Laminektomi Ve Posterior Füzyonoperasyonlarının Sonuçları İle Servikal Sagital Dizilim İlişkisi
Küçük Resim Yok
Tarih
2017
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Servikal sagittal denge ve dizilim radyolojik ve klinik sonuçlarda oynadığı rol ile son zamanlarda dikkat çekmektedir. Bu çalışmanın amacı bazı servikal patolojiler nedeniyle laminektomi ve enstrümanlı füzyon yapılan hastalarda servikal sagittal denge değişimlerini ve bunun sonuçlara etkisini araştırmaktır. Retrospektif olarak düzenlenmiş bu çalışmada çeşitli derece ve seviyelerde kanal darlığı olan 44 erkek ve 6 kadın hasta yer almışlardır. Ameliyat öncesi ve sonrası mJOA derecesi ortalama değerleri sırasıyla 7.76 ve 12.96 'dur. Servikal lordoz açısı (CLA) değişimi istatistiksel olarak anlamlı olmakla beraber C2-7SVA değişimi istatistiksel olarak anlamlı değildir. Servikal sagittal denge ve dizilim posterior dekompresyon ve enstrümanlı füzyon yapılması planlanan hastalarda cerrahi sonuçlar değerlendirilirken mutlaka göz önüne alınmalıdır.
Cervical sagittal balance and alignment have received increased awareness as important factors of radiological and clinical outcomes. The goal of this study is to evaluate preoperative and postoperative alterations in cervical sagittal plane situations and correlation between these changings and surgical outcome in patients undergo laminectomy and fusion for some cervical pathologies. In this retrospectively designed study 44 men and 6 women with some degree cervical stenosis at various cervical levels were included. The mean value of the preoperative and postoperative mJOA scores of the patients were 7.76 and 12.96 respectively. Cervical lordosis angle (CLA) changing was statistically significant after operations. But, C2-7SVA changing was not statistically significant. The contribution of cervical sagittal balance and alignment should be considered in evaluating surgical outcomes for patients undergoing cervical posterior decompression and instrumented fusion.
Cervical sagittal balance and alignment have received increased awareness as important factors of radiological and clinical outcomes. The goal of this study is to evaluate preoperative and postoperative alterations in cervical sagittal plane situations and correlation between these changings and surgical outcome in patients undergo laminectomy and fusion for some cervical pathologies. In this retrospectively designed study 44 men and 6 women with some degree cervical stenosis at various cervical levels were included. The mean value of the preoperative and postoperative mJOA scores of the patients were 7.76 and 12.96 respectively. Cervical lordosis angle (CLA) changing was statistically significant after operations. But, C2-7SVA changing was not statistically significant. The contribution of cervical sagittal balance and alignment should be considered in evaluating surgical outcomes for patients undergoing cervical posterior decompression and instrumented fusion.
Açıklama
Anahtar Kelimeler
Cerrahi
Kaynak
WoS Q Değeri
Scopus Q Değeri
Cilt
28
Sayı
1
