TY - JOUR T1 - SERVİKAL MİYELOPATİLİ HASTALARDA UNİLATERAL YAKLAŞIM İLE BİLATERAL DEKOMPRESYONUN KLİNİK SONUÇLARI TT - Clinical Results of Bilateral Decompression with Posterior Unilateral Approach in Patient with Cervical Myelopathy AU - Öğden, Mustafa AU - Akkaya, Süleyman AU - Yüksel, Ulaş AU - Dağlı, Ahmet Turan AU - Bakar, Bülent AU - Özveren, Mehmet Faik PY - 2018 DA - December DO - 10.24938/kutfd.473716 JF - The Journal of Kırıkkale University Faculty of Medicine JO - Kırıkkale Uni Med J PB - Kırıkkale Üniversitesi WT - DergiPark SN - 2148-9645 SP - 313 EP - 320 VL - 20 IS - 3 LA - tr AB - Amaç: Servikal omurgadaki kemik ve ligamentöz yapıların dejeneratifdeğişiklikleri spinal kanal darlığına ve spinal kord basısına yol açmaktadır.Posterior destek sağlayan kas, ligament gibi yapıların korunarak, unilateralyaklaşım ile bilateral dekompresyon (UYBD) giderek yaygın olarakuygulanmaktadır. Bu çalışmada, unilateral yaklaşım ile bilateral dekompresyoncerrahi tekniği kullanılarak tedavi edilen servikal spondilotik myelopatili(SSM) hastalarda, bu yöntemin etkinliğini değerlendirmeyi amaçladık.Gereç ve Yöntem: SSM tanısıyla unilateral yaklaşım ilebilateral dekompresyon tekniği ile opere edilen hastaların verileriretrospektif olarak incelendi. Hastaların yaş, cinsiyet, operasyon öncesi ve 1yıl sonrası ağrı şiddetini gösteren vizüel analog skala (VAS) değerleri ileOSWESTRY Disabilite İndeksi (ODİ) değerleri kayıt edildi.Bulgular: Çalışmamıza yaşları 41 ile 77 arasında değişen(ortalama 60.23±9.5 yıl) toplam 13 hasta dahil edildi. Hastaların %76.9’u erkekidi. Tedavi sonrası VAS ve ODİ değerleri karşılaştırıldığında tedavi sonrası değerlerdeistatistiksel olarak anlamlı bir iyileşme görüldü (p=0.001).Sonuç: Çalışmamızda SSM’li hastalarda unilateral yaklaşımile bilateral dekompresyon cerrahisiyle başarılı sonuçlar elde edilmiştir.SSM’li hastalarda henüz az sayıda çalışmada unilateral yaklaşım ile bilateraldekompresyon tekniği ile tedavinin etkinliği değerlendirilmiş olduğu dikkatealındığında, bu çalışmada elde ettiğimiz sonuçlar bundan sonraki çalışmalaraışık tutacaktır. KW - Servikal spinal stenoz KW - servikal spondiloz KW - servikal disk hernisi KW - spinal dekompresyon N2 - Objective:Degenerative changes in bone and ligamentous structures inthe cervical spine lead to spinal canal stenosis and spinal cord compression.Bilateral decompression with unilateral approach is increasingly being appliedwith preserving structures such as muscles and ligaments that provide posteriorsupport. The aim of this study was to evaluate the efficacy of this method inpatients with cervical sponylotic myelopathy (CSM) who were treated using bilateraldecompression with unilateral approach surgical technique.Material and Method: The data of patients who had CSM and wereoperated using bilateral decompression with unilateral approach technique wereretrospectively reviewed. Demographical features such as age, gender werenoted. Preoperative and postoperative (first year) pain severity were evaluatedusing Visual analogue Scale (VAS) ​​and OSWESTRY Disability Index (ODI).Results: A total of 13 patients aged between 41 and 77 years (mean 60.23±9.5years) were included. 76.9% of the patients were male. When post-treatment VASand ODI values ​​were compared, there was a statistically significantimprovement in post-treatment values ​​(p=0.001).Conclusion:In our study, successful results were obtained with bilateraldecompression with unilateral approach in CSM patients. 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