1) The patient is older than 18 years
2) Informing and giving consent for the clinical study to be performed
3) Only Presence of low back pain localized in the waist and increasing with movement
4) Low back pain persists for at least 4-6 months and does not respond to conservative treatment
5) Grade 3-4 disc degeneration in lumbar MR
6) Root at any level No protruding disc causing compression
7) No more than 50% height loss in the disc distance to be treated in lumbar MR
8) No more than 3 mmd waist slip (Lysthesis)
9) Absence of chronic low back pain caused by another reason
How is stem cell therapy applied?
First, 1-2 cc from the abdomen of the candidate patient. Subcutaneous adipose tissue is removed with a minor surgical intervention. Chondrocyte (water-holding cell of the lumbar disc) is obtained from this tissue in the stem cell laboratory. This is a 2-3 week process.
The intervention is performed in a hospital setting and under local anesthesia. As discography is performed, while the patient is in the prone position, the patient is inserted with a needle from both sides, accompanied by CT or scopy, and the cells containing an average of one million autogenous chondrocyte cells are injected in the fibrin carrier in 5-30 seconds with a total volume of 1.3 ml on average, and the procedure is carried out. is terminated.
How do we know if stem cell therapy is successful?
1) The result of the examination and questioning of the patient after 12 months is compared with the pre-ODI (Oswestry Disability Index) scoring.
2) The patient’s pain has disappeared satisfactorily in the 24th month following the treatment
3) The patient’s comments that I will try the same treatment again if I have this pain
4) Treatment in lumbar MR increase in the height of the removed disc and normalization of the image
5) Satisfaction of the VAS (Visual Analog Scale) values at the end of the 24th month
