Iranian Journal of Neurosurgery
مجله جراحی مغز و اعصاب ایران
Iran J Neurosurg
Medical Sciences
http://irjns.org
1
admin
2423-6497
2423-6829
10.32598/irjns
en
jalali
1397
4
1
gregorian
2018
7
1
4
3
online
1
fulltext
en
Evaluation of Prognostic Factor and Pain Intensity Following Thoracolumbar Disc Surgeries
Spine
Research
<div style="text-align: justify;"><strong>Background and Aim:</strong> 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.<br>
<strong>Methods and Materials/Patients: </strong>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.<br>
<strong>Results: </strong>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.<br>
<strong>Conclusion:</strong> 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.</div>
Pain, Disc surgery, Visual Analog Scale, Prognosis
139
148
http://irjns.org/browse.php?a_code=A-10-119-1&slc_lang=en&sid=1
Ali
Meshkini
meshkinia@yahoo.com
10031947532846002935
10031947532846002935
No
MD., Department of Neurosurgery, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
Firoz
Salehpour
firoozsalehpour@hotmail.com
10031947532846002936
10031947532846002936
No
MD., Department of Neurosurgery, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
Farhad
Mirzaei
golzar.farhad@yahoo.com
10031947532846002937
10031947532846002937
No
MD., Department of Neurosurgery, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
Saeid
Rouhi
10031947532846002938
10031947532846002938
No
MD., Department of Neurosurgery, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
Mandana
Ghafouri Rahimabadi
10031947532846002939
10031947532846002939
No
School of Medicine, Tehran Medical Branch, Islamic Azad University, Tehran, Iran
Seyed Ahmad
Naseri Alavi
dr.arsalan2010@gmail.com
10031947532846002940
10031947532846002940
Yes
MD., Department of Neurosurgery, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran