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Volume 4, Issue 3 (Summer 2018)
Iran J Neurosurg 2018, 4(3): 139-148 |
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Meshkini A, Salehpour F, Mirzaei F, Rouhi S, Ghafouri Rahimabadi M, Naseri Alavi S A. Evaluation of Prognostic Factor and Pain Intensity Following Thoracolumbar Disc Surgeries. Iran J Neurosurg 2018; 4 (3) :139-148
URL: http://irjns.org/article-1-135-en.html
URL: http://irjns.org/article-1-135-en.html
Ali Meshkini1 
, Firoz Salehpour1 , Farhad Mirzaei1 , Saeid Rouhi1 , Mandana Ghafouri Rahimabadi2 , Seyed Ahmad Naseri Alavi * 3
, Firoz Salehpour1 , Farhad Mirzaei1 , Saeid Rouhi1 , Mandana Ghafouri Rahimabadi2 , Seyed Ahmad Naseri Alavi * 3
1- MD., Department of Neurosurgery, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
2- School of Medicine, Tehran Medical Branch, Islamic Azad University, Tehran, Iran
3- MD., Department of Neurosurgery, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran ,dr.arsalan2010@gmail.com
2- School of Medicine, Tehran Medical Branch, Islamic Azad University, Tehran, Iran
3- MD., Department of Neurosurgery, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran ,
Abstract: (4329 Views)
Background and Aim: Thoracolumbar Junction (TLJ) is a transitional zone between the rigid thoracic spine and the flexible lumbar spine. Diagnosis and treatment of herniated discs pertaining to this spinal region is difficult owing to its unique anatomy has challenges to spine and orthopedic surgeons and neurosurgeon. There is not definite approach to TLJ surgeries, with different controversies surrounding each. Therefore, the outcomes and complications associated with different approaches were examined in this study.
Methods and Materials/Patients: After being approved by ethics committee of Tabriz university of medical sciences Forty-nine patients undergoing TLJ disc surgeries during 2012-2016 were studied in three Iranian hospitals, i.e. Imam Reza and Shohada hospitals in Tabriz, and Azarbaijan Hospital in Urmia. Patients were examined in terms of gender, age, BMI, surgical level, number of surgical surfaces, lower extremity pain, back pain, paresthesia of limbs and perineum, weakness of lower limbs, sphincter disorder, surgery types including laminectomy+festectomy+discectomy with or without Fusion and with or without Fixation.
Results: From Forty-nine patients, 22 patients were male and 27 were female. The mean age was 46.75±6.83. Nine patients had severe lower extremity pain (VAS≥6) and 40 patients had mild pain (VAS<6), which corresponded to postoperative limb pain: 24 patients reported severe pain and 25 mild pain, which lasted over 6 months. There was no significant relationship between fusion and lower extremity pain.
Conclusion: Based on the results of this study, which examined the factors affecting prognosis and severity of pain after thoracolumbar discs, spinal cord manipulation should be avoided due to limited circulation of the spinal area.
Methods and Materials/Patients: After being approved by ethics committee of Tabriz university of medical sciences Forty-nine patients undergoing TLJ disc surgeries during 2012-2016 were studied in three Iranian hospitals, i.e. Imam Reza and Shohada hospitals in Tabriz, and Azarbaijan Hospital in Urmia. Patients were examined in terms of gender, age, BMI, surgical level, number of surgical surfaces, lower extremity pain, back pain, paresthesia of limbs and perineum, weakness of lower limbs, sphincter disorder, surgery types including laminectomy+festectomy+discectomy with or without Fusion and with or without Fixation.
Results: From Forty-nine patients, 22 patients were male and 27 were female. The mean age was 46.75±6.83. Nine patients had severe lower extremity pain (VAS≥6) and 40 patients had mild pain (VAS<6), which corresponded to postoperative limb pain: 24 patients reported severe pain and 25 mild pain, which lasted over 6 months. There was no significant relationship between fusion and lower extremity pain.
Conclusion: Based on the results of this study, which examined the factors affecting prognosis and severity of pain after thoracolumbar discs, spinal cord manipulation should be avoided due to limited circulation of the spinal area.
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This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
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