Özet:

Purpose: Recently, plasma disc coagulation therapy (PDCT) has been used in the treatment of lombal and cervical disc hernia (SDH), but the long-term effects of PDCT have not been fully documented. The aim of this study is to evaluate the long-term effects of PDCT on pain score, disc volume and patient satisfaction in cervical disc hernia patients. Tools and Methods: 80 SDH patients with PDCT treatment were taken to study. Patients' demographic characteristics and pain scores (visual analog scale-VAS) were recorded at the beginning and in the 1, 3, 6 and 12 months after PDCT treatment. In the 12th month after PDCT, patient satisfaction and disc volume were assessed. Results: A time-dependent and statistically significant reduction was found in the VAS score. The VAS score at the beginning is 6.5 ± 0.9 while the last follow is 3. It was identified as 4 ± 0.2 (p <0.01). According to the pathology of magnetic resonance imaging, the VAS score after PDCT was higher in patients with extract disc than in patients with bulging and protrusion (p <0.05). 12 months after treatment, Odom’s criteria indicated that 50 percent of patients were perfect, while 8.7 percent that they were bad. Patients who that they were perfect according to Odom criteria after PDCT treatment were found to have a decrease in disk volume. by p <0.01 . This study has shown that PDCT is a safe, effective and minimal invasive treatment technique for selected patients with SDH.

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