SERVİKAL DİSK HERNİLERİNDE ANTERİOR PLAK İLE STABİLİZASYON

Yıl 2019, , 162 - 166, 27.08.2019

Serhat Yıldızhan

https://doi.org/10.18229/kocatepetip.461905

Öz

AMAÇ: Bu çalışmada; tek seviye servikal disk hernisi bulunan ve diskektomi sonrası anterior kısa segment plak-vida ile füzyon uygulanan hastaların klinik ve radyolojik olarak uzun dönem takip sonuçları değerlendirildi.

GEREÇ VE YÖNTEM: 01.01.2015-31.12.2017 yılları arasında Afyonkarahisar Sağlık Bilimleri Üniversitesi Tıp Fakültesi Nöroşirurji Kliniğinde opere edilen ve tek seviye diskektomi sonrası anterior plak-vida stabilizasyon yapılan 44 hasta hastane bilgi işlem sisteminden, dosyalardan tarandı. En az 1 yıllık takipler sonrasında hastalar klinik ve servikal dinamik grafi ile radyolojik olarak değerlendirildi.

BULGULAR: Araştırma sonucunda 44 hastanın dosya bilgilerine ulaşıldı. Hastalar klinik ve radyolojik olarak değerlendirildi. En fazla cerrahi uygulanan mesafe 20 hasta ile C6-7 (%45) idi. En sık karşılaşılan semptom olarak tek taraflı kol ağrısı bulundu. Hastaların %72 (32 hasta)sinin daha önceden bir fizik tedavi programı aldığı saptandı. Tedavi sonucunda 34 hastanın şikayetleri tamamen düzeldi. Hastaların radyolojik takiplerinde herhangi bir kifotik açılanma veya greft kollapsı izlenmedi.

SONUÇ: Servikal disk hernilerinin tedavisinde preop iyi bir değerlendirme ile uygun hastalara yapılan mikrodiskektomi sonrası plak ve füzyon işleminin uzun dönem takiplerinde başarılı sonuçlar elde edildi.

Anahtar Kelimeler

Servikal Mikrodiskektomi, Kifotik açılanma, Anterior stabilizasyon

STABILIZATION OF THE CERVICAL DISC HERNIATION WITH THE ANTERIOR PLATE

Öz

OBJECTIVE: In this study; results of clinical and radiologic follow-up of patients who had single-level cervical disc herniation and applyed fusion with anterior short-segment plate-screw after discectomy were evaluated.

MATERIAL AND METHODS: 44 patients who underwent anterior plate-screw stabilization after single level discectomy performed in Department of Neurosurgery in Afyonkarahisar Health Sciences University Faculty of Medicine were scanned from the hospital data processing system and patient files between 01.01.2015 and 31.12.2017. Patients followed for at least 1 year were evaluated clinically and radiologically by cervical dynamic x-ray.

RESULTS: As a result of the research, file information of 44 patients was reached. Patients were evaluated clinically and radiologically. The location where the surgery was performed the most in 20 patients was C6-7 (45%). The most common symptom was unilateral arm pain. Seventy-two percent of the patients (32 patients) were found to have received a physical therapy program. As a result of the treatment, complaints of 34 patients were completely resolved. No kyphotic angulation or graft collapse was observed in the radiological follow-ups of the patients.

CONCLUSIONS: In the treatment of the cervical disc herniation, good results were obtained in the one year follow-up of plate and fusion procedurs after microsurgical microdiscectomy with good evaluation before operation.

Anahtar Kelimeler

Cervical Microdiscectomy, Kyphotic Angulation, , Anterior Stabilization

Kaynakça

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