The clinical outcomes after surgical treatment of mass lesions causing sciatica - a single-center retrospective study

Introduction/Objective. Sciatica is a disabling pathology with variable etiologies. The most common pathologies arise from discogenic or non-discogenic causes. Mass lesions are a rare cause of extraspinal sciatica, which have been commonly overlooked, leading to unnecessary spinal surgeries, delay i...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Okay Erhan, Ozkan Feyza Unlu, Karadag Zilan, Koraman Emre, Sari Tarik, Ozturan Burak, Spinelli Maria Silvia, Ozkan Korhan
Formato:	article
Lenguaje:	EN SR
Publicado:	Serbian Medical Society 2021
Materias:	mass lesions sciatic nerve non-discogenic sciatica transgluteal approach infragluteal approach Medicine R
Acceso en línea:	https://doaj.org/article/a262b9d5e4794aa489517e5e2baedbc3
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:a262b9d5e4794aa489517e5e2baedbc3
record_format	dspace
spelling	oai:doaj.org-article:a262b9d5e4794aa489517e5e2baedbc32021-11-10T07:28:09ZThe clinical outcomes after surgical treatment of mass lesions causing sciatica - a single-center retrospective study0370-81792406-089510.2298/SARH210113068Ohttps://doaj.org/article/a262b9d5e4794aa489517e5e2baedbc32021-01-01T00:00:00Zhttp://www.doiserbia.nb.rs/img/doi/0370-8179/2021/0370-81792100068O.pdfhttps://doaj.org/toc/0370-8179https://doaj.org/toc/2406-0895Introduction/Objective. Sciatica is a disabling pathology with variable etiologies. The most common pathologies arise from discogenic or non-discogenic causes. Mass lesions are a rare cause of extraspinal sciatica, which have been commonly overlooked, leading to unnecessary spinal surgeries, delay in diagnosis or inadequate treatment. There is no standard surgical approach and functional outcomes after surgical treatment of these lesions are not well-known. The aim of this study is to evaluate clinical outcomes after surgical treatment of mass lesions causing sciatica in different locations. Methods. Data were obtained by a retrospective review from 2015 to 2020. The mean duration of symptoms at the time of surgery was 10.3 months (3–48 months). The mean age of patients at the time of surgery was 43.8 years (14–73 years). The mean follow-up was 19.5 months (4–50 months). In total, 14 cases had an extrapelvic localization distal to sciatic notch. The other three cases had lesions in the intrapelvic area, including left sciatic notch (1), right acetabulum (1), sacroiliac and lumbosacral region (1). None of the patients had palpable masses. Transgluteal, infragluteal, lateral, and posteromedial approach were used depending on location and size of the lesion. Results. At the final follow-up, all patients recovered with pain relief. The median musculoskeletal tumor society score was 90% (70–100). There was no recurrence at the latest follow-up. Conclusion. Our study demonstrated that early detection by neurological examination and radiological work-up can avoid unnecessary surgeries, enable early surgical treatment of tumoral mass with satisfactory clinical outcomes. The surgical approach should be individualized according to location and size of the lesion.Okay ErhanOzkan Feyza UnluKaradag ZilanKoraman EmreSari TarikOzturan BurakSpinelli Maria SilviaOzkan KorhanSerbian Medical Societyarticlemass lesionssciatic nervenon-discogenic sciaticatransgluteal approachinfragluteal approachMedicineRENSRSrpski Arhiv za Celokupno Lekarstvo, Vol 149, Iss 9-10, Pp 573-578 (2021)
institution	DOAJ
collection	DOAJ
language	EN SR
topic	mass lesions sciatic nerve non-discogenic sciatica transgluteal approach infragluteal approach Medicine R
spellingShingle	mass lesions sciatic nerve non-discogenic sciatica transgluteal approach infragluteal approach Medicine R Okay Erhan Ozkan Feyza Unlu Karadag Zilan Koraman Emre Sari Tarik Ozturan Burak Spinelli Maria Silvia Ozkan Korhan The clinical outcomes after surgical treatment of mass lesions causing sciatica - a single-center retrospective study
description	Introduction/Objective. Sciatica is a disabling pathology with variable etiologies. The most common pathologies arise from discogenic or non-discogenic causes. Mass lesions are a rare cause of extraspinal sciatica, which have been commonly overlooked, leading to unnecessary spinal surgeries, delay in diagnosis or inadequate treatment. There is no standard surgical approach and functional outcomes after surgical treatment of these lesions are not well-known. The aim of this study is to evaluate clinical outcomes after surgical treatment of mass lesions causing sciatica in different locations. Methods. Data were obtained by a retrospective review from 2015 to 2020. The mean duration of symptoms at the time of surgery was 10.3 months (3–48 months). The mean age of patients at the time of surgery was 43.8 years (14–73 years). The mean follow-up was 19.5 months (4–50 months). In total, 14 cases had an extrapelvic localization distal to sciatic notch. The other three cases had lesions in the intrapelvic area, including left sciatic notch (1), right acetabulum (1), sacroiliac and lumbosacral region (1). None of the patients had palpable masses. Transgluteal, infragluteal, lateral, and posteromedial approach were used depending on location and size of the lesion. Results. At the final follow-up, all patients recovered with pain relief. The median musculoskeletal tumor society score was 90% (70–100). There was no recurrence at the latest follow-up. Conclusion. Our study demonstrated that early detection by neurological examination and radiological work-up can avoid unnecessary surgeries, enable early surgical treatment of tumoral mass with satisfactory clinical outcomes. The surgical approach should be individualized according to location and size of the lesion.
format	article
author	Okay Erhan Ozkan Feyza Unlu Karadag Zilan Koraman Emre Sari Tarik Ozturan Burak Spinelli Maria Silvia Ozkan Korhan
author_facet	Okay Erhan Ozkan Feyza Unlu Karadag Zilan Koraman Emre Sari Tarik Ozturan Burak Spinelli Maria Silvia Ozkan Korhan
author_sort	Okay Erhan
title	The clinical outcomes after surgical treatment of mass lesions causing sciatica - a single-center retrospective study
title_short	The clinical outcomes after surgical treatment of mass lesions causing sciatica - a single-center retrospective study
title_full	The clinical outcomes after surgical treatment of mass lesions causing sciatica - a single-center retrospective study
title_fullStr	The clinical outcomes after surgical treatment of mass lesions causing sciatica - a single-center retrospective study
title_full_unstemmed	The clinical outcomes after surgical treatment of mass lesions causing sciatica - a single-center retrospective study
title_sort	clinical outcomes after surgical treatment of mass lesions causing sciatica - a single-center retrospective study
publisher	Serbian Medical Society
publishDate	2021
url	https://doaj.org/article/a262b9d5e4794aa489517e5e2baedbc3
work_keys_str_mv	AT okayerhan theclinicaloutcomesaftersurgicaltreatmentofmasslesionscausingsciaticaasinglecenterretrospectivestudy AT ozkanfeyzaunlu theclinicaloutcomesaftersurgicaltreatmentofmasslesionscausingsciaticaasinglecenterretrospectivestudy AT karadagzilan theclinicaloutcomesaftersurgicaltreatmentofmasslesionscausingsciaticaasinglecenterretrospectivestudy AT koramanemre theclinicaloutcomesaftersurgicaltreatmentofmasslesionscausingsciaticaasinglecenterretrospectivestudy AT saritarik theclinicaloutcomesaftersurgicaltreatmentofmasslesionscausingsciaticaasinglecenterretrospectivestudy AT ozturanburak theclinicaloutcomesaftersurgicaltreatmentofmasslesionscausingsciaticaasinglecenterretrospectivestudy AT spinellimariasilvia theclinicaloutcomesaftersurgicaltreatmentofmasslesionscausingsciaticaasinglecenterretrospectivestudy AT ozkankorhan theclinicaloutcomesaftersurgicaltreatmentofmasslesionscausingsciaticaasinglecenterretrospectivestudy AT okayerhan clinicaloutcomesaftersurgicaltreatmentofmasslesionscausingsciaticaasinglecenterretrospectivestudy AT ozkanfeyzaunlu clinicaloutcomesaftersurgicaltreatmentofmasslesionscausingsciaticaasinglecenterretrospectivestudy AT karadagzilan clinicaloutcomesaftersurgicaltreatmentofmasslesionscausingsciaticaasinglecenterretrospectivestudy AT koramanemre clinicaloutcomesaftersurgicaltreatmentofmasslesionscausingsciaticaasinglecenterretrospectivestudy AT saritarik clinicaloutcomesaftersurgicaltreatmentofmasslesionscausingsciaticaasinglecenterretrospectivestudy AT ozturanburak clinicaloutcomesaftersurgicaltreatmentofmasslesionscausingsciaticaasinglecenterretrospectivestudy AT spinellimariasilvia clinicaloutcomesaftersurgicaltreatmentofmasslesionscausingsciaticaasinglecenterretrospectivestudy AT ozkankorhan clinicaloutcomesaftersurgicaltreatmentofmasslesionscausingsciaticaasinglecenterretrospectivestudy
_version_	1718440495461433344

The clinical outcomes after surgical treatment of mass lesions causing sciatica - a single-center retrospective study

Ejemplares similares