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Öğe The Analysis of the Factors Affecting Lumbar Spinal Stenosis in Adult Patients(SPRINGER LONDON LTD, 2010) Kaptan, H.; İlhan, M.; Çakıroğlu, K.; Kasımcan, O.; Kılıç, C.Background In this study 67 lumbar spinal stenosis in adult patients operated in our clinic in 3 years are aimed to be analysed in terms of clinical and surgical techniques. Methods Diagnoses were made on the basis of patients' histories and their clinical examinations. Results Average age was 52.16 +/- 8.9 (33-64). 70.1% (47) of patients were females and 29.9% (20) were males. The most frequent neurological symptoms were 71.1% lasque (+) and 56.7% sensory loss. The anterior-posterior diameter was below 11.5 mm in 56.7% of the cases. Partial recovery was observed in the early term of 71.6% the cases. 56.7% of the cases were applied total laminectomy. Conclusion Decompressive laminectomy can be performed safely and effectively in patients of with lumbar stenosis.Öğe Early results of non-fusion dynamic stabilization with InterS(EDIZIONI MINERVA MEDICA, 2011) Kaptan, H.; Kasimcan, O.; Birler, S.; Ayaz, M.Aim. The current study aims to investigate the early out comes of the new technique applied to degenerative spinal disc disease (DSDD) patients. For this purpose 25 patients having DSDD, spinal stenosis and spondilolisthesis were included in the study. The treatments were performed on a two-stage procedure, first surgically with laminectomy, discectomy (when needed) and then the low invasive non-fusion dynamic stabilization with InterS. Methods. The outcomes of the procedure has been followed up for 12 months. Patients were followed up by means of clinical and radiographic techniques. All of the three group of patients underwent a midline decompressive laminectomy with foraminotomies at the effected levels. Furthermore, in lumbar disc hernia cases, discectomy was performed. Oswestry pain scale was used for the clinical evaluation. Results. The study included patients from both sexes (16 females, 9 males) with a mean age of 54.45 years (range 37-68). Symptoms and signs included pain (100), 15 patients have DDD, 7 patients have spinal stenosis, 3 patients spondylolisthesis. Localization was as follows: L3-4: 5 (20%), L4-5: 20 (80%). Satisfactory results were demonstrated in 21 (84%) patients. The average of Oswestry scores was 42.15 in the preoperative period and 8.8 in the postoperative period. Conclusion. Non-fusion dynamic stabilization method of InterS type is a safe procedure. We believe this technique may reduce higher complication rates for patients with spinal stenosis and spondylolysthesis, degenerative disc disease. Motion preservation, early mobilization, short hospital stays and shorter recovery are the main advantages of the operation.Öğe Early Term Results of Peek Cage in Cervical Disc Herniation(2009) Kasımcan, Ö.; Kaptan, H.; Çakıroğlu, K.; Kılıç, C.Objective: In this study, the early term results of surgical treatment in cervical disc herniation with PEEK cage have been investigated. Method: 85 cases, who underwent interbody cage fusion with anterior approach were observed in our clinic between January 2001 and October 2005. The patients with anterior cervical mikrodiscectomy and cage fusion were followed up with check-ups performed at the first day, third month and/or sixth month after the operation. All the patients were subjected to neurological and radiological examinations before and after the operation. Results: The age of the cases ranged between 29 and 74 years (mean 45.2 years). In 29 cases, C5-6 was the most frequently involved level of cervical disc herniation. No PEEK cage migration occurred in any of the patients. No decrease in the disc height was observed and no postoperative cervical kyphosis was detected. Conclusion: The PEEK cage protected the intervertebral disc height in the early period. However, randomized, multicenter and long-term trials are needed to determine the clinical benefits. © Archives of Neuropsychiatry, published by Galenos Publishing. All rights reserved.Öğe RESINTANT SEIZURE CONTROL AFFECT QUALITY OF LIFE AFTER VAGAL NERVE STIMULATION: CLINICAL SERIES(WILEY-BLACKWELL, 2015) Ekmekci, H.; Kaptan, H.[Abstract not Available]
