Bu Koksiks Kırık Mı Yoksa Normalin Bir Varyantı Mı?

Year 2021, , 880 - 883, 01.09.2021

Serdar Toy , Alperen Zeynel , Kemal Zencirli

https://doi.org/10.28982/josam.839793

Abstract

Amaç: Çalışmamız, günlük pratikte koksiks kırıkları ile kolayca karıştırılabilen koksiks türleri konusunda hekimleri uyarmayı amaçlamıştır.
Yöntemler: 75 hastanın bilgisayarlı tomografi görüntülerinden orta sagital ve orta koronal görüntüler değerlendirildi. Bu görüntüler, koksiks kırığı tiplerini, koksiks tiplerini, segment sayısını, eklem füzyonunu, koksigeal kemik spiküllerini, subluksasyonu, sakrokoksigeal açı, interkoksigeal açı ve kokeksin lateral sapmasını belirlemek için analiz edildi.
Bulgular: Hastaların ortalama yaşı 43,59 ± 13,68 idi. Hastaların 33'ü (% 44) erkek ve 42'si (% 56) kadındı. Hastaların 57'sinde (% 76) kırıkla karıştırılan herhangi bir koksiks tipi varken, sadece 18 hastada (% 24) koksigeal kırık vardı. Koksiks kırığı ile karıştırılan koksiks tipleri ile gerçek koksiks kırıkları arasında istatistiksel olarak anlamlı fark tespit edilmiştir (p <0,001).
Sonuç: Koksiks varyantlarını bilmek ve bir koksiks kırığından ayırt edebilmek çok önemlidir. Koksiks kırıkları ile koksiks tipleri arasındaki fark bilinirse ve hastalar buna göre bilgilendirilirse, hem iş gücü kaybı azalır hem de gerekli tedaviye erkenden başlanabilir.

Keywords

Sırt yaralanmaları, Koksiks, Omurilik yaralanmaları, Omurga kırıkları

Is this coccyx fractured, or is it a normal variant? A cohort study

Abstract

Background/Aim: The coccyx has several variants which could sometimes be confused with fractures. Our study aimed to alert physicians about the types of coccyges that can be easily confused with coccyx fractures in daily practice.
Methods: Mid-sagittal and mid-coronal computerized images of 75 patients were analyzed to determine the types of coccygeal fracture, the coccyx types, number of segments, joint fusion, coccygeal bony spicules, subluxation, sacrococcygeal angle (SCA), intercoccygeal angle (ICA), and lateral deviation of the coccyx.
Results: The mean age of the patients was 43.5 (13.6) years. There were 33 (44%) males and 42 (56%) females. While 57 (76%) patients were thought to have a coccygeal fracture, only 18 patients (24%) actually had them. There was a significant difference between the coccyx types mistaken for fractures and actual coccygeal fractures (P<0.001).
Conclusion: It is essential to know the coccyx types and distinguish normal variants from fractures. If the difference between coccyx fractures and coccyx types is known and the patients are informed accordingly, both the loss of workforce decreases, and the necessary treatment can be started early.

Keywords

Back Injuries, Coccyx, Spinal Injuries, Spinal Fractures

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