Cerrahlarda fiziksel iş yükünün servikal sagittal dengeye etkisi

Year 2023, , 408 - 413, 30.09.2023

Serhat Cömert , Levent Horoz

https://doi.org/10.18663/tjcl.1322282

Abstract

Amaç: Cerrahlar, işle ilgili kas-iskelet sistemi bozuklukları da dahil olmak üzere çeşitli mesleki risklere maruz kalmaktadır. Cerrahlarda tekrarlayan hareketler ve uzun süreli uygunsuz duruş gibi mesleki gereklilikler sonucu boyun ağrıları görülebilmektedir. Boyun ağrıları nedenleri arasında servikal sagittal denge parametrelerinin önemli bir yeri vardır. Bu çalışmada cerrahların servikal sagittal denge parametrelerinin değerlendirilmesi amaçlanmıştır.
Gereç ve Yöntemler: Bu kesitsel çalışmaya 2016-2019 yılları arasında işle ilgili boyun ağrısı olan 57 hasta dahil edildi. Manyetik rezonans görüntüleme kullanılarak T1S ve Cobb açısı ölçüldü. Katılımcıların yaş, vücut kitle indeksi, boy, kilo gibi kişisel özellikleri başvuru sırasında doldurulan anket ile elde edildi.
Bulgular: Çalışmaya elli yedi katılımcı dahil edildi. Bunların 13'ü beyin cerrahı, 13'ü kulak burun boğaz cerrahı, 12'si genel cerrah, 11'i plastik cerrah ve 8'i kalp ve damar cerrahıydı. Cerrahların ortalama yaşı 38,7 ± 6,44 yıl ve ortalama VAS'ı 5,12± 0,73 idi. Ortalama T1S 23,2° ± 7,95° ve ortalama Cobb açısı 12,3° ± 7,99° idi. Beyin cerrahlarında ortalama T1S 22,2° ± 11,18° ve ortalama Cobb açısı 8,4° ± 5,91° idi. Tüm cerrahi branşlar içinde hem T1 hem de cobb açısı ölçümlerinde beyin ve sinir cerrahları en düşük ortalamaya sahipti.
Sonuç: Cerrahların günlük rutin iş yükü, servikal sagittal dengenin bozulmasına neden olmakta, bu da cerrahların mesleki kas-iskelet sistemi hastalıkları açısından yüksek risk grubunda olduğunu düşündürmektedir.

Keywords

Boyun ağrısı, Servikal omurga, T1 eğimi, servikal lordoz, Cerrah

The effects of physical workload on cervical sagittal balance in surgeons

Abstract

Aim: Surgeons are exposed to a variety of occupational risks, including work-related musculoskeletal disorders. Occupational necessities such as repetitive movements and long-term inappropriate posture in surgeons may be the cause of neck pain. This study evaluated the cervical sagittal balance parameters of the surgeons.
Material and Methods: This cross-sectional study included 57 patients with work-related neck pain between 2016 and 2019.T1S and Cobb angle were measured using magnetic resonance imaging. Personal characteristics of the participants, such as age, body mass index, height, and weight were obtained by a questionnaire filled in at the time of application.
Results: Fifty-seven participants were included in the study. Of these, 13 were neurosurgeons, 13 were otolaryngology surgeons, 12 were general surgeons, 11 were plastic surgeons, and 8 were cardiovascular surgeons.The mean age of the surgeons were 38.7 ± 6.44 yearsand the mean VAS of the surgeons were 5.12± 0.73. The mean T1S was 23.2 ° ± 7.95 ° and the mean Cobb angle was 12.3° ± 7.99° In the neurosurgeons, the mean T1S was 22.2 ° ± 11.18 ° and the mean Cobb angle was 8.4 ° ± 5.91 °. Among all surgical branches, neurosurgeons had the lowest mean values in both T1s and cobb angle measurements.
Coclusion: The physical workload of surgeons in their daily routines causes the cervical sagittal balance to deteriorate, suggesting that surgeons are in the high-risk group for occupational musculoskeletal diseases.

Keywords

Neck pain, Cervical spine, T1 slope, cervical lordosis, surgeon

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