A Comparison of the Effects of Adcon-L, Mitomycin C and Sodium Hyaluronate in Experimental Epidural Fibrosis in Rabbits

Küçük Resim Yok

Tarih

2011

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

JOURNAL NEUROLOGICAL SCIENCES

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

Objective: Epidural fibrosis and leptomeningeal adhesion formation are among the common causes of failed back surgery syndrome. Various materials have been used to prevent the compressive effect of postoperative epidural fibrosis on neural structures. The effects of Adcon L, Mitomycin C and sodium hyaluronate on epidural fibrosis compared in this experimental study. Methods: 28 rabbits divided into 4 different groups. L5 total laminectomy performed under ketamine and xyzlazine anasthesia. Group1 settled as control group and had no medications after laminectomy. Adcon L in group 2, Mitomycin C in group3 and sodium hyaluronate in group 4 were applied to laminectomy area. All groups sacrified 6 weeks after laminectomy. Histologic slices were invastigated under light microscobe according to their histopathological features and the groups were compared. Result: Grade 3 fibrosis determinated in group1. Statistically significant differences between group1 and all other groups were obtained (p < 0.05) No statistically significant differences was determinated between group 2, 3 and 4 respectively. Conclusions: All medications we use decreased postoperative epidural fibrosis in this study. But further studies are needed for routine application of these medications.

Açıklama

Anahtar Kelimeler

Epidural fibrosis, Adcon L, Mitomycin C, sodium hyaluronate, Failed back surgery syndrome

Kaynak

JOURNAL OF NEUROLOGICAL SCIENCES-TURKISH

WoS Q Değeri

N/A

Scopus Q Değeri

Cilt

28

Sayı

2

Künye