Safiye KAFADAR, İnan GEZGİN, Seyho Cem YÜCETAŞ

Opere Edilen Lomber Disk Hernili Hastalarda Sagital Denge Parametreleri ile Herniasyon Seviyesi Arasındaki İlişki

Amaç: Lomber disk hernisi nedeni ile opere olan hastalarda disk hernisinin görüldüğü seviye ile pelvik ve lomber vertebra insidansları arasındaki ilişkinin değerlendirilmesi amaçlandı Materyal ve Metot: Retrospektif olarak planlanan çalışmaya dosya kayıtları incelenen hastalar dâhil edildi. Tek seviye lomber disk hernisi tespit edilen ve tek taraflı mikrodiskektomi yöntemi ile opere olan 59 hastanın demografik verileri ve klinik bulguları kayıt edildi. Değişkenlerin analizinde SPSS 25.0 (IBM Corparation, Armonk, New York, United States) programı kullanıldı Bulgular: Yirmi sekizi erkek 31’i kadın olan hastaların yaş ortalaması 43,31±4,27 (38-54) yıl olarak bulundu. Yerleşim yerlerine bakıldığında 28 (%47,5) hastanın sağ, 31 (%52,5) hastanın ise sol yerleşimli disk hernilerinin olduğu saptandı. Seviyeye göre bakıldığında L5-S1seviyesinde disk hernisi olan hastaların pelvik indeks ve L4 indeks ortalamaları L4-5 ve L3-4 seviyelerinde disk hernisi olan hastaların ortalamalarına göre anlamlı derecede düşük bulunurken (p=0,002, p=0,001), L4-5 seviyesinde disk hernisi olan hastaların L5 insidans ortalamaları anlamlı derecede yüksek bulundu (p=0,001). Sonuç: Bu çalışmada, L5-S1 seviyesinde disk hernisi olan hastalarda pelvik indeks, L4 ve L5 indeksler anlamlı derecede düşük bulunmuştur. Gelecekte, uzun süreli takipli ve prospektif, çok merkezli çalışmaların yapılmasının gerekli olduğunu düşünmekteyiz.

Anahtar Kelimeler:

Indeks, pelvik indeks, insidans, L5 ve L 4 insidans, lomber disk hernisi.

Correlation Between Sagittal Balance Parameters and Herniation Levels in Patients Operated For Lumbar Disc Herniation

Aim: The aim of this study is to assess the correlation between the level of disc herniation and pelvic and lumbar vertebral incidences in patients operated for lumbar disc herniation. Material and Method: This retrospective study included those patients whose file records were analyzed. The demographic data and clinical findings of 59 patients diagnosed with single level lumbar disc herniation and underwent unilateral microdiscectomy were recorded. In the analysis of the variables, SPSS 25.0 (IBM Corparation, Armonk, New York, United States) was used. Results: The patients involved 28 men and 31 women whose median age was found as 43,31±4,27 (38-54) years. With regard to location, it was determined that in 28 (47,5%) patients, the herniated discs were located on the right and in 31 patients (52,5%), they were located on the left. In terms of levels, in patients with herniated discs at level L5-S1, the median pelvic index and L4 index were found to be significantly lower than those of patients with herniated discs at levels L4-5 and L3-4 (p=0,002, p=0,001), whereas in patients with herniated discs at level L4-5, the median L5 incidence was found to be significantly high (p=0,001). Conclusion: In this study, the pelvic index and L4 and L5 indexes were found to be significantly low in patients with herniated discs at level L5-S1. It is considered that future prospective and multi-centered studies with long-term follow-up are necessary.

Keywords:

Index, Pelvic index, incidence, L5 and L4 incidence, lumbar disc herniations.,

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