13] Masuda S, Fukasawa T, Takeuchi M, Fujibayashi S, Otsuki B, Murata K, et al. Reoperation Rates of Microendoscopic Discectomy Compared With Conventional Open Lumbar Discectomy: A Large-database Study. Clin Orthop Relat Res. 2023;481(1):145-154. doi:10.1097/CORR.0000000000002322
  • [14] Lew SM, Mehalic TF, Fagone KL. Transforaminal percutaneous endoscopic discectomy in the treatment of far-lateral and foraminal lumbar disc herniations. J Neurosurg. 2001;94(2Suppl):216-220. doi: 10.3171/spi.2001.94.2.0216
  • [15] Jang JS, An SH, Lee SH. Transforaminal percutaneous endoscopic discectomy in the treatment of foraminal and extraforaminal lumbar disc herniations. J Spinal Disord Tech. 2006;19(5):338-343. doi:10.1097/01.bsd.0000204500.14719.2e
  • [16] Yeung AT, Tsou PM. Posterolateral endoscopic excision for lumbar disc herniation: Surgical technique, outcome, and complications in 307 consecutive cases. Spine (Phila Pa 1976). 2002;27(7):722-731. doi:10.1097/00007632-200204010-00009
  • [17] Imoto R, Umakoshi M, Yunoki M, Tatano M, Hirashita K, Yoshino K, et al. Surgical Outcomes of Full-Endoscopic Lumbar Discectomy in the Early Adoption Phase. Asian J Neurosurg. 2022;17(3):474-479. Published 2022 Sep 1. doi:10.1055/s-0042-1751012
  • [18] Holmström E, Moritz U. Effects of lumbar belts on trunk muscle strength and endurance: a follow-up study of construction workers. J Spinal Disord. 1992;5(3):260-266. doi:10.1097/00002517-199209000-00003
  • [19] Butler AJ, Munakomi S, Donnally III CJ. Discectomy. In: StatPearls. Treasure Island (FL): StatPearls Publishing; August 13, 2023.
  • [20] Kawaguchi Y, Gejo R, Kanamori M, Kimura T. Quantitative analysis of the effect of lumbar orthosis on trunk muscle strength and muscle activity in normal subjects. J Orthop Sci. 2002;7(4):483-489. doi:10.1007/s007760200084
  • [21] Fercho J, Krakowiak M, Yuser R, Szmuda T, Zieliński P, Szarek D, et al. Evaluation of Movement Restriction of Spinal Orthoses Using Inertial Measurement Units. Int J Environ Res Public Health. 2022;19(24):16515. Published 2022 Dec 8. doi:10.3390/ijerph192416515
  • [22] Yee AJ, Yoo JU, Marsolais EB, Carlson G, Poe-Kochert C, Bohlman HH, et al. Use of a postoperative lumbar corset after lumbar spinal arthrodesis for degenerative conditions of the spine. A prospective randomized trial. J Bone Joint Surg Am. 2008;90(10):2062-2068. doi:10.2106/JBJS.G.01093
  • [23] Zoia C, Bongetta D, Alicino C, Chimenti M, Pugliese R, Gaetani P. Usefulness of corset adoption after single-level lumbar discectomy: a randomized controlled trial. J Neurosurg Spine. 2018;28(5):481-485. doi:10.3171/2017.8.SPINE17370
  • [24] Takasaki H, Miki T. The impact of continuous use of lumbosacral orthoses on trunk motor performance: a systematic review with meta-analysis. Spine J. 2017;17(6):889-900. doi:10.1016/j.spinee.2017.03.003
There are 24 citations in total.

Details

Primary Language English
Subjects Surgery (Other)
Journal Section Articles
Authors

Hidayet Safak Cine 0000-0002-0808-5921

Early Pub Date September 27, 2023
Publication Date September 27, 2023
Published in Issue Year 2023

Cite

APA Cine, H. S. (2023). THE EFFECT OF CORSET ON POSTOPERATIVE PAIN FOLLOWING LUMBAR DISC HERNIATIONS. Türk Doğa Ve Fen Dergisi, 12(3), 112-117. https://doi.org/10.46810/tdfd.1341752
AMA Cine HS. THE EFFECT OF CORSET ON POSTOPERATIVE PAIN FOLLOWING LUMBAR DISC HERNIATIONS. TDFD. September 2023;12(3):112-117. doi:10.46810/tdfd.1341752
Chicago Cine, Hidayet Safak. “THE EFFECT OF CORSET ON POSTOPERATIVE PAIN FOLLOWING LUMBAR DISC HERNIATIONS”. Türk Doğa Ve Fen Dergisi 12, no. 3 (September 2023): 112-17. https://doi.org/10.46810/tdfd.1341752.
EndNote Cine HS (September 1, 2023) THE EFFECT OF CORSET ON POSTOPERATIVE PAIN FOLLOWING LUMBAR DISC HERNIATIONS. Türk Doğa ve Fen Dergisi 12 3 112–117.
IEEE H. S. Cine, “THE EFFECT OF CORSET ON POSTOPERATIVE PAIN FOLLOWING LUMBAR DISC HERNIATIONS”, TDFD, vol. 12, no. 3, pp. 112–117, 2023, doi: 10.46810/tdfd.1341752.
ISNAD Cine, Hidayet Safak. “THE EFFECT OF CORSET ON POSTOPERATIVE PAIN FOLLOWING LUMBAR DISC HERNIATIONS”. Türk Doğa ve Fen Dergisi 12/3 (September 2023), 112-117. https://doi.org/10.46810/tdfd.1341752.
JAMA Cine HS. THE EFFECT OF CORSET ON POSTOPERATIVE PAIN FOLLOWING LUMBAR DISC HERNIATIONS. TDFD. 2023;12:112–117.
MLA Cine, Hidayet Safak. “THE EFFECT OF CORSET ON POSTOPERATIVE PAIN FOLLOWING LUMBAR DISC HERNIATIONS”. Türk Doğa Ve Fen Dergisi, vol. 12, no. 3, 2023, pp. 112-7, doi:10.46810/tdfd.1341752.
Vancouver Cine HS. THE EFFECT OF CORSET ON POSTOPERATIVE PAIN FOLLOWING LUMBAR DISC HERNIATIONS. TDFD. 2023;12(3):112-7.