The Effect of Initial Visual Analog Scale Score on Results in Cervical Laser Discectomy

Year 2022, Volume: 17 Issue: 1, 136 - 144, 21.03.2022

Kutsal Devrim Seçinti

https://doi.org/10.17517/ksutfd.899891

Abstract

Objective
There is disagreement as to whether percutaneous laser disc decompression (PLDD) is effective. This may be attributed to incorrect patient selection because of the need of additional criteria. This study is investigating whether initial visual analog scale (VAS) score has an effect on outcomes of cervical PLDD and whether it could be a patient selection criterion.
Material and Methods:
Cervical PLDD patients were divided into 3 groups according to initial VAS scores as Group-I (VAS:3-5), Group-IIa (VAS:6-7) and Group-IIb (VAS:8-9). Datas analyzed retrospectively and compared with the VAS scores during 12-month follow-up. Relationship between initial VAS scores and success of procedure was investigated. Patient satisfaction was also evaluated according to Odom criteria.
Results:
In sum, 79.16 % of the patients were satisfied from the procedure. However, the satisfaction rate was 96.15% in Group-I, 76.47 % in Group-IIa, and 0.0 % in Group-IIb. The mean initial VAS scores of patients who were satisfied with the procedure was 5.08 but 7.30 of dissatisfied ones. Number of affected discs and patient age have no effect on the results.

Conclusion:
Initial VAS scores are directly correlated with patient outcomes. Patients with higher than initial VAS scores of 5, must be rejected for the procedure.

Keywords

Visual analog scale, Cervical disc herniation, Percutaneous laser disc decompression, Patient selection

Supporting Institution

None

Project Number

None

Thanks

We would like to thank to Dr. İlke Evrim Seçinti for her contribution to the statistical analysis of the study.

Servikal Lazer Diskektomide Başlangıç Görsel Analog Skala Skorunun Sonuçlara Etkisi

Abstract

Amaç
Perkütan lazer disk dekompresyonunun (PLDD) gerçekten etkili olup olmadığı konusunda görüş ayrılığı vardır. Bunun sebebi, ek hasta kabul ve red kriterlerine ihtiyaç duyulması nedeniyle yanlış hasta seçimine bağlanabilir. Bu çalışma, kabul anındaki görsel analog skala (VAS) skorunun servikal PLDD sonuçları üzerinde bir etkisinin olup olmadığını ve bunun bir hasta seçim kriteri olup olmadığını araştırmayı amaçlamaktadır.
Gereç ve Yöntemler:
Servikal PLDD yapılan hastalar, kabul anındaki VAS skorlarına göre Grup-I (VAS: 3-5), Grup-IIa (VAS: 6-7) ve Grup-IIb (VAS: 8-9) olarak 3 gruba ayrıldı. Veriler geriye dönük olarak analiz edildi ve 12 aylık takip süresince VAS skorlarıyla karşılaştırıldı. İlk VAS skorları ile işlemin başarısı arasındaki ilişki araştırıldı. Hasta memnuniyeti ise Odom kriterlerine göre değerlendirildi.
Bulgular:
Tüm hastalar birlikte değerlendirildiğinde, hastaların % 79.16'sı işlemden memnun olduğunu belirtti. Bununla birlikte, memnuniyet oranı Grup-I'de % 96.15, Grup-IIa'da % 76.47 ve Grup-IIb'de % 0.0 idi. İşlemden memnun olan hastaların ortalama başlangıç VAS skorları 5.08 iken memnun olmayanların 7.30’du. Etkilenen disk sayısı ve hasta yaşının sonuçlar üzerinde etkili olmadığı belirlendi.

Sonuç:
Kabul anındaki VAS skorları, hasta sonuçlarıyla doğrudan ilişkilidir. Başlangıç VAS skoru 5'ten daha yüksek olan hastalar PLDD için reddedilmelidir.

Keywords

Görsel analog skala, Servikal disk herniasyonu, Perkutan lazer disk dekompresyonu, Hasta seçimi

Project Number

None

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