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Yıl 2014, Cilt: 4 Sayı: 3, 24 - 28, 03.12.2014

Mustafa Erkoç Özlem Balbaloğlu Murat Korkmaz Halil Serin

Öz

Objective: The aim of this study is to determine the prevalence of transitional vertebra anomaly (TVA) in the patients who were evaluated with computed tomography (CT) and magnetic resonance imaging (MRI) due to any reason with complaints of low back pain. Materials and Methods: 62 MRI and 35 CT images of 97 patients (43 male, 54 female) who admitted to our hospital with complaints of low back pain in one year period were evaluated in the means of transitional vertebra, retrospectively.Results: The incidence of total TVA was 18.48% in all patients. The incidence of sacralization was 12.3% and the incidence of lumbalization was 18.48% respectively. There was 5 (11.6%) sacralization and 3 (6.9%) lumbalization in male subjects and there was 7 sacralization (12.9%) and 3 lumbalization (5.5%) in female subjects. In comparison of the males and females subject on the means of TVA incidence; it was detected that the prevalence of transitional vertebra was higher in males than females; which was statistically significant (p=0.05).Conclusion: CT and MRI findings of patients due to low back pain should be carefully evaluated in terms of possible transitional vertebrae and should be kept in mind that it can cause back pain alone itself without any other pathologies.

Anahtar Kelimeler

Back pain; Transitional vertebra anomaly; CT; MRI.

Kaynakça

  • Carrino JA, Campbell PD, Lin DC, Morrison WB, Schweitzer ME, Flanders AE, et al. Effect of Spinal Segment Variants on Numbering Vertebral Levels at Lumbar MR Imaging. Radiology. 2011;259 (1): 196-202.
  • Uçar D, Uçar BY, Coşar Y, Emrem K, Gümüşsuyu G, Mutlu S, et al. Retrospective cohort study of the prevalence of lumbosacral transitional vertebra in a wide and well-represented population. Arthritis. 2013 Jun 24; 2013:461425. doi: 10.1155/2013/461425.
  • Konin GP, Walz DM. Lumbosacral transitional vertebrae: classification, imaging findings, and clinical relevance. Am J Neuroradiol. 2010;31 (10): 1778-86.
  • Dreyer SJ, Dreyfuss PH. Low back pain and the zygapophysial (facet) joints. Arch Phys Med Rehabil. 1996;77(3):290-300.
  • Jen kins EM, Borenste in DG. Exercise for the low back pain patient. Baillieres Clin Rheu Matol. 1994;8(1):191-7.
  • Şen U, Karagülle MZ, Karagülle M, Erkorkmaz Ü. The efficacy of peloido therapy on the patients with chronic low back pain. Turkiye Klinikleri J Med Sci. 2008;28(1):5-11.
  • Çevik R,Gür A, Nas K, Kaptan H, Em S, Can AR, et al. Evaluation of 350 patients with chronic low back pain. Ege Fiz Tıp Reh Der. 2001;7(3-4):97-103.
  • Bertolloti M. Contribute Alla conoscenza dei vizi di differenzazione del rachide con speciale reguardo all assimilazione sacrale della v lombare. La Radiologia Medica. 1917;2(4): 113-44.
  • Delport EG, Cucuzzella TR, Kim N, Marley J, Pruitt C, Delport AG. Lumbosacral transitional vertebrae: incidence in a consecutive patient series. Pain Physician. 2006;9(1):53–6. Luoma K, Vehmas T, Raininko R, Luukkonen R, Riihimäki
  • H. Lumbosacral transitional vertebra: relation to disc degeneration and low back pain. Spine. 2004;29(1):200–5
  • Castellvi AE, Goldstein LA, Chan DP. Lumbosacral transitional vertebrae and their relationship with lumbar extradural defects. Spine. 1984; 9(5): 493–5.
  • Erden E, Güven Z, Kayhan Ö. Türk toplumunda bel ve bacak ağrılı olgularda radyopatolojik bulgular. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 1994; 18(3): 192-5.
  • Bron JL, van Royen BJ, Wuisman PI. The clinical significance of lumbosacral transitional anomalies. Acta Orthop Belg. 2007;73(6):687-95.
  • Sabancıoğulları V, Erdil H, Çimen M. Radiological investigation of the lumbosacral region anomalies in patients with abdominopelvic complaints. Turkiye Klinikleri J Med Sci. 2010;30(3):900-5.
  • Igbinedion BO, Akhigbe A. “Correlations of radiographic findings in patients with low back pain,” Nigerian Medical Journal. 2011;52(1): 28–34.
  • Eyo MU, Olofin A, Noronha C, Okanlawon A. Incidence of lumbosacral transitional vertebrae in low back pain patients. W Afr J Radiol. 2001;8(1):1-3.
  • Murtaugh K, Kean WF. The clinical assessment of transitional vertebrae and low back pain. Inflammo Pharmacology. 2008;16(6):278- 83.
  • Cailliet R. Anatomy, Disk Disease, Miclellaneous Low Back Conditions and their Relationship to Low back discomfort and disability, low back pain sendrome. Volume Philadelphia: FA. Davis Company, 1978. p. 119-25.
  • Delport EG, Cucuz TR, Kim N, Marley J, Pruitt C, Delport AG. Lumbo sacral transitional vertebrae: incidence in a consecuti ve patient series. Pain Physician. 2006;9(1):53-6.
  • Tüzün Ç, Yorulmaz İ, Cindaş A, Vatan S. Clinical and radiological findings in patients with acute and chronic low back pain. Türk Fizik Tıp Rehabilitasyon Dergisi. 1998; 4(1): 59

BEL AĞRISI ŞİKÂYETİ VE GEÇİŞSEL LUMBOSAKRAL VERTEBRA ANOMALİSİ İLİŞKİSİ

Yıl 2014, Cilt: 4 Sayı: 3, 24 - 28, 03.12.2014

Mustafa Erkoç Özlem Balbaloğlu Murat Korkmaz Halil Serin

Öz

ÖZET
Amaç: Bu  çalışmada amaç  bel ağrısı  şikâyetiyle  hastaneye başvuran  hastalarda herhangi  bir sebeple rutin olarak çekilmiş manyetik rezonans görüntüleme (MRG) veya bilgisayarlı tomografide (BT) saptanan geçişsel lumbo sakral vertebra anomalisi (GLSVA) sıklığını araştırmaktır.
Gereç ve Yöntemler: Hastanemize son bir yılda bel ağrısı şikâyeti ile gelmiş toplam 97 ( 43 erkek, 54 kadın) hastanın çekilen 62 MRG ve 35 BT filmi retrospektif olarak GLSVA açısından taranmıştır. Bulgular: Çalışmaya alınan tüm hastalarda GLSVA görülme sıklığı %12,3, sakralizasyon %6.18 ve lumbalizasyon%18,48 olmaküzere%18,48 idi. Erkekhastaların 5’inde(%11,6) sakralizasyon, 3’ünde (%6,9) lumbalizasyon, kadınların 7’sinde sakralizasyon (% 12,9), 3’ünde (%5,5) lumbalizasyon saptandı. GLSVA sıklığı açısından kadınlar ve erkekler karşılaştırıldığında, erkeklerde daha fazla görüldüğü tespit edildi ve bu sonuç istatistiksel olarak da anlamlıydı (p=0.05).
Sonuç: Bel ağrısı şikâyeti ilen gelen hastalara yapılan BT ve MRG tetkikleri olası GLSVA açısından da dikkatlice değerlendirilmeli, ek bir patoloji olmasa bile tek başına bel ağrısı sebebi olacağı akılda tutulmalıdır.
Anahtar kelimeler: Bel ağrısı; Geçişsel lumbo sakral vertebra anomalisi; BT; MRG.

ABSTRACT

Objective: The aim of this study is to determine the prevalence of transitional vertebra anomaly (TVA) in the patients who were evaluated with computed tomography (CT) and magnetic reso- nance imaging (MRI) due to any reason with complaints of low back pain.
Materials and Methods: 62 MRI and 35 CT images of 97 patients (43 male, 54 female) who ad- mitted to our hospital with complaints of low back pain in one year period were evaluated in the means of transitional vertebra, retrospectively.
Results: The incidence of total TVA was 18.48% in all patients. The incidence of sacralization was 12.3% and the incidence of lumbalization was 18.48% respectively. There was 5 (11.6%) sacral- ization and 3 (6.9%) lumbalization in male subjects and there was 7 sacralization (12.9%) and 3 lumbalization (5.5%) in female subjects. In comparison of the males and females subject on the means of TVA incidence; it was detected that the prevalence of transitional vertebra was higher in males than females; which was statistically significant (p=0.05).
Conclusion: CT and MRI findings of patients due to low back pain should be carefully evaluated in terms of possible transitional vertebrae and should be kept in mind that it can cause back pain alone itself without any other pathologies.
Key words: Back pain; Transitional vertebra anomaly; CT; MRI.

Anahtar Kelimeler

Bel ağrısı; Geçişsel lumbo sakral vertebra anomalisi; BT; MRG.

Kaynakça

  • Carrino JA, Campbell PD, Lin DC, Morrison WB, Schweitzer ME, Flanders AE, et al. Effect of Spinal Segment Variants on Numbering Vertebral Levels at Lumbar MR Imaging. Radiology. 2011;259 (1): 196-202.
  • Uçar D, Uçar BY, Coşar Y, Emrem K, Gümüşsuyu G, Mutlu S, et al. Retrospective cohort study of the prevalence of lumbosacral transitional vertebra in a wide and well-represented population. Arthritis. 2013 Jun 24; 2013:461425. doi: 10.1155/2013/461425.
  • Konin GP, Walz DM. Lumbosacral transitional vertebrae: classification, imaging findings, and clinical relevance. Am J Neuroradiol. 2010;31 (10): 1778-86.
  • Dreyer SJ, Dreyfuss PH. Low back pain and the zygapophysial (facet) joints. Arch Phys Med Rehabil. 1996;77(3):290-300.
  • Jen kins EM, Borenste in DG. Exercise for the low back pain patient. Baillieres Clin Rheu Matol. 1994;8(1):191-7.
  • Şen U, Karagülle MZ, Karagülle M, Erkorkmaz Ü. The efficacy of peloido therapy on the patients with chronic low back pain. Turkiye Klinikleri J Med Sci. 2008;28(1):5-11.
  • Çevik R,Gür A, Nas K, Kaptan H, Em S, Can AR, et al. Evaluation of 350 patients with chronic low back pain. Ege Fiz Tıp Reh Der. 2001;7(3-4):97-103.
  • Bertolloti M. Contribute Alla conoscenza dei vizi di differenzazione del rachide con speciale reguardo all assimilazione sacrale della v lombare. La Radiologia Medica. 1917;2(4): 113-44.
  • Delport EG, Cucuzzella TR, Kim N, Marley J, Pruitt C, Delport AG. Lumbosacral transitional vertebrae: incidence in a consecutive patient series. Pain Physician. 2006;9(1):53–6. Luoma K, Vehmas T, Raininko R, Luukkonen R, Riihimäki
  • H. Lumbosacral transitional vertebra: relation to disc degeneration and low back pain. Spine. 2004;29(1):200–5
  • Castellvi AE, Goldstein LA, Chan DP. Lumbosacral transitional vertebrae and their relationship with lumbar extradural defects. Spine. 1984; 9(5): 493–5.
  • Erden E, Güven Z, Kayhan Ö. Türk toplumunda bel ve bacak ağrılı olgularda radyopatolojik bulgular. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 1994; 18(3): 192-5.
  • Bron JL, van Royen BJ, Wuisman PI. The clinical significance of lumbosacral transitional anomalies. Acta Orthop Belg. 2007;73(6):687-95.
  • Sabancıoğulları V, Erdil H, Çimen M. Radiological investigation of the lumbosacral region anomalies in patients with abdominopelvic complaints. Turkiye Klinikleri J Med Sci. 2010;30(3):900-5.
  • Igbinedion BO, Akhigbe A. “Correlations of radiographic findings in patients with low back pain,” Nigerian Medical Journal. 2011;52(1): 28–34.
  • Eyo MU, Olofin A, Noronha C, Okanlawon A. Incidence of lumbosacral transitional vertebrae in low back pain patients. W Afr J Radiol. 2001;8(1):1-3.
  • Murtaugh K, Kean WF. The clinical assessment of transitional vertebrae and low back pain. Inflammo Pharmacology. 2008;16(6):278- 83.
  • Cailliet R. Anatomy, Disk Disease, Miclellaneous Low Back Conditions and their Relationship to Low back discomfort and disability, low back pain sendrome. Volume Philadelphia: FA. Davis Company, 1978. p. 119-25.
  • Delport EG, Cucuz TR, Kim N, Marley J, Pruitt C, Delport AG. Lumbo sacral transitional vertebrae: incidence in a consecuti ve patient series. Pain Physician. 2006;9(1):53-6.
  • Tüzün Ç, Yorulmaz İ, Cindaş A, Vatan S. Clinical and radiological findings in patients with acute and chronic low back pain. Türk Fizik Tıp Rehabilitasyon Dergisi. 1998; 4(1): 59
Toplam 20 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Orjinal Çalışma
Yazarlar

Mustafa Erkoç

Özlem Balbaloğlu Bu kişi benim

Murat Korkmaz Bu kişi benim

Halil Serin Bu kişi benim

Yayımlanma Tarihi 3 Aralık 2014
Yayımlandığı Sayı Yıl 2014 Cilt: 4 Sayı: 3

Kaynak Göster

APA Erkoç, M., Balbaloğlu, Ö., Korkmaz, M., Serin, H. (2014). BEL AĞRISI ŞİKÂYETİ VE GEÇİŞSEL LUMBOSAKRAL VERTEBRA ANOMALİSİ İLİŞKİSİ. Bozok Tıp Dergisi, 4(3), 24-28.
AMA Erkoç M, Balbaloğlu Ö, Korkmaz M, Serin H. BEL AĞRISI ŞİKÂYETİ VE GEÇİŞSEL LUMBOSAKRAL VERTEBRA ANOMALİSİ İLİŞKİSİ. Bozok Tıp Dergisi. Aralık 2014;4(3):24-28.
Chicago Erkoç, Mustafa, Özlem Balbaloğlu, Murat Korkmaz, ve Halil Serin. “BEL AĞRISI ŞİKÂYETİ VE GEÇİŞSEL LUMBOSAKRAL VERTEBRA ANOMALİSİ İLİŞKİSİ”. Bozok Tıp Dergisi 4, sy. 3 (Aralık 2014): 24-28.
EndNote Erkoç M, Balbaloğlu Ö, Korkmaz M, Serin H (01 Aralık 2014) BEL AĞRISI ŞİKÂYETİ VE GEÇİŞSEL LUMBOSAKRAL VERTEBRA ANOMALİSİ İLİŞKİSİ. Bozok Tıp Dergisi 4 3 24–28.
IEEE M. Erkoç, Ö. Balbaloğlu, M. Korkmaz, ve H. Serin, “BEL AĞRISI ŞİKÂYETİ VE GEÇİŞSEL LUMBOSAKRAL VERTEBRA ANOMALİSİ İLİŞKİSİ”, Bozok Tıp Dergisi, c. 4, sy. 3, ss. 24–28, 2014.
ISNAD Erkoç, Mustafa vd. “BEL AĞRISI ŞİKÂYETİ VE GEÇİŞSEL LUMBOSAKRAL VERTEBRA ANOMALİSİ İLİŞKİSİ”. Bozok Tıp Dergisi 4/3 (Aralık 2014), 24-28.
JAMA Erkoç M, Balbaloğlu Ö, Korkmaz M, Serin H. BEL AĞRISI ŞİKÂYETİ VE GEÇİŞSEL LUMBOSAKRAL VERTEBRA ANOMALİSİ İLİŞKİSİ. Bozok Tıp Dergisi. 2014;4:24–28.
MLA Erkoç, Mustafa vd. “BEL AĞRISI ŞİKÂYETİ VE GEÇİŞSEL LUMBOSAKRAL VERTEBRA ANOMALİSİ İLİŞKİSİ”. Bozok Tıp Dergisi, c. 4, sy. 3, 2014, ss. 24-28.
Vancouver Erkoç M, Balbaloğlu Ö, Korkmaz M, Serin H. BEL AĞRISI ŞİKÂYETİ VE GEÇİŞSEL LUMBOSAKRAL VERTEBRA ANOMALİSİ İLİŞKİSİ. Bozok Tıp Dergisi. 2014;4(3):24-8.
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