A Rehabilitation Protocol for Patients with Lumbar Degenerative Disc Disease Treated with Posterior Transpedicular Dynamic Stabilization

CEREZCI, Onder; ATAKER, Yaprak; ERÇELEN, Ömür; SASANİ, Mehdi; ÖKTENOĞLU, Tunç; SÜZER, Tuncer; Canbulat, Nazan; Ozer, Ali Fahir

A Rehabilitation Protocol for Patients with Lumbar Degenerative Disc Disease Treated with Posterior Transpedicular Dynamic Stabilization

Nazan CANBULAT, (Koç Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye)

Tunç ÖKTENOĞLU, (Amerikan Hastanesi, Nöroşirurji Bölümü, İstanbul, Türkiye)

Yaprak ATAKER, (Amerikan Hastanesi, Fiziksel Tıp ve Rehabilitasyon Bölümü, İstanbul, Türkiye)

Mehdi SASANİ, (Amerikan Hastanesi, Nöroşirurji Bölümü, İstanbul, Türkiye)

Ömür ERÇELEN, (Amerikan Hastanesi, Fiziksel Tıp ve Rehabilitasyon Bölümü, İstanbul, Türkiye)

Onder CEREZCI, (Amerikan Hastanesi, Fiziksel Tıp ve Rehabilitasyon Bölümü, İstanbul, Türkiye)

Tuncer SÜZER, (Koç Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Ağrı Yönetimi Anabilim Dalı, İstanbul, Türkiye)

Ali Fahir ÖZER (Koç Üniversitesi, Tıp Fakültesi, Nöroşirurji Bölümü, İstanbul, Türkiye)

Turkish Neurosurgery

2 0

Yıl: 2017 Cilt: 27 Sayı: 3 Sayfa Aralığı: 426 - 435 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

A Rehabilitation Protocol for Patients with Lumbar Degenerative Disc Disease Treated with Posterior Transpedicular Dynamic Stabilization

Öz:

AIm: To evaluate the efficacy of the rehabilitation protocol on patients with lumbar degenerative disc disease after posterior transpedicular dynamic stabilization (PTDS) surgery. mATERIAl and mEThODS: Patients (n=50) with single level lumbar degenerative disc disease were recruited for this study. Patients had PTDS surgery with hinged screws. A rehabilitation program was applied for all patients. Phase 1 was the preoperative evaluation phase. Phase 2 (active rest phase) was the first 6 weeks after surgery. During phase 3 (minimal movement phase, 6-12 weeks) pelvic tilt exercises initiated. In phase 4 (dynamic phase, 3-6 months) dynamic lumbar stabilization exercises were started. Phase 5 (return to sports phase) began after the 6th month. The primary outcome criteria were the Visual Analogue Pain Score (VAS) and the Oswestry Disability Index (ODI). Patients were evaluated preoperatively, postoperative 3rd, 12th and 24th months. RESUlTS: The mean preoperative VAS and ODI scores were 7.52±0.97 and 60.96±8.74, respectively. During the 3rd month, VAS and ODI scores decreased to 2.62±1.05 and 26.2±7.93, respectively. VAS and ODI scores continued to decrease during the 12thmonth after surgery to 1.4±0.81 and 13.72±6.68, respectively. At the last follow-up (mean 34.1 months) the VAS and ODI scores were found to be 0.68±0.62 and 7.88±3.32, respectively. (p=0.0001). CONClUSION: The protocol was designed for a postoperative rehabilitation program after PTDS surgery for patients with lumbar degenerative disc disease. The good outcomes are the result of a combination of very careful and restrictive patient selection, surgical technique, and the presented rehabilitation program.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Canbulat N, ÖKTENOĞLU T, ATAKER Y, SASANİ M, ERÇELEN Ö, CEREZCI O, SÜZER T, Ozer A (2017). A Rehabilitation Protocol for Patients with Lumbar Degenerative Disc Disease Treated with Posterior Transpedicular Dynamic Stabilization. , 426 - 435.
Chicago	Canbulat Nazan,ÖKTENOĞLU Tunç,ATAKER Yaprak,SASANİ Mehdi,ERÇELEN Ömür,CEREZCI Onder,SÜZER Tuncer,Ozer Ali Fahir A Rehabilitation Protocol for Patients with Lumbar Degenerative Disc Disease Treated with Posterior Transpedicular Dynamic Stabilization. (2017): 426 - 435.
MLA	Canbulat Nazan,ÖKTENOĞLU Tunç,ATAKER Yaprak,SASANİ Mehdi,ERÇELEN Ömür,CEREZCI Onder,SÜZER Tuncer,Ozer Ali Fahir A Rehabilitation Protocol for Patients with Lumbar Degenerative Disc Disease Treated with Posterior Transpedicular Dynamic Stabilization. , 2017, ss.426 - 435.
AMA	Canbulat N,ÖKTENOĞLU T,ATAKER Y,SASANİ M,ERÇELEN Ö,CEREZCI O,SÜZER T,Ozer A A Rehabilitation Protocol for Patients with Lumbar Degenerative Disc Disease Treated with Posterior Transpedicular Dynamic Stabilization. . 2017; 426 - 435.
Vancouver	Canbulat N,ÖKTENOĞLU T,ATAKER Y,SASANİ M,ERÇELEN Ö,CEREZCI O,SÜZER T,Ozer A A Rehabilitation Protocol for Patients with Lumbar Degenerative Disc Disease Treated with Posterior Transpedicular Dynamic Stabilization. . 2017; 426 - 435.
IEEE	Canbulat N,ÖKTENOĞLU T,ATAKER Y,SASANİ M,ERÇELEN Ö,CEREZCI O,SÜZER T,Ozer A "A Rehabilitation Protocol for Patients with Lumbar Degenerative Disc Disease Treated with Posterior Transpedicular Dynamic Stabilization." , ss.426 - 435, 2017.
ISNAD	Canbulat, Nazan vd. "A Rehabilitation Protocol for Patients with Lumbar Degenerative Disc Disease Treated with Posterior Transpedicular Dynamic Stabilization". (2017), 426-435.

APA	Canbulat N, ÖKTENOĞLU T, ATAKER Y, SASANİ M, ERÇELEN Ö, CEREZCI O, SÜZER T, Ozer A (2017). A Rehabilitation Protocol for Patients with Lumbar Degenerative Disc Disease Treated with Posterior Transpedicular Dynamic Stabilization. Turkish Neurosurgery, 27(3), 426 - 435.
Chicago	Canbulat Nazan,ÖKTENOĞLU Tunç,ATAKER Yaprak,SASANİ Mehdi,ERÇELEN Ömür,CEREZCI Onder,SÜZER Tuncer,Ozer Ali Fahir A Rehabilitation Protocol for Patients with Lumbar Degenerative Disc Disease Treated with Posterior Transpedicular Dynamic Stabilization. Turkish Neurosurgery 27, no.3 (2017): 426 - 435.
MLA	Canbulat Nazan,ÖKTENOĞLU Tunç,ATAKER Yaprak,SASANİ Mehdi,ERÇELEN Ömür,CEREZCI Onder,SÜZER Tuncer,Ozer Ali Fahir A Rehabilitation Protocol for Patients with Lumbar Degenerative Disc Disease Treated with Posterior Transpedicular Dynamic Stabilization. Turkish Neurosurgery, vol.27, no.3, 2017, ss.426 - 435.
AMA	Canbulat N,ÖKTENOĞLU T,ATAKER Y,SASANİ M,ERÇELEN Ö,CEREZCI O,SÜZER T,Ozer A A Rehabilitation Protocol for Patients with Lumbar Degenerative Disc Disease Treated with Posterior Transpedicular Dynamic Stabilization. Turkish Neurosurgery. 2017; 27(3): 426 - 435.
Vancouver	Canbulat N,ÖKTENOĞLU T,ATAKER Y,SASANİ M,ERÇELEN Ö,CEREZCI O,SÜZER T,Ozer A A Rehabilitation Protocol for Patients with Lumbar Degenerative Disc Disease Treated with Posterior Transpedicular Dynamic Stabilization. Turkish Neurosurgery. 2017; 27(3): 426 - 435.
IEEE	Canbulat N,ÖKTENOĞLU T,ATAKER Y,SASANİ M,ERÇELEN Ö,CEREZCI O,SÜZER T,Ozer A "A Rehabilitation Protocol for Patients with Lumbar Degenerative Disc Disease Treated with Posterior Transpedicular Dynamic Stabilization." Turkish Neurosurgery, 27, ss.426 - 435, 2017.
ISNAD	Canbulat, Nazan vd. "A Rehabilitation Protocol for Patients with Lumbar Degenerative Disc Disease Treated with Posterior Transpedicular Dynamic Stabilization". Turkish Neurosurgery 27/3 (2017), 426-435.