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Emel Ece Özcan-Ekşi

Bio: Emel Ece Özcan-Ekşi is an academic researcher from Bahçeşehir University. The author has contributed to research in topics: Low back pain & Lumbar. The author has an hindex of 8, co-authored 30 publications receiving 176 citations. Previous affiliations of Emel Ece Özcan-Ekşi include University of California, San Francisco.

Papers
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Journal ArticleDOI
TL;DR: It is suggested that disc degeneration is not an isolated event but, rather, a continuum of events that could more clearly be shown in future prospective, large sample-size studies.

58 citations

Journal ArticleDOI
TL;DR: This cross-sectional study showed that about 1 in 2 women have PRLBP in any stage of pregnancy and history of LBP related and unrelated to previous pregnancy and menstruation are strong risk factors forPRLBP.

36 citations

Journal ArticleDOI
TL;DR: This is the first clinical cross-sectional study suggested that women with chronic low back pain could have less fat-infiltrated psoas to compensate moreFat infiltration in the multifidus at L4-L5 disc level.
Abstract: Background Low back pain (LBP) may originate from different sources such as intervertebral disc degeneration (IVDD), end-plate and paraspinal muscle changes Our aim is to explore the relevance of

28 citations

Journal ArticleDOI
TL;DR: A new scoring system for spinal degeneration including Modic changes, fatty infiltration in the paraspinal muscles, and intervertebral disc degeneration (IVDD), briefly Mo-fi-disc, suggests an easy and objective classification to evaluate the spinal degenerations.

20 citations

Journal ArticleDOI
TL;DR: In this paper, the authors presented a descriptive study of the publication rates of theses in neurosurgery specialty, in which they found that only 18% (national journals: 9; international journals: 21) were published in SCI/SCI-E indexed journals.
Abstract: Objectives Thesis at the end of residency is considered as the complementary component of postgraduate training. In this respect, thesis helps the residents learn how to ask structured questions, set up the most appropriate study design, conduct the study, retrieve study results and write conclusions with clinical implications. To the best of our knowledge, the publication rates of theses in the field of neurosurgery have not been reported before. Our aim was to find out publication rates of theses in neurosurgery specialty, in this descriptive study. Methods The database of Higher Education Council of Turkey, which includes the theses of residents in only university hospitals, was screened between years 2004 and 2013. After retrieving the theses from the database; we used search engines to find out the theses published in any SCI/SCI-E-indexed journals. For this purpose, the title of the theses and the author names were used as keywords for searching. Data was presented in a descriptive form as absolute numbers and percentages. Results We retrieved 164 theses written by former residents in neurosurgery using the database. Among 164 theses, 18% (national journals: 9; international journals: 21) were published in SCI/SCI-E indexed journals. Conclusion Publication rates of theses in neurosurgery are low as they are in the other specialties of medicine. Our study is a descriptive research, to give an idea about publication rates of theses in neurosurgery. Further studies are required to understand the underlying factors, which are responsible for the limited success in publication of theses in neurosurgery.

19 citations


Cited by
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Journal Article
TL;DR: In this paper, a new method for the treatment of scoliosis is described in which a metal system of rods and hooks is implanted, and distraction and compression forces applied, to correct the curve and stabilize the treated segments in the corrected position by skeletal fixation.
Abstract: A new method for the treatment of scoliosis is described in which a metal system of rods and hooks is implanted, and distraction and compression forces applied, to correct the curve and stabilize the treated segments in the corrected position by skeletal fixation. The technique and principles of this method of treatment and a summary of the preliminary results are given.

765 citations

Journal ArticleDOI
TL;DR: MCGRs improve coronal deformity and maintain spinal growth, but carry a 44.5% complication and 33% unplanned revision rate, and single rods should be avoided.
Abstract: To analyse the complication profile of magnetically controlled growing rods (MCGRs) in early onset scoliosis (EOS). This is a systematic review using PUBMED, Medline, Embase, Google Scholar and the Cochrane Library (keywords: MAGEC, Magnetically controlled growing rods and EOS) of all studies written in English with a minimum of five patients and a 1-year follow-up. We evaluated coronal correction, growth progression (T1–S1, T1–T12) and complications. Fifteen studies (336 patients) were included (42.5% male, mean age 7.9 years, average follow-up 29.7 months). Coronal improvement was achieved in all studies (pre-operative 64.8°, latest follow-up 34.9° p = 0.000), as was growth progression (p = 0.001). Mean complication rate was 44.5%, excluding the 50.8% medical complication rate. The unplanned revision rate was 33%. The most common complications were anchor pull-out (11.8%), implant failure (11.7%) and rod breakage (10.6%). There was no significant difference between primary (39.8%) and conversion (33.3%) procedures (p = 0.462). There was a non-statistically significant increased complication rate with single rods (40 vs. 27% p = 0.588). MCGRs improve coronal deformity and maintain spinal growth, but carry a 44.5% complication and 33% unplanned revision rate. Conversion procedures do not increase this risk. Single rods should be avoided. These slides can be retrieved under Electronic Supplementary material.

95 citations

Journal ArticleDOI
TL;DR: An association of multifidus muscle fatty infiltration and psoas muscle size with functional status in patients diagnosed with LSS is suggested.
Abstract: Lumbar spinal stenosis (LSS) is a disabling condition associated with narrowing of the spinal canal or vertebral foramina. Paraspinal muscle atrophy and fatty infiltration have been reported in patients with chronic LBP and disc herniation. However, very few imaging studies have examined paraspinal muscle morphology and composition in patients with LSS. The purpose of this study was to investigate the association of paraspinal muscle size, composition and asymmetry with functional status in patients with LSS. Thirty-six patients diagnosed with LSS at L4–L5 with neurogenic claudication were included. Paraspinal muscle measurements were obtained from axial T2-weighted MR images, bilaterally, at the level of the superior and inferior vertebral endplates of L5. Muscle measurements of interest included: total cross-sectional area (CSA), functional CSA (FCSA), the ratio of FCSA to CSA (FCSA/CSA) as an indicator of muscle composition, and relative % asymmetry in muscle CSA. The association between muscle parameters and other patient characteristics with function as indicated from Oswestry Disability Index (ODI) scores and pain interference status was investigated. Greater multifidus muscle fatty infiltration (e.g., lower FCSA/CSA) and lower psoas relative CSA were associated with lower function (higher ODI and pain interference scores) in univariable and multivariable analyses. There was no association between the different muscle parameters and stenosis severity or back or leg pain duration or severity. Our findings suggest an association of multifidus muscle fatty infiltration and psoas muscle size with functional status in patients diagnosed with LSS. Future prospective studies are needed to evaluate whether such muscle parameters are associated with prognosis and functional recovery following surgical treatment.

84 citations

Journal ArticleDOI
15 Jan 2018-Spine
TL;DR: Health related quality of life data reveal superior outcomes in overall satisfaction and financial burden domains in theMCGR group, however, the positive effects of MCGR decrease when controlled for length of follow up, indicating that the MCGR is not yet a magic fix-all, and that the TGR remains an option in the treatment of EOS.
Abstract: Study Design.Cross-sectional study.Objective.To compare quality of life and caregiver burden in traditional growing rod (TGR) and magnetic controlled growing rods (MCGR) patients.Summary of Background Data.MCGR decrease surgical sessions associated with treatment of early onset scoliosis (EOS), hopi

60 citations

Journal ArticleDOI
TL;DR: It is suggested that disc degeneration is not an isolated event but, rather, a continuum of events that could more clearly be shown in future prospective, large sample-size studies.

58 citations