CERRAHİ UYGULANAN TORAKOLOMBER VERTEBRA KIRIKLARINDA KLİNİK VE RADYOLOJİK SONUÇLARIN KARŞILAŞTIRILMASI

Amaç: Torokolomber omurga kırığı tanısı ile cerrahi uygulanan hastaların klinik ve radyolojik sonuçlarının karşılaştırılması amaçlanmıştır. Gereç ve Yöntemler: Çalışma, 1995 ile 2009 tarihleri arasında torokolomber omurga kırığı tanısıile cerrahi uygulanan 38 (23 kadın, 15 erkek, ortalama yaş 46.5) hastadan oluşmaktadır. Klinikveriler Visual Analog Skala (VAS), Oswestry ve Frankel skalaları ile; radyolojik veriler ise hastalarıncerrahi öncesi, sonrası ve son kontrollerindeki çekilen X-ray görüntülerinde yapılan sagital indeks(Sİ) değerleri, lokal kifoz açıları (LKA) ve anterior korpus yükseklik kaybı (AKYK) yüzdeleri ölçülerekdeğerlendirilmiştir. Bulgular: Hastaların ortalama takip süresi 96,5 ay (6-183 ay) dır. VAS ortalaması 13,5 mm, Os- westry ortalaması 15tir. Ameliyat öncesi Sİ açıları arttıkça son kontrol açıları da yükselmekte veameliyat sonrası açılar ne kadar yüksekse son kontrol açıları da aynı oranda yüksek olmaktadır(P

Comparison between the Clinical and Radiological Findings in Patients with Operated Thoracolumbar Vertebra Fractures

Objective: Comparison between the clinical and radiological findings in patients that underwentsurgery due to thoracolumbar fractures was aimed in this study.Methods: Between 1995 and 2009, 38 patients (15 male, 23 female, mean age 46.5 years) thatunderwent operation after diagnosis of thoracolumbar fractures were admitted to the study.Clinic values were evaluated with Visual Analog Scale (VAS) and Frankle and scale of Oswestryscales. Radiological values were evaluated with preoperative, postoperative and last control X-rayimages. Value of sagittal index (SI), value of local kyphosis angle (LKA) and the percentage ofanterior corpus height loss (ACHL) were measured using X-ray images. Results: The mean follow-up period was 96.5months, the mean VAS value was 13,5 mm, andthe mean Oswestry value was 15. Preoperative SI angles increased, as well as final controlmeasurements. On the other hand the final control measurements became higher as post- operative angles increased (P

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