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    Examination of pain, quality of life, disability, and anxiety in patients undergoing lumbar disc surgery with and without covid-19
    (2024) Apaydin, Aydın Sinan; Korkmazer, Ruveyda; Gunes, Musa; Apaydin, Zuhal Koç; Bozyiğit, Bülent; Taçyildiz, Abdullah; Akinci, Cevat
    Aim: This study aims to examine pain, disability, anxiety, and quality of life in patients undergoing lumbar disc herniation (LDH) surgery with and without COVID-19. Material and Method: Eighty patients who were diagnosed with LDH and planned surgery between March and September 2023 were included in the study. 50% of the patients were diagnosed with COVID-19 for at most six months, according to the positive polymerase chain reaction (PCR) test. 50% of the patients had no symptoms of COVID-19, ranging from mild to severe, and the PCR test was negative (-). The patients' pain level, disability, anxiety, and quality of life were evaluated and compared between the groups with and without COVID. Results: The mean scores of physical roles, physical function, mental health, body pain, and social function on the SF-36 quality of life scale in the LDH+COVID-19 (+) patient group were significantly lower than those in LDH+COVID-19 (-) (p<0.05). Additionally, a statistically significant difference was observed between pain, anxiety, and disability levels in favor of the LDH+COVID-19 (+) patient group (p<0.05). Conclusion: Patients with COVID-19 undergoing LDH surgery have poor quality of life with high levels of anxiety, pain, and disability. Therefore, it is important to consider the current results during the postoperative rehabilitation process.
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    Neurosurgical analysis of logging accidents: An observational study
    (Elsevier, 2021) Tacyildiz, Abdullah Emre; Akinci, Cevat; Guler, Tugba Morali; Demirkol, Hikmet; Ucer, Melih; cekmen, Bora
    Objective: Forestry is one of the most dangerous occupations with record high rates of accidents and mortality relative to other occupations. In the past, related studies have been conducted within the scope of occupational safety, occupational health, and public health. Clinical studies on this subject are extremely rare and not within the scope of neurosurgery. We intended to facilitate the management of logging accidents for physicians by conducting a clinical study on logging accidents. This first-of-its-kind study also aimed to comprehend the injury mechanisms in order to contribute to the efforts made to prevent injuries and to facilitate the management of these cases. Methods: The hospital records of patients who presented at the Karabuk University EAH Emergency Department owing to logging accidents between 1/1/2019 and 5/1/2020 in the Karabuk province were retrospectively analyzed. The information about patient profile, demographic information, mechanism of the logging injury, and the patterns of spinal and cranial injuries as well as other body area injuries (if any) were retrieved from the hospital records. The spinal and cranial injury patterns were analyzed from the imaging records (MRI or CT). Results: A total of 19 subjects were included in this analysis, of which 5 had cranial injury (26.3%), 2 had spinal injury (10.5%), 1 (5.2%) had both cranial and spinal injuries (this subject died in the intensive care unit at follow-up). A total of 9 (47%) subjects died. Three subjects were followed up for observation (15.7%), while 5 (26.3%) were referred to the department of orthopedics. The cranial and spinal injuries were accompanied by additional injuries such as rib fracture, hemothorax, fibula fracture, and pneumothorax. These injuries occurred in pathological conditions such as cardiac arrhythmia, facial paralysis, and epilepsy. One subject developed spinal cord damage (5.2%) that progressed to neurological shock and crash syndrome. Overall, 19 injuries occurred mainly due to 5 different mechanisms. Conclusions: The patterns of resultant spinal and cranial injuries and the related demographic information would facilitate efficient patient management. Understanding the injury mechanisms would facilitate both the management and diagnosis of such cases and the prevention of logging accidents through combined efforts of occupational safety and public health specialists.