Özlem BALBALOĞLU, Murat KORKMAZ, Halil İbrahim SERİN, Mustafa Fatih ERKOÇ

BEL AĞRISI ŞİKÂYETİ VE GEÇİŞSEL LUMBOSAKRAL VERTEBRA ANOMALİSİ İLİŞKİSİ

Amaç: Bu çalışmada amaç bel ağrısı şikâyetiyle hastaneye başvuran hastalarda herhangi birsebeple rutin olarak çekilmiş manyetik rezonans görüntüleme (MRG) veya bilgisayarlı tomografide(BT) saptanan geçişsel lumbo sakral vertebra anomalisi (GLSVA) sıklığını araştırmaktır.Gereç ve Yöntemler: Hastanemize son bir yılda bel ağrısı şikâyeti ile gelmiş toplam 97 ( 43 erkek,54 kadın) hastanın çekilen 62 MRG ve 35 BT filmi retrospektif olarak GLSVA açısından taranmıştır. Bulgular: Çalışmaya alınan tüm hastalarda GLSVA görülme sıklığı %12,3, sakralizasyon %6.18 velumbalizasyon %18,48 olmak üzere %18,48 idi. Erkek hastaların 5inde (%11,6) sakralizasyon, 3ünde(%6,9) lumbalizasyon, kadınların 7sinde sakralizasyon (% 12,9), 3ünde (%5,5) lumbalizasyonsaptandı. GLSVA sıklığı açısından kadınlar ve erkekler karşılaştırıldığında, erkeklerde daha fazlagörüldüğü tespit edildi ve bu sonuç istatistiksel olarak da anlamlıydı (p=0.05). Sonuç: Bel ağrısı şikâyeti ilen gelen hastalara yapılan BT ve MRG tetkikleri olası GLSVA açısından dadikkatlice değerlendirilmeli, ek bir patoloji olmasa bile tek başına bel ağrısı sebebi olacağı akıldatutulmalıdır.

The Relationship Between Low Back Pain and Transitional Vertebra Anomaly

Objective: The aim of this study is to determine the prevalence of transitional vertebra anomaly(TVA) in the patients who were evaluated with computed tomography (CT) and magnetic reso- nance imaging (MRI) due to any reason with complaints of low back pain.Materials and Methods: 62 MRI and 35 CT images of 97 patients (43 male, 54 female) who ad- mitted to our hospital with complaints of low back pain in one year period were evaluated in themeans of transitional vertebra, retrospectively. Results: The incidence of total TVA was 18.48% in all patients. The incidence of sacralization was12.3% and the incidence of lumbalization was 18.48% respectively. There was 5 (11.6%) sacral- ization and 3 (6.9%) lumbalization in male subjects and there was 7 sacralization (12.9%) and 3lumbalization (5.5%) in female subjects. In comparison of the males and females subject on themeans of TVA incidence; it was detected that the prevalence of transitional vertebra was higher inmales than females; which was statistically significant (p=0.05). Conclusion: CT and MRI findings of patients due to low back pain should be carefully evaluatedin terms of possible transitional vertebrae and should be kept in mind that it can cause back painalone itself without any other pathologies.

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