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ŞENCAN, SAVAŞ

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ŞENCAN

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Author: BİLİM, SERHAD × Subject: Klinik Tıp (MED) ×

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Now showing 1 - 2 of 2
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    PublicationOpen Access
    Effect of sacralization on the success of lumbar transforaminal epidural steroid injection treatment: prospective clinical trial
    (2022-06-01) ŞENCAN, SAVAŞ; BİLİM, SERHAD; GÜNDÜZ, OSMAN HAKAN; ŞENCAN S., Azizov S., Celenlioglu A. E., Bilim S., GÜNDÜZ O. H.
    Objective The aim of this study was to invastigate the efect of the sacralization on the results of transforaminal epidural steroid injection for radicular low back pain. Materials and methods The study included 64 patients diagnosed with radicular low back pain due to unilateral and singlelevel lumbar disk herniation. Patients were divided into 2 groups: patients with sacralization (Group S) and patients without lumbosacral transitional vertebrae (Group A). Injection was applied to the relevant level. Patients were evaluated with Numeric Rating Scale and Modifed Oswestry Disability Index before, at week 3 and month 3 after the procedure. Sacralization presence was determined by MRI. Sacralization was categorized by anteroposterior lumbar radiography using Castellvi classifcation. Treatment success was considered as≥50% reduction in NRS scores. Results Numeric Rating Scale and Modifed Oswestry Disability Index scores decreased in both groups on both week 3 and month 3 (p<0.05). Pain scores of Group S (median value 5 (3–6)) were signifcantly higher than Group A ((median value 3 (0–5)) in the third month follow-up (p=0.026), but no signifcant diference was observed at other time points. There was no signifcant diference in Modifed Oswestry Disability Index scores between the groups at all follow-ups (p>0.05). Treatment success in the third month was 44.8% in Group S and 65.6% in Group A. Conclusion Transforaminal epidural steroid injection is an efective and safe method for radicular low back pain. Sacralization presence should be evaluated before treatment considering that it may be a risk factor reducing treatment success.
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    PublicationOpen Access
    An unusual obstacle to the thoracic interlaminar epidural injection for the treatment of post-herpetic neuralgia
    (2023-01-01) BİLİM, SERHAD; ŞENCAN, SAVAŞ; GÜNDÜZ, OSMAN HAKAN; BİLİM S., ŞENCAN S., GÜNDÜZ O. H.
    Interlaminar epidural steroid injections corresponding to dermatomes affected by post-herpetic neuralgia (PHN) were found effective in reducing pain. Diffuse idiopathic skeletal hyperostosis (DISH) is a non-inflammatory condition that mainly occurs with calcification and ossification of spinal ligaments such as anterior and posterior longitudinal, interspinous, supraspinous ligament, and ligamentum flavum. In this case, it is presented that the failure of the access to the T7-T8 interlaminar space due to the supra/interspinous ligament calcification and ossification accompanied by thoracic DISH in a 73-year-old male for the treatment of PHN.