Özgür ŞAHİN, Serkan İLTAR, Gökhun ARICAN, Mehmet Burak GÖKGÖZ

LOMBER BÖLGE ANOMALİLERİNİN GÖRÜLME SIKLIĞI: KESİTSEL ÇALIŞMA

AMAÇ: En sık görülen lumbosakral malformasyonlar; lumbosakraltransizyonel vertebra ve spina bifida occulta’dır. Bu çalışmanın amacısık görülen lomber omurga anomalilerinin, genç sağlıklı bireylerdesıklığının belirlenmesi ve bu bilgiler ışığında spinal cerrahide seviyetahmini için önemli olan LSVT sıklığına dikkat çekilmesidir.GEREÇ VE YÖNTEMLER: Kliniğimizde Haziran-Eylül 2018tarihleri arasında askeri muayene amacıyla kontrollere gelen 5000erkek olgu çalışmaya alınarak retrospektif olarak değerlendirildi.Tüm olgular klinik olarak muayene edildikten sonra pelvis, lomberanteroposterior (AP) ve lateral grafiler çekilerek değerlendirmeyealındı. Tüm hastaların yaş, boy, kilo, BMI ve radyografik ölçümlerikayıt altına alındı. LSVT, Castellvi sınıflamasına göre tiplendirilerekkayıt altına alındı.BULGULAR: 5000 hasta retrospektif olarak değerlendirildi.Hastaların yaş ortalaması 19.2 (18-22 yaş) olarak bulundu. BMIortalaması 21.1 (19,1-23,3) olarak bulundu. 5000 olgunun 1271’inde(%25.42) radyolojik anomali tespit edildi. Diğer olgularda radyolojikanomali gözlenmedi. 576 olguda (%11.52) Lumbosakral geçişlivertebra tespit edildi. Bu anomalilerin 335 (%6.7)’ini sakralizasyon,241 (%4.82)’ini lumbalizasyon oluşturmaktadır. 695 olguda (%13.9)da spina bifida occulta tespit edilmiştir(Tablo 1). Radyolojik olarakdeğerlendirmeye alınan olgularda Castellvi sınıflamasına göre ;olguların %36.7’si olan 123 hastada Tip 1a, %17.6’sı olan 59 hastadaTip 1b, %12.8’i olan 43 hastada Tip 2a, %8.6’sı olan 29 hastada Tip2b, %3.5’i olan 12 hastada Tip 3a, %13.4’ü olan 45 hastada Tip 3b,%7.1’i olan 24 hastada Tip 4 sakralizasyon tespit edildiSONUÇ: Yaptığımız çalışmamızda, şikayeti olmayan genç erkekerişkinlerde LSVT görülme sıklığı %11.52, spina bifida occulta sıklığı%13.9 olarak bulunmuştur. Bu bilgiler ışığında başta LSVT olmaküzere lumbosakral anomalilerin toplumumuzda görülme sıklığınınbilinmesinin, spinal cerrahi ameliyatları öncesi değerlendirmesindedikkate alınması gerektiğini düşünmekteyiz.

FREQUENCY OF LUMBAR REGION ANOMALIES: CROSS-SECTIONAL STUDY

INTRODUCTION: The most common lumbosacral malformations; lumbosacral transitional vertebrae and spina bifida occulta. The aim of this study is to determine the frequency of common lumbar spine anomalies in young healthy individuals and to draw attention to the frequency of LSVT which is important for predicting level in spinal surgery. MATERIAL AND METHODS: Between June and September 2018, 5000 male patients who came to the inspections for military examination were evaluated retrospectively. All the patients were evaluated clinically and the pelvis, lumbar anteroposterior (AP) and lateral radiographs were evaluated. Age, height, weight, BMI and radiographic measurements of all patients were recorded. LSVT was recorded according to Castellvi classification. RESULTS: 5,000 patients were evaluated retrospectively. The mean age of the patients was 19.2 (18-22 years). The mean BMI was found to be 21.1 (19.1-23.3). Radiological anomaly was detected in 1271 (25.42%) of 5000 cases. Radiological anomaly was not observed in other cases. Lumbosacral vertebrae was detected in 576 cases (11.52%). 335 (6.7%) of these anomalies were sacralization and 241 (4.82%) were lumbalisation. Spina bifida occulta was found in 695 cases (13.9%) (Table 1). According to Castellvi classification; Type 1a in 123 patients with 36.7% of cases, type 1b in 59 patients with 17.6%, type 2a in 43 patients with 12.8%, type 2b in 29 patients with 8.6%, type 3a in 12 patients with 3.5%, type 3b in 45 patients with 13.4%, type 4 sacralization was detected in 24 patients with 7.1%. CONCLUSION: In our study, the prevalence of LSVT was found to be 11.52% and the frequency of spina bifida occulta was 13.9% in young male adults without complaint. We believe that the incidence of lumbosacral anomalies, especially LSVT, should be taken into consideration in the preoperative evaluation of spinal surgery.

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