Lomber disk hernili olgularda omurgada sagital denge ve spinopelvik parametrelerin değerlendirilmesi

Amaç: Bu çalışmada amaç lomber disk hernili olgularda, omurgada sagittal dengenin spinopelvik parametreler ve fonksiyonel yaşam kalitesi anketleri eşliğinde dğerlendirilmesidir. Yöntem: Çalışmaya 88 olgu dahil edilmiştir.Tüm olguların fizik muayene ve yaşam kalitesi anketleri 01 Mart- 01 Kasım 2018 tarihleri arasında Sivas Numune Hastanesi Fiziksel Tıp ve Rehabilitasyon polikliniğinde tek uzman doktor tarafından yapılmıştır. Olguların fizik muayene bulguları ve hasta dosyalarındaki değerlendirmeye alınmıştır. Her olgu için Oswestry Disabilite İndeksi, Roland Morris ve Sağlık Yaşam Kalitesi Anketleri değerlendirilmiştir. Tüm olguların spinal direkt AP-lateral röntgenogramları ve lomber MR görüntüleri değerlendirmeye alınmıştır. Olgular 3 gruba ayrılmıştır. Grup1 bulging grubu olgular, Grup2 tek seviye disk hernisi olan olgular, Grup3 çok seviye disk hernisi olan olgular olarak sınıflandırılmıştır. Spinopelvik parametreler; lomber lordoz (LL), Pelvik İnsidens (PI), Sakral eğim (SE) ve Pelvik eğim (PE) açıları ayakta durur pozisyonda çekilen spinal röntgenogramlar üzerinde değerlendirmeye alınmıştır. Bulgular: LL çok seviyeli disk hernisi olan grupta, bulging grubu ve tek seviyeli disk hernisi grubu olgulara göre istatistiki açıdan anlamlı olarak düşük bulunmuştur (p

Evaluation of sagittal balance and spinopelvic parameters in patients with lumbar disc herniation

Objective: The objective of this study was to analyze sagittal balance throughout with spinopelvic parameters, inpatients with a lumbar disc herniation and evaluate these patients with functional quality assessment questionnaires.Method: A total of 88 adult patients were evaluated in this study. All these patients were examined clinically in aphysical medicine and rehabilitation policlinic, from one physician in Sivas Numune State Hospital for a lumbar discherniation between 01 March-01 November 2018. The physical examination findings and records in the patient's fileswere evaluated. The Oswestry Disability Questionnaire (ODQ), Roland Morris Questionnaire (RDQ) and HealthAssessment Questionnaire (HAQ) were evaluated for all voluntary patients. All patients were confirmed with full spinalanteroposterior and lateral radiographs and lumbar MRI. Three group pathologies were evaluated in this study: Group1;disc herniation with bulging, Group 2; one level disc herniation and Group 3 multilevel disc herniation, includinglumbar disc protrusion, extrusion, and sequestration. Spino-pelvic parameters; lumbar lordosis (LL), pelvic incidence(PI), pelvic tilt (PT) and sacral slope (SS) were measured on full spine radiographs in a standing position.Results: LL was significantly less by multilevel disc herniation group as compared with bulging group and one leveldisc herniation group (p

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