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CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(03): 494-498
DOI: 10.4103/ajns.AJNS_71_20
Original Article

Association between serum levels of interleukin-6 on pain and disability in lumbar disc herniation surgery

Kaveh Haddadi
Spine Fellowship, Department of Neurosurgery, Faculty of Medicine, Diabetes Research Center, Mazandaran University of Medical Science, Sari
,
Saeed Abediankenari
1   Department of Immunology, Faculty of Medicine, Immunogenetic Research Center, Cancer Research Institute, Mazandaran University of Medical Science, Sari
,
Abbas Alipour
2   Department of Community Medicine, Faculty of Medicine, Psychiatry and Behavioral Sciences Research Center, Addiction Research Institutes, Mazandaran University of Medical Sciences, Sari
,
Hamid Ghazvini
3   Department of Neurosurgery, Faculty of Medicine, Mazandaran University of Medical Science, Sari
,
Hamed Jafarpour
4   Student Research Committee, Faculty of Medicine, Mazandaran University of Medical Science, Sari
,
Leila Asadian
4   Student Research Committee, Faculty of Medicine, Mazandaran University of Medical Science, Sari
,
Seid Ketabchi
5   Department of Neurosurgery, Mazandaran University of Medical Science, Sari
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Context: Many inflammatory cytokines are also elevated in degenerated or herniated intervertebral discs. Among biomarkers, interleukin-6 (IL-6) plays an essential role in the inflammatory process of disc herniation. Some studies have suggested that an increase in serum IL-6 levels occurs in sustained radicular pain. Aims: The aim of this study was to determine the relationship between changes in IL-6 serum level and pain and disability index in patients with radicular pain in acute herniated lumbar disc before and after lumbar disc surgery. Settings and Design: This is a descriptive-analytic prospective study to examine the association between IL-6 serum levels on pain and disability before and after the surgery in patients admitted with acute herniated lumbar intervertebral discs from 2015 to 2018 in Imam Khomeini Hospital, Sari, Mazandaran, Iran. Subjects and Methods: The blood level of IL-6, the severity of pain based on visual analog score, and disability based on the Oswestry disability index were measured before and 3 months after surgery. Statistical Analysis Used: All data were analyzed using SPSS version 24. Results: Thirty-two patients were enrolled in the study. Seventeen patients were male. The mean age was 39.53 ± 8.89 years. IL-6 concentration, 4.36 and 1.16 pg/ml were determined as cutoff before and after the surgery. Conclusions: The acceptable sensitivity and specificity of IL were obtained in this study. Our findings revealed that IL-6 could be used as a biomarker for predicting postoperative pain relief and disability improvement.

Key-words:

Herniated disc - interleukin-6 - neurosurgery

Financial support and sponsorship

Mazandaran University of Medical Sciences.




Publikationsverlauf

Eingereicht: 27. Februar 2020

Angenommen: 21. Mai 2020

Artikel online veröffentlicht:
16. August 2022

© 2020. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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