Categories
Change Password!
Reset Password!
Proper use of cervical percutaneous procedures results in faster
response to decompression therapies, however proper patient selection and
practitioner's experience are vital for treatment success.
For long-term, percutaneous disc coagulation therapy (PDCT) exerts significantly better outcomes in managing cervical disc herniation, whereas for short-term, navigable ablation decompression treatment (L-DISQ) is the best, evident from a study conducted by Aysegul CEYLAN & Ibrahim ASIK, working at Gülhane Education and Research Hospital and Ankara University Faculty of Medicine Hospital.
A total of forty patients were selected and assessed for Neck Pain Index (NPI) and Visual analog scale (VAS) before and 1st, 3rd, 6th, and 12th months following the treatments, and patient Satisfaction Scale (PSS) at 12th month postoperatively.
Both treatment
groups exhibit almost similar VAS and NPI scores initially and at the 12th
month. However, both L-DISQ and PDCT groups showed a significant decrease in
the time-dependent NPI and VAS scores. Some complexities like Horner syndrome;
esophageal, vascular, and neural injuries; muscle spasm; hoarseness; dural
puncture, and infections. The groups showed a difference only in the rate of
cervical spasm within one month following the treatments. Proper practitioner’s
experience and patient selection are the essential factors in the success of
the treatment. Also, smaller part of the disc should be used as the diameter of
the cervical vertebrae canal is narrower than of the thoracic and lumbar
regions. Both the techniques are effective and safe for cervical disc
herniation.
Turkish Journal of Medical Sciences
Percutaneous plasma laser disc coagulation and navigable ablation decompression in the treatment of cervical disc herniation: a single center experience
Ayşegül CEYLAN, Ibrahim AŞIK
Comments (0)