Year 2020, Volume 21 , Issue 2, Pages 195 - 200 2020-05-11

KRONİK BOYUN AĞRISI ŞİKAYETİ OLAN HASTALARDA SERUM D VİTAMİNİ SEVİYELERİ, AĞRI ŞİDDETİ VE SERVİKAL DİSK DEJENERASYONU İLİŞKİLİ MİDİR?
CERVICAL DISC DEGENERATION, SEVERITY OF PAIN AND VITAMIN D LEVELS IN PATIENTS WITH CHRONIC NECK PAIN: IS THERE ANY RELATIONSHIP?

Hilal ALTAŞ [1] , Ali YILMAZ [2]


AMAÇ: Kemik metabolizması üzerinde D vitaminin etkileri uzun zamandır bilinmektedir. Çalışmamızda serum vitamin D seviyeleri ile intervertebral disk dejenerasyonu, disk yüksekliği ve ağrı şiddeti arasındaki ilişkiyi saptamayı hedefledik.
GEREÇ VE YÖNTEM: Beyin cerrahisi polikliniğine kronik boyun ağrısı şikayeti ile başvuran hastaların serum D vitamini seviyeleri, başvuru sırasındaki ağrı şiddeti (VAS) değerleri ve servikal MRG incelemeleri retrospektif olarak değerlendirildi.
BULGULAR: Çalışmaya 123 hasta dahil edildi. Vitamin D düzeylerine göre ayrılan gruplar arasında, VAS skorlarına göre anlamlı fark saptanmıştır (p=0.003). Vitamin D düzeylerine göre ayrılan gruplar arasında yapılan karşılaştırmalarda yaş (p=0.180), cinsiyet (p=0. 244/p=0.146) ve servikal C5-6 disk yüksekliği açısından (p= 0.299) istatistiksel olarak anlamlı bir ilişki bulunamamıştır.
SONUÇ: Çalışmamızda, servikal disk dejenerasyonu ve servikal lordoz kaybı olan hastalarda düşük serum vitamin D seviyeleri ile VAS arasında anlamlı fark saptanmıştır. Metabolik düzeyde D vitamini eksikliğinin, kronik boyun ağrısı ile başvuran, muayenede nörolojik bozukluğu ve disk hernisi olmayan hastalarda göz önünde bulundurulması gerektiğine inanıyoruz.

OBJECTIVE: Effects of vitamin D on bone metabolism has been long known. We aimed to detect the relationship between vitamin D levels and intervertebral disc degeneration, disc height and severity of pain in patients with chronic neck pain.
MATERIAL AND METHODS: The data of patients who were admitted to neurosurgery polyclinic with chronic neck pain complaints were analyzed retrospectively, whom their vitamin D levels measured, pain severity (VAS) scores ware noted at the time of admission and were radiologically examined with cervical MRI.
RESULTS: Overall, 123 patients were included in the study. There was a significant relationship in terms of VAS scores between the groups divided on the basis of vitamin D levels (p=0.003). There was no statistically significant relationship in terms of age (p=0.180), gender (p=0. 244/p=0.146), and cervical C5-6 disk height (p= 0.299) in the comparison performed within the groups divided on the basis of vitamin D levels.
CONCLUSIONS: In the present study, it was shown that there is a significant relationship between low vitamin D levels and VAS in patients who had cervical disk degeneration and loss of cervical lordosis. We believe that vitamin D deficiency at a metabolic level should be considered in patients who are admitted with chronic neck pain, who do not exhibit neurologic deficits in the examination, and who do not have disc hernia.

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Primary Language en
Subjects Medicine
Published Date NİSAN 2020
Journal Section Articles
Authors

Orcid: 0000-0001-5531-6764
Author: Hilal ALTAŞ (Primary Author)
Institution: ORDU UNIVERSITY
Country: Turkey


Orcid: 0000-0001-5378-4409
Author: Ali YILMAZ (Primary Author)
Institution: ORDU UNIVERSITY
Country: Turkey


Dates

Publication Date : May 11, 2020

Bibtex @research article { kocatepetip634480, journal = {Kocatepe Tıp Dergisi}, issn = {1302-4612}, eissn = {2149-7869}, address = {}, publisher = {Afyonkarahisar Sağlık Bilimleri Üniversitesi}, year = {2020}, volume = {21}, pages = {195 - 200}, doi = {10.18229/kocatepetip.634480}, title = {CERVICAL DISC DEGENERATION, SEVERITY OF PAIN AND VITAMIN D LEVELS IN PATIENTS WITH CHRONIC NECK PAIN: IS THERE ANY RELATIONSHIP?}, key = {cite}, author = {Altaş, Hilal and Yılmaz, Ali} }
APA Altaş, H , Yılmaz, A . (2020). CERVICAL DISC DEGENERATION, SEVERITY OF PAIN AND VITAMIN D LEVELS IN PATIENTS WITH CHRONIC NECK PAIN: IS THERE ANY RELATIONSHIP? . Kocatepe Tıp Dergisi , 21 (2) , 195-200 . DOI: 10.18229/kocatepetip.634480
MLA Altaş, H , Yılmaz, A . "CERVICAL DISC DEGENERATION, SEVERITY OF PAIN AND VITAMIN D LEVELS IN PATIENTS WITH CHRONIC NECK PAIN: IS THERE ANY RELATIONSHIP?" . Kocatepe Tıp Dergisi 21 (2020 ): 195-200 <https://dergipark.org.tr/en/pub/kocatepetip/issue/54261/634480>
Chicago Altaş, H , Yılmaz, A . "CERVICAL DISC DEGENERATION, SEVERITY OF PAIN AND VITAMIN D LEVELS IN PATIENTS WITH CHRONIC NECK PAIN: IS THERE ANY RELATIONSHIP?". Kocatepe Tıp Dergisi 21 (2020 ): 195-200
RIS TY - JOUR T1 - CERVICAL DISC DEGENERATION, SEVERITY OF PAIN AND VITAMIN D LEVELS IN PATIENTS WITH CHRONIC NECK PAIN: IS THERE ANY RELATIONSHIP? AU - Hilal Altaş , Ali Yılmaz Y1 - 2020 PY - 2020 N1 - doi: 10.18229/kocatepetip.634480 DO - 10.18229/kocatepetip.634480 T2 - Kocatepe Tıp Dergisi JF - Journal JO - JOR SP - 195 EP - 200 VL - 21 IS - 2 SN - 1302-4612-2149-7869 M3 - doi: 10.18229/kocatepetip.634480 UR - https://doi.org/10.18229/kocatepetip.634480 Y2 - 2020 ER -
EndNote %0 Kocatepe Tıp Dergisi CERVICAL DISC DEGENERATION, SEVERITY OF PAIN AND VITAMIN D LEVELS IN PATIENTS WITH CHRONIC NECK PAIN: IS THERE ANY RELATIONSHIP? %A Hilal Altaş , Ali Yılmaz %T CERVICAL DISC DEGENERATION, SEVERITY OF PAIN AND VITAMIN D LEVELS IN PATIENTS WITH CHRONIC NECK PAIN: IS THERE ANY RELATIONSHIP? %D 2020 %J Kocatepe Tıp Dergisi %P 1302-4612-2149-7869 %V 21 %N 2 %R doi: 10.18229/kocatepetip.634480 %U 10.18229/kocatepetip.634480
ISNAD Altaş, Hilal , Yılmaz, Ali . "CERVICAL DISC DEGENERATION, SEVERITY OF PAIN AND VITAMIN D LEVELS IN PATIENTS WITH CHRONIC NECK PAIN: IS THERE ANY RELATIONSHIP?". Kocatepe Tıp Dergisi 21 / 2 (May 2020): 195-200 . https://doi.org/10.18229/kocatepetip.634480
AMA Altaş H , Yılmaz A . CERVICAL DISC DEGENERATION, SEVERITY OF PAIN AND VITAMIN D LEVELS IN PATIENTS WITH CHRONIC NECK PAIN: IS THERE ANY RELATIONSHIP?. KTD. 2020; 21(2): 195-200.
Vancouver Altaş H , Yılmaz A . CERVICAL DISC DEGENERATION, SEVERITY OF PAIN AND VITAMIN D LEVELS IN PATIENTS WITH CHRONIC NECK PAIN: IS THERE ANY RELATIONSHIP?. Kocatepe Tıp Dergisi. 2020; 21(2): 195-200.