Vertebral Çökme Kırıklarında Vertebral Korpusu Çökme Derecesinin Radyolojik ve Biyokimyasal Ölçüm Parametreleri ile Değerlendirilmesi

Yıl 2019, Cilt: 16 Sayı: 3, 545 - 549, 25.12.2019

Hüseyin Özevren , Salih Hattapoğlu , Murat Baloğlu , Muhammed Akif Deniz

https://doi.org/10.35440/hutfd.634131

Cited By: 1

Öz

Amaç: Bu çalışmanın amacı, retrospektif olarak çökme kırığı olan hastaların
başlangıç ile altıncı ay takiplerindeki radyolojik bulgularını ve kan
biyokimyasal değerlerini analiz etmektir.

Materyal ve
Metod: Haziran 2014 ile Aralık
2018 tarihleri arasında takipli 70torakolomber çökme kırık olgusu retrospektif
olarak değerlendirildi. Herhangi bir yaş ve cinsiyet ayrımı yapılmayıp, sadece
multipl çökme kırıkları, enfeksiyonlar ve metastazlar çalışma dışında bırakıldı.
Radyolojik ve biyokimyasal veriler retrospektif olarak kayıt edildi.
İstatistiksel olarak analiz edildi.

Bulgular: 70 torakolomber omurga çökme kırık olgusu retrospektif olarak
değerlendirildiğinde vakaların 41’i (53,68±19,27) erkek, 29’ı (61,1±16,87)
kadındı. Ortalama yaş 56,76±18,56 (14-98) idi. Erkek ve kadınlar arasında
erkeklerin sayısı fazla olmakla birlikte, istatistiksel açıdan
karşılaştırdığımızda anlamlılık bulunmadı (p=0,09). İleri yaşlarda ise
kadınlarda sık görülmekteydi. Torakolomber çökme kırıkları sıklıkla T11-L2
düzeyinde görüldü. Vakaların başlangıç kifoz açıları (10,56±6,97) ile altıncı
ay kifoz açıları (12,25±7,47) karşılaştırıldığında, istatistiksel açıdan
anlamlı bulundu (p<0.001). Biyokimyasal değerler kendi aralarında pozitif yönde
korele iken, yaş ile albumin değerlerinin negatif yönde korele olduğu görüldü.
Kifoz açısı ile yaş, biyokimyasal değerler arasında anlamlı korelasyon
görülmedi.

Sonuç: Çalışmamızda torakolomber omurga çökme kırıklarında zamanla kifoz
açısının arttığını gördük. Bu durum yaş ve kan biyokimyasal değerlerinden total
protein, albumin, kalsiyum ile ilişkili olmadığı görüldü.

Anahtar Kelimeler

Çökme kırığı, Kifoz açısı, Omurga

The Evaluation of Radiological and Biochemical Measurement Parameters of the Degree of Collapse of the Vertebral Body in Vertebral Compression Fractures

Öz

Background: The aim of this study was to retrospectively analyze the radiological
and blood biochemical values of patients with collapse fractures at initial and
sixth month follow-up.

Materials and Methods: Seventy thoracolumbar collapse fractures
followed between June 2014 and December 2018 were evaluated retrospectively.
Age and gender were not discriminated against multiple collapse fractures,
infections and metastases were excluded. Radiology and biochemical data were
recorded retrospectively. Statistical analysis was performed.

Results: When
70 thoracolumbar spine collapse fractures were evaluated retrospectively, 41
(53.68 ± 19.27) were male and 29 (61.1 ± 16.87) were female. The mean age was
56.76 ± 18.56 (14-98) years. Although the number of males was higher when men
and women were compared, no statistically significant difference was found (p=
0.09). It was frequently seen in older women. Thoracolumbar collapse fractures
were frequently occurring at T11-L2 level. Initial kyphosis angles (10.56 ± 6.97)
and sixth month kyphosis angles (12.25 ± 7.47) were compared statistically
(p<0.001). While biochemical values were positively correlated with each
other, age and albumin were correlated negatively. No significant correlation
was found between age and biochemical values when compared with kyphosis angle.

Conclusion: In our study, we observed that the kyphosis angle increases with time
in fractures of the thoracolumbar spine collapse. This condition was not
associated with age and blood biochemical values of total protein, albumin and
calcium.

Anahtar Kelimeler

Çökme kırığı, Kifoz açısı

Kaynakça

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