Onur Seçgin NİŞANCI, Birsen ÖZYURT

17639

Geriatrik hastalarda görülen cervical vertebralara ait osteofitlerin yapı ve yerleşimlerini bilgisayarlı tomografi yöntemi kullanılarak anatomik ve epidemiyolojik olarak incelenmesi

Amaç: Geriatrik bireylerin cervical vertebralarında görülen osteofitleri çeşitli parametrelerde değerlendirmektir. Materyal ve Metot: Çalışmamızda 2018-2023 yılları arasında devlet hastanesi radyoloji polikliniğine çeşitli sebeplerle gelen 764 (e:413, k:351) birey incelenmiştir. Bireylerde toplamda 1209 adet osteofit tespit edilmiştir. Osteofitler yaş, cinsiyet, derecelendirme, vertebra seviyesi, vertebral aralık, anatomik yön, anatomik yüzey ve uzunluk olarak değerlendirildi. Bulgular: Osteofit oluşumu bireylerde yaşa bağlı olarak artmaktadır (p<0,05). Erkeklerde kadınlara göre daha fazla sıklıkla osteofit oluşumu gözlenmiştir (p>0,05). Tüm bireylerde pençe tip osteofit sıklıkla görülmüştür (p<0,05). Erkeklerde sıklıkla kaynaşmış tip osteofit görülürken kadınlarda traksiyon tip osteofit daha fazla gözlenmiştir (p<0,05). Kaynaşmış osteofitler sıklıkla grade 4 şiddetinde görülürken pençe ve traksiyon tip osteofitler grade 2 şiddetinde görülmüştür (p<0,05). Tüm bireylerde osteofitler C5 vertebra seviyesinde sıklıkla gözlenmektedir (p>0,05). Kaynaşmış ve traksiyon tip osteofitler C6, pençe tip osteofitler ise C5 seviyesinde sıklıkla görülmektedir (p<0,05). Tüm bireylerde en fazla C5-6 aralığında osteofit görülmüştür (p>0,05). Her iki cinsiyet ve tüm osteofit tiplerinde osteofitler sıklıkla anteriorda görülmektedir (p<0,05). Tüm osteofit tipleri sıklıkla vertebranın facies inferiorunda gözlenmiştir (p<0,05). Erkeklerde kadınlara nispeten daha uzun ölçülerde (mm) osteofit görülmüştür (p<0,05). Pençe tip osteofit, traksiyon tip osteofite göre daha uzun ölçülerde tespit edilmiştir (p<0,05). Sonuç: Osteofit tipi ve grade şiddetinde bireyler arası değişkenlik göstermiştir. Osteofitlerde vertebra seviyesi, anatomik yön, yüzey, uzunluk parametrelerinde değişen özellikler gözlenmiştir.
Anahtar Kelimeler:

Osteofit, Cervical vertebrae, Anatomi, Bilgisayarlı tomografi

Anatomical and epidemiological examination of the structure and localization of osteophytes of cervical vertebrae in geriatric patients by using computed tomography method

Background: To evaluate the osteophytes seen in the cervical vertebrae of geriatric individuals in various parameters. Materials and Methods: 764 (M: 413, F: 351) individuals who were admitted to the State Hospital Radiology Outpatient Clinic with various complaints between the years 2018 and 2023 and who met the criteria were examined in our study. A total of 1209 osteophytes were found in the individuals. The osteophytes were evaluated in terms of gender, age, grade, vertebral level, vertebral spacing, anatomical aspect, anatomical surface and length parameters. Results: Osteophyte formation increased with age in individuals (p<0.05). Osteophyte formation was observed more frequently in men when compared to women (p>0.05). Claw type osteophytes were observed commonly in all individuals (p<0.05). While fused type osteophytes were observed commonly in men, traction-type osteophytes were observed more frequently in women (p<0.05). Osteophyte formation of grade 2 severity was observed in all individuals (p>0.05). While fused osteophytes were commonly observed at grade 4 severity, claw and traction type osteophytes were observed at grade 2 severity (p<0.05). Osteophytes were commonly observed at the C5 vertebra level in all individuals (p>0.05). Fused and traction type osteophytes were commonly seen at the C6 level, while claw type osteophytes are commonly seen at the C5 level (p<0.05). In all individuals, osteophytes were most common in the C5-6 space, followed by the C4-5, C6-7 (p>0.05). Osteophytes were commonly seen anteriorly in both sexes and all osteophyte types (p<0.05). All osteophyte types were commonly observed in the inferior surface of the vertebra (p<0.05). Males had relatively longer osteophytes (mm) than females (p<0.05). Claw type osteophyte was observed in longer dimensions than traction type osteophyte (p<0.05) Conclusions: Osteophyte type and grade severity were found to vary between individuals. In the examinations, varying features were observed in the vertebral level, anatomical aspect, surface and length parameters of the osteophytes.
Keywords:

Osteophyte, Cervical vertebrae, Anatomy, Computed tomography,

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Journal of Medical Topics and Updates-Cover
  • Başlangıç: 2022
  • Yayıncı: Malatya Turgut Özal Üniversitesi
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