LOMBER DİSK HERNİSİNDE POSTOPERATİF AĞRILARDA KORSENİN ETKİSİ

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.

Keywords

• Lomber disk hernisi
• Korse
• Mikrodiskektomi
• Vizüel Analog Skalası
• Oswestry Disabilite İndeksi

THE EFFECT OF CORSET ON POSTOPERATIVE PAIN FOLLOWING LUMBAR DISC HERNIATIONS

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.

Keywords

• Lumbar disc hernia
• Corset
• Microdiscectomy
• Visual Analog Scale
• Oswestry Disability Index

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