Türk Nöroşirürji Dergisi 2005 , Vol 15 , Num 3
Ali Fahir ÖZER1, Tunç ÖKTENOĞLU2, Mehdi SASANİ3, Hakan BOZKUŞ4, Şenol CARILLI, Nazan CANBULAT6, Ali Çetin SARIOĞLU7
1,2,3,4,7VKV Amerikan Hastanesi Nöroşirürji Bölümü, İstanbul
6VKV Amerikan Hastanesi Fizik Tedavi ve Rehabiltasyon Bölümü, İstanbul
5VKV Amerikan Hastanesi Genel Cerrahi Bölümü, İstanbul
OBJECTIVE: The effectiveness of lumbar disc prosthesis in the surgical treatment of patients with chronic lumbar discogenic pain where conservative treatment and minimally invasive pain procedures failed was analysed.

METHODS: Lumbar disc prosthesis was applied to totally 16 patients who has chronic lumbar discogenic pain and unresponsive to conservative treatment and minimal invasive pain procedures. All patients were evaluated with pain scales (Visual analog pain scale, Oswestry) at preop and postop periods (6 week and 6 months). The follow-up period is between 7-23 months (mean 12,4). Paired T test was used for statistical analysis.

FINDINGS AND RESULTS: Preoperative mean Visual analog pain scores with motion and with rest were 9,18 and 6,09. in postoperative 6 week period the scores were decreased to 3,27 and 2,00. The 6 month scores were 2,30 and 1,54. All the postoperative period scores were improved significantly. Similar results were obtained with Oswestry scale. Preop mean Oswestry scale was 79,45 and postoperative 6 week and 6 month results were 32,78 and 28,90. Both postoperative results were significantly decreased compared to preop value.

CONCLUSION: In failure of nonoperative treatment methods for patients with chronic discogenic pain, lumbar disc prosthesis should be considered as a prior surgical technique if the patients have the appropriate criteria. Anahtar Kelimeler : Anterior approach, Discogenic pain, Disc prosthesis