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Permanent URI for this collectionhttps://hdl.handle.net/11443/932
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Item Diagnosis and Treatment of Transforaminal Epidural Steroid Injection in Lumbar Spinal Stenosis(KARE PUBL, 2020-01-01) Yuce, Ismail; Kahyaoglu, Okan; Ataseven, Muzeyyen; Cavusoglu, Halit; Aydin, YunusObjectives: Transforaminal epidural steroid injection reduces the low back-leg pain and enables daily activities of the patients. In this study, we aim to evaluate the treatment of transforaminal epidural steroid injection for lumbar spinal stenosis, which was mainly performed for lumbar disc herniation and share our diagnostic experience for lumbar spinal stenosis which is treated surgically. Methods: In our study, 37 patients were included who were treated by transforaminal epidural steroid injection for Grade B lumbar spinal stenosis in our clinic between June-2014 and June-2018. We evaluated the patients at the second weeks, third/sixth months and one year after the treatment by Oswestry-Disability-Index and Visual-Analogue-Scale and followed up for surgical treatment after one year. Results: The mean low back and leg pain Visual Analogue Scale was 5.1 +/- 0.3 before the transforaminal epidural steroid injection procedure, and it was 2.7 +/- 0.1 after two weeks. It was 2.8 +/- 0.2, 3.1 +/- 0.1 at three and six months after procedure, respectively. The improvement of low back-leg pain mean Visual-Analogue-Scale is statistically significant at two weeks, three and six months after transforaminal epidural steroid injection procedure, respectively. The mean Oswestry-Disability-Index was 29.6 +/- 0.4 before the transforaminal epidural steroid injection procedure, and it was 14.1 +/- 0.3 after two weeks. It was 15.3 +/- 0.5, 24.4 +/- 0.2 at three and six months after procedure, respectively. The improvement of Oswestry-Disability-Index is statistically significant at two weeks, three-six months. Conclusion: The transforaminal epidural steroid injection is safe procedure for non-surgical treatment of lumbar spinal stenosis and this procedure may be preferred support to the indication of the surgical treatment of level of lumbar spinal stenosis.Item Minimally Invasive Open Surgical Approach and Outcomes for Carpal Tunnel Syndrome(KARE PUBL, 2019-01-01) Yuce, Ismail; Kahyaoglu, Okan; Cavusoglu, Halit; Aydin, YunusObjectives: The most common peripheral neuropathy is carpal tunnel syndrome. The present study aims to describe our minimally invasive open surgical approach for carpal tunnel syndrome and evaluate surgical outcomes. Methods: We included 217 patients who were operated in our clinic for carpal tunnel syndrome by minimally invasive open surgical approach. Visual Analogue Scale and Functional Outcome Scale scores were obtained preoperative, postoperative at one month and three months to determine surgical outcomes. Results: The mean age of the patients was 55.4 +/- 12.8 years (32 to 69), 175 (80.6\%) were women and 42 (19.4\%) were men. The assessment of carpal tunnel syndrome's etiology showed that 189 (\%87.1\%) of the cases were idiopathic, 19 (8.8\%) had hypothyroidism, 5 (2.3\%) had rheumatoid arthritis and 4 (1.8\%) were due to pregnancy. The average improvement of VAS between preoperatively and late post-operatively was 5.41 +/- 1.05. The average improvement FOS was 17.44 +/- 3.06. They were statistically significant. Conclusion: The minimally invasive open surgical approach for carpal tunnel syndrome (an average of 1 cm skin incision) is performed with local anesthesia and successful surgical outcomes are achieved.