Pakistan Journal Of Neurological Surgery最新文献_第8页

Success and Complications of Microsurgical Over-Top Decompression for Lumbar Spine Stenosis: Experience in a Limited Resource Center 在一个资源有限的中心，腰椎管狭窄的显微外科上顶减压的成功和并发症

Pakistan Journal Of Neurological Surgery Pub Date : 2022-06-30 DOI: 10.36552/pjns.v26i2.665

Z. Khan, S. Sharafat, F. Azam, Haidar Suleman

{"title":"Success and Complications of Microsurgical Over-Top Decompression for Lumbar Spine Stenosis: Experience in a Limited Resource Center","authors":"Z. Khan, S. Sharafat, F. Azam, Haidar Suleman","doi":"10.36552/pjns.v26i2.665","DOIUrl":"https://doi.org/10.36552/pjns.v26i2.665","url":null,"abstract":"Objective: The overtop decompression is also called the outside-in technique or bilateral decompression from the unilateral approach. The objective of the study was to evaluate the success and complications of microsurgical over-top decompression for single-level lumbar spine stenosis.\u0000Material and Methods: This observational study was conducted at the Neurosurgery unit at Lady Reading Hospital Peshawar from Jan 2018 to December 2021. All those patients who had undergone over-top decompression for single-level degenerative lumbar spine stenosis irrespective of age and gender were included in our study.\u0000Results: We had a total of 187 patients who underwent microscopic over-top decompression for lumbar spine stenosis. Four patients lost their final follow-up. The mean age of the patients was 46 years (ranging from 18 – 68 years). Spinal stenosis was more common in men (58.3%) and at L4/5 (51.87%) level. The mean duration of surgery was 56 minutes (range 35-86 minutes). Leg pain improved in 83.1% of the cases with overall patient satisfaction after surgery in 82.5% of the cases. The most common (6.95%) complication of the procedure was iatrogenic durotomy. Most of the complications were minor and treated conservatively.\u0000Conclusions: Overtop decompression is a safe and effective minimally invasive procedure for lumbar spine stenosis. It has good results in symptomatic improvement. There is minimal soft tissue and bony dissection. Therefore, mobility and stability of the spine are preserved. Moreover, the learning curve for microscopic overtop decompression is shallow and surgery time is short.","PeriodicalId":19963,"journal":{"name":"Pakistan Journal Of Neurological Surgery","volume":"85 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83891209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Management options for Post Traumatic CSF Rhinorrhea 创伤后脑脊液鼻漏的治疗方案

Pakistan Journal Of Neurological Surgery Pub Date : 2022-04-01 DOI: 10.36552/pjns.v26i1.628

Shahid Smaija, Noor Fatima, Luqman Shahid, Asifa Shahid

{"title":"Management options for Post Traumatic CSF Rhinorrhea","authors":"Shahid Smaija, Noor Fatima, Luqman Shahid, Asifa Shahid","doi":"10.36552/pjns.v26i1.628","DOIUrl":"https://doi.org/10.36552/pjns.v26i1.628","url":null,"abstract":"Objective: A descriptive case series study was aimed to evaluate management options for traumatic csf rhinorrhea and develop a better option \u0000Materials and Methods: The study was conducted at Neurosurgery department, Bahwal Victotoria hospital Bahawalpur . This study involved 80 patients aged between 20-55 years of both genders diagnosed of CSF rhinorrhea presented with trauma. \u0000Results: In the department of Neurosurgery BVH, Bahawalpur 2000 patients were admitted with head injury in two years from April 2021 to February 2022. A total of 80 patients of these had cerebrospinal fluid (CSF) rhinorrhea. This study was conducted to evaluate the management options of CSF rhinorrhea in the patients with head injury. CSF rhinorrhea was stopped in 70 patients with conservative management. In 10 patients cerebrospinal fluid rhinorrhea continued after the conservative management of 2-6 weeks and surgical repair of Dural tear at the base of skull was done in these patients. Site of CSF rhinorrhea leakage was located in these patients with the help of CT Scan and MRI skull.In all these patients Dural tears was repaired with a graft of fascia Lata or periosteum, pasted on the site of defect with fibrin glue. \u0000CONCLUSION:We concluded that all post traumatic C.S.F rhinorrhea cases should be managed conservatively because most of the C.S.F leaks stop spontaneously with proper conservative management. So surgical repair should be delayed for 2-12 weeks after a leak has been identified.","PeriodicalId":19963,"journal":{"name":"Pakistan Journal Of Neurological Surgery","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74250383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Outcomes of Cranioplasty after Craniectomy 颅骨切除术后颅骨成形术的疗效

Pakistan Journal Of Neurological Surgery Pub Date : 2022-04-01 DOI: 10.36552/pjns.v26i1.649

Samra Majeed, Ajmal Khan, Muhammad Irfan, Shahzaib Tasdique, Azam Niaz, Waqar Azim, Anjum Habib Vohra

{"title":"Outcomes of Cranioplasty after Craniectomy","authors":"Samra Majeed, Ajmal Khan, Muhammad Irfan, Shahzaib Tasdique, Azam Niaz, Waqar Azim, Anjum Habib Vohra","doi":"10.36552/pjns.v26i1.649","DOIUrl":"https://doi.org/10.36552/pjns.v26i1.649","url":null,"abstract":"Objective: Craniectomy is a widely used procedure in neurosurgery that results in more cranioplasties to repair skull defects. The complication rate after cranioplasties seems to be higher than elective craniotomies so this study was conducted to determine the outcome of cranioplasty after craniectomy. \u0000Materials & Methods: The patients included in this study had craniectomy and cranioplasty for any indication. Patients included had variables, such as age, sex, underlying pathology, craniectomy and cranioplasty dates, the material used for cranioplasty (autologous bone or methyl methacrylate), and methods of cranioplasty flap fixation (sutures or titanium plates and screws) follow up period and complications. \u0000Results: It was concluded that patients in the age group of 41 – 60 years (5 cases), males (7 cases), cranioplasty performed after 6 months (5cases) with autologous bone graft (8cases) were associated with more complications. \u0000Conclusion: The overall rate of complications associated with cranioplasties is not negligible, however, early cranioplasty in young patients with the use of polymethyl methacrylate may be associated with less complication rate. \u0000Keywords: Decompressive, Craniectomy, Cranioplasty, Autologous, Polymethyl Methacrylate","PeriodicalId":19963,"journal":{"name":"Pakistan Journal Of Neurological Surgery","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75018933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The outcome of Titanium Mesh Cranioplasty 钛网颅骨成形术的效果

Pakistan Journal Of Neurological Surgery Pub Date : 2022-04-01 DOI: 10.36552/pjns.v25i4.646

Mahmood Khan Kibzai, Muhammad Shoaib Kibzai, Muhammad Haroon, Zeenat-un-Nisa

{"title":"The outcome of Titanium Mesh Cranioplasty","authors":"Mahmood Khan Kibzai, Muhammad Shoaib Kibzai, Muhammad Haroon, Zeenat-un-Nisa","doi":"10.36552/pjns.v25i4.646","DOIUrl":"https://doi.org/10.36552/pjns.v25i4.646","url":null,"abstract":"Objective: The purpose of this study was to report on the result and complications of titanium mesh cranioplasty in patients with trauma. \u0000Materials and Methods: The patients who underwent craniectomy previously for acute subdural hematomas (20 cases) or depressed fractures (40 cases) following RTA (road traffic accidents) were included in the study. Titanium mesh was placed on the skull defect 3 – 6 months later in the private hospitals of Quetta. The resulting complications were reported. \u0000Results: There were 50 male and 10 female patients. The majority (66.66%) of patients were from the age group 15 – 40 years. The majority of patients (83.33%) did not develop any complications. 8.3% of patients had wound infections, 3.3%had mesh exposures, 1.6% developed loosening screws and 1.6% had mesh indentation due to external pressure. \u0000Conclusion: This study concludes that there are few patients (< 20%) who develop complications after cranioplasty. The study’s findings will assist neurosurgeons in the clinical decision-making process. \u0000Keywords: Titanium Mesh Cranioplasty, Acute Subdural Hematoma, Road Traffic Accident, Depressed Fractures.","PeriodicalId":19963,"journal":{"name":"Pakistan Journal Of Neurological Surgery","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80353246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Bicentric Study of Psychiatric Illness among Pediatric Population Patients with a History of Sexual Abuse 儿童性侵史患者精神疾病的双中心研究

Pakistan Journal Of Neurological Surgery Pub Date : 2022-03-31 DOI: 10.36552/pjns.v26i1.652

Pardeep Kumar, Rabail Altaf, Muhammad Qasim Memon, Sultan Rajper, Abrar-ul-Hasnain Memon, Kanwal Kumar

{"title":"A Bicentric Study of Psychiatric Illness among Pediatric Population Patients with a History of Sexual Abuse","authors":"Pardeep Kumar, Rabail Altaf, Muhammad Qasim Memon, Sultan Rajper, Abrar-ul-Hasnain Memon, Kanwal Kumar","doi":"10.36552/pjns.v26i1.652","DOIUrl":"https://doi.org/10.36552/pjns.v26i1.652","url":null,"abstract":"Background: The present study assessed the psychiatric diseases in victims of childhood sexual abuse from intact and broken families. \u0000Methodology: A cross-sectional study was conducted at the PMC hospital, Nawabshah and Pir Abdul Qadir Shah Jeelani Institute of Medical Sciences, GAMBAT between February 2020 to January 2022. 60 (30 in each group) children were included with the ages of 5-16 years,. Non-probability convenience sampling technique was used. Children with reported sexual abuse who fulfilled the inclusion criteria were included in this study. All children included in the study were screened for psychological disturbances through the Urdu version of SDQ. The severity of symptoms was assessed based on ICD-10 criteria. \u0000Results: There was a significant relationship between the identity of the perpetrator with the stability of the family. In victims belonging to the intact family system, the perpetrator was mostly an outsider while, in cases of broken families, oftentimes, the abuser was a relative or known to the victim. 44.44% of individuals belonging to broken families were abused within the confinements of the home. 17.8% of children from unstable families had mixed anxiety and depression disorder, while the rate was lower among children who had intact families. Surprisingly, only five children altogether had post-traumatic stress disorder. Hyperkinetic disorder and conduct disorder was significantly more prevalent in victims belonging to a broken family system. \u0000Conclusion: Childhood sexual abuse and its resultant psychiatric morbidity are equally common in children from intact and broken families. However further research with a greater sample size from multiple centers is needed. \u0000Keywords: Childhood sexual abuse, Psychiatric morbidity, Broken family.","PeriodicalId":19963,"journal":{"name":"Pakistan Journal Of Neurological Surgery","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76832431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Transpedicular Fixation via Posterior Approach for Dorsal and Lumbar Spine Tuberculosis 经椎弓根后路固定治疗背腰椎结核

Pakistan Journal Of Neurological Surgery Pub Date : 2022-03-31 DOI: 10.36552/pjns.v26i1.633

S. Hassan, Aurangzeb Kalhoro, Lal Rehman, Abdul Samad Panezai, Farrukh Javeed

{"title":"Transpedicular Fixation via Posterior Approach for Dorsal and Lumbar Spine Tuberculosis","authors":"S. Hassan, Aurangzeb Kalhoro, Lal Rehman, Abdul Samad Panezai, Farrukh Javeed","doi":"10.36552/pjns.v26i1.633","DOIUrl":"https://doi.org/10.36552/pjns.v26i1.633","url":null,"abstract":"Objective: To determine the outcome of Transpedicular Fixation via Posterior Approach for Dorsal and Lumbar Spine Tuberculosis.\u0000Material/Methods: This study was cross-sectional and conducted from 01/02/2015 to 30/7/2020 in the department of neurosurgery. A total of 36 patients with dorsal and lumbar spine tuberculosis were operated on for transpedicular fixation. Assessment scores were used pre-operative and post-operative and patients were kept on follow-up till six months after the surgical procedure. Variables like age, gender, spinal level, preoperative, and follow-up clinical status were calculated.\u0000Results: There were 19 (53%) male and 17 (47%) female patients with a mean age of 27 ± 8. Thoracolumbar was the commonest segment involved in 17 (47%) patients, followed by lower thoracic in 8 (22%) and lumbar in 7 (19%). There were 7 (19%) patients on the preoperative American Spinal Injury Association (ASIA) impairment scale in grade B, 12 (33%) in grade C, 15 (42%) in grade D, and 2 (5%) in grade E. The follow-up assessment at 6 months showed that ASIA grade B was seen in 3 (8%), grade C in 4 (11%), grade D in 16 (44%), and Grade E in 13 (36%) patients. Preoperative and follow-up scores on the ASIA impairment scale, COBS ANGLE, and ESR showed a significant difference (p-value < 0.05).\u0000Conclusion: We concluded that transpedicular fixation can restore the stability of the spine in thoracic and lumbar tuberculosis. The procedure is important for the improvement of clinical symptoms, correction of kyphosis, and stabilization of the spinal column.","PeriodicalId":19963,"journal":{"name":"Pakistan Journal Of Neurological Surgery","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84977429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of Open Versus Percutaneous Transpedicular Screw Fixation in Thoracolumbar Fractures 胸腰椎骨折开放与经皮椎弓根螺钉固定的比较

Pakistan Journal Of Neurological Surgery Pub Date : 2022-03-31 DOI: 10.36552/pjns.v26i1.642

Syed Ahmad Faizan, Muhammad Jahanzeb, Zubair MustafaKhan, Tariq Imran, Abdul Majid, Asif Bashir

{"title":"Comparison of Open Versus Percutaneous Transpedicular Screw Fixation in Thoracolumbar Fractures","authors":"Syed Ahmad Faizan, Muhammad Jahanzeb, Zubair MustafaKhan, Tariq Imran, Abdul Majid, Asif Bashir","doi":"10.36552/pjns.v26i1.642","DOIUrl":"https://doi.org/10.36552/pjns.v26i1.642","url":null,"abstract":"meantime to return to work following percutaneous transpedicular fixation versus open pedicle screw fixation. We evaluated the average time required to return to work following percutaneous transpedicular fixation versus open pedicle screw fixation in traumatic lumbar spine injury. \u0000Material and Methods: A randomized controlled trial included 60 patients. At study entry baseline demographics (age, gender, & duration of injury) were recorded. 30 patients were in the percutaneous transpedicular fixation group (A), while 30 patients were in the open pedicle screw fixation group (B). All the patients were followed every month time taken to return to work (TTRW) was noted on a proforma. \u0000Results: Mean time taken by patients to return to work after surgery in Group A was 2.9 days, while in group B it was 5.1 days in group B. The difference between the two groups was significant (p-value 0.001). Within Group A, male and female genders showed a significant difference (p-value 0.032) in the TTRW after surgery. However, Group B did not show a similar difference between male and female patients. Duration of procedure had a significant effect on the TTRW (p-value 0.001). \u0000Conclusion: We found ‘ time is taken to return to work’ was 2.93 ± 0.82 in group A and 5.10 ± 0.71 in group B (P-value 0.001). There was a significant difference in both groups. Percutaneous transpedicular fixation is a fast, safe and effective method as compared to other methods.","PeriodicalId":19963,"journal":{"name":"Pakistan Journal Of Neurological Surgery","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83126244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of the Efficacy of Multi Dural Stab Craniectomy with Open Dural Flap Craniectomy in Patients Having Acute Subdural Hematoma 急性硬膜下血肿多硬膜刀与开放式硬膜瓣开颅术疗效比较

Pakistan Journal Of Neurological Surgery Pub Date : 2022-03-31 DOI: 10.36552/pjns.v26i1.622

Anum Wahab, Inamullah Asghar, M. A. Rehman, T. Anwar, Muhammad Akmal Hussain

{"title":"Comparison of the Efficacy of Multi Dural Stab Craniectomy with Open Dural Flap Craniectomy in Patients Having Acute Subdural Hematoma","authors":"Anum Wahab, Inamullah Asghar, M. A. Rehman, T. Anwar, Muhammad Akmal Hussain","doi":"10.36552/pjns.v26i1.622","DOIUrl":"https://doi.org/10.36552/pjns.v26i1.622","url":null,"abstract":"Background/Objective: We compared the efficacy of multi-dural stab craniectomy with open dural flap craniectomy in patients having acute subdural hematoma.\u0000Materials and Methods: A randomized controlled trial was conducted in the Department of Neurosurgery, Allied hospital, Faisalabad. 70 patients having acute subdural hematoma were included. All of the patients were randomized in two groups: group A received a multi-dural stab craniectomy, while group B received an open dural flap craniectomy. Efficacy was assessed after 3 months of treatment in terms of a good recovery.\u0000Results: Out of 70 patients, the mean age was 34.51 ± 8.712 years. Because of similar age and presenting GCS, the data show a non-significant difference in clinical outcomes between patients undergoing multi dual stab and open dural flap operations. However, a significant difference between the clinical results occurred at 3 months after the surgery (p-value 0.004). The efficacy of the multi-dural stab procedure was significantly higher from the open dural flap surgery (p-Value 0.006). The efficacy of the multi-dural stab surgery was significantly higher in the under 35 years age group of patients compared to open dural flap surgery. The results highlight those better results were seen in both surgeries when the presenting GCS of patients was higher (GCS= 6 – 8) compared to poor outcomes in patients with GCS of less than 5/15.\u0000Conclusion: Multi-dural stabs are a safer alternative to the open dural flap for removing acute SDH with satisfactory recovery.","PeriodicalId":19963,"journal":{"name":"Pakistan Journal Of Neurological Surgery","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78365461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Outcome of Manual Traction in Patients with Cervicogenic Dizziness and Neck Pain 手牵引治疗颈源性头晕颈痛的疗效

Pakistan Journal Of Neurological Surgery Pub Date : 2022-03-31 DOI: 10.36552/pjns.v26i1.651

Aatir Javaid, Muhammad Asif, Sadia Khalid, Izza Nasir, Saman Shahid

{"title":"Outcome of Manual Traction in Patients with Cervicogenic Dizziness and Neck Pain","authors":"Aatir Javaid, Muhammad Asif, Sadia Khalid, Izza Nasir, Saman Shahid","doi":"10.36552/pjns.v26i1.651","DOIUrl":"https://doi.org/10.36552/pjns.v26i1.651","url":null,"abstract":"Objective: Symptoms of cervicogenic dizziness include instability, unsteadiness, confusion, neck soreness, and limited cervical range of motion (ROM). We evaluated the outcome of manual traction in patients presenting with dizziness and neck pain. \u0000Materials and Methods: 50 patients included who had dizziness and neck pain with a reduced range of cervical motion. Patients had sessions of manual traction after pre-treatment evaluation. Patients included in the study after history and physical examination were sent to the otorhinology department to rule out the vestibular cause of dizziness. Patients were sent to the Physiotherapy department for manual traction. Pain and dizziness were assessed from VAS and DHI scores. \u0000Results: There were 28 male and 22 female patients. The mean age of the patients was 23.92 ± 11.39 years. The mean VAS scores (dizziness) were 46, 31, and 14 before treatment, at one week, and at one month, respectively. The mean VAS scores (pain) were 40, 21, and 8 before treatment, at one week, and at one month, respectively. The mean DHI scores (for dizziness disability) were 47.5, 34, and 21, at one week and at one month, respectively. There existed a significant difference (p < 0.00001) between the VAS and DHI scores before the treatment and post-treatment of follow-up at one week and at one month. \u0000Conclusion: Patients with cervicogenic dizziness who were treated with manual traction improved considerably in terms of dizziness severity, pain relief, and a low score on the dizziness handicap index, indicating better psychological and functional well-being. \u0000Keywords: Cervicogenic Dizziness (CGD), Dizziness Handicap Inventory (DHI), Manual Traction Protocol.","PeriodicalId":19963,"journal":{"name":"Pakistan Journal Of Neurological Surgery","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83635114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An Emerging Minimally Invasive Ozone Therapy for Spinal Disc Disease and Its Outcome 一种新兴的微创臭氧治疗椎间盘疾病及其结果

Pakistan Journal Of Neurological Surgery Pub Date : 2022-03-31 DOI: 10.36552/pjns.v26i1.648

Fahmida Arab Mallah, Syed Aamir Shah, Imran Mirbaher, Muzamil Dilbar, Abdul Razaque Mari, Obaidullah

{"title":"An Emerging Minimally Invasive Ozone Therapy for Spinal Disc Disease and Its Outcome","authors":"Fahmida Arab Mallah, Syed Aamir Shah, Imran Mirbaher, Muzamil Dilbar, Abdul Razaque Mari, Obaidullah","doi":"10.36552/pjns.v26i1.648","DOIUrl":"https://doi.org/10.36552/pjns.v26i1.648","url":null,"abstract":"Objectives: To analyze the effect and outcome of ozone therapy in herniated cervical and lumbar disc disease. \u0000Material and Methods: A prospective study was conducted in the Neurosurgery Department of Federal Medical, Teaching Hospital Islamabad from March 2015 to December 2019. 310 patients with neck ache, and backache with radiculopathy were enrolled. Magnetic resonance imaging and the computed tomographic scan were done.4 to 6 ml of ozone were inserted in disc space. Periodic follow-up was done for up to 6 months of therapy. A single session of therapy was required in 55%, twice in 22.5%, and multiple in 13% of patients. \u0000Results: Out of 310 patients, n = 220 were male and 90 females. Cervical herniated discs were 30 and lumbar 280, single cervical disc herniation was found in n = 26 and multiple in n = 4 while the single-level herniated lumbar disc was n = 220 and multiple in n = 60. Self-analysis of pain before intervention was assessed by visual analog, scored was VAS 4 in n = 80, VAS 5 – 6 in n = 120, VAS 7 – 9 in n = 70, and VAS 10 in n = 40 patients. Post-intervention prognosis according to Modified Mac nab was Excellent in 54%, good in 29%, Fair in 13%, and poor in 3.2% of patients. \u0000 ","PeriodicalId":19963,"journal":{"name":"Pakistan Journal Of Neurological Surgery","volume":"196 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77157137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0