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SERVİKAL DİSK HERNİLERİNDE ANTERİOR PLAK İLE STABİLİZASYON

Yıl 2019, , 162 - 166, 27.08.2019
https://doi.org/10.18229/kocatepetip.461905

Öz

AMAÇ: Bu çalışmada; tek seviye servikal disk hernisi bulunan ve diskektomi sonrası anterior kısa segment plak-vida ile füzyon uygulanan hastaların klinik ve radyolojik olarak uzun dönem takip sonuçları değerlendirildi.

GEREÇ VE YÖNTEM: 01.01.2015-31.12.2017 yılları arasında Afyonkarahisar Sağlık Bilimleri Üniversitesi Tıp Fakültesi Nöroşirurji Kliniğinde opere edilen ve tek seviye diskektomi sonrası anterior plak-vida stabilizasyon yapılan 44 hasta hastane bilgi işlem sisteminden, dosyalardan tarandı. En az 1 yıllık takipler sonrasında hastalar klinik ve servikal dinamik grafi ile radyolojik olarak değerlendirildi.

BULGULAR: Araştırma sonucunda 44 hastanın dosya bilgilerine ulaşıldı. Hastalar klinik ve radyolojik olarak değerlendirildi. En fazla cerrahi uygulanan mesafe 20 hasta ile C6-7 (%45) idi. En sık karşılaşılan semptom olarak tek taraflı kol ağrısı bulundu. Hastaların %72 (32 hasta)sinin daha önceden bir fizik tedavi programı aldığı saptandı. Tedavi sonucunda 34 hastanın şikayetleri tamamen düzeldi. Hastaların radyolojik takiplerinde herhangi bir kifotik açılanma veya greft kollapsı izlenmedi.

SONUÇ: Servikal disk hernilerinin tedavisinde preop iyi bir değerlendirme ile uygun hastalara yapılan mikrodiskektomi sonrası plak ve füzyon işleminin uzun dönem takiplerinde başarılı sonuçlar elde edildi.

Kaynakça

  • Radhakrishnan K, Litchy WJ, O’Fallon WM, et al. Epidemiology of cervical radiculopathy. A population-based study from Rochester, Minnesota, 1976 through 1990. Brain 1994;117:325–35.
  • Schoenfeld AJ, George AA, Bader JO, et al. Incidence and epidemiology of cervical radiculopathy in the United States military: 2000 to 2009. J Spinal Disord Tech 2012;25: 17–22.
  • Jacobs W, Willems PC, Kruyt M, et al. Systematic review of anterior interbody fusion techniques for single- and double-level cervical degenerative disc disease. Spine (Phila Pa 1976) 2011;36:E950–60.
  • Boselie TF, Willems PC, van Mameren H, et al. Arthroplasty versus fusion in single-level cervical degenerative disc disease: a Cochrane review. Spine (Phila Pa 1976) 2013;38:E1096–107.
  • Cloward RB: The anterior approach for removal of ruptured cervical disc. J Neurosurg 16:602-7, 1958
  • Smith GW, Robinson RA: The treatment of certain spine disorders by anterior removal of the intervertebral disc and interbody fusion. J Bone and Joint Surg. 40A:624-62, 1958
  • Hirsch C: Cervical disc rupture: diagnosis and therapy. Acta Orthop Scan 30:172-186, 1964
  • Thorell W, Cooper J, Hellbusch L, Leibrock L: The long term outcome of patients undergoing anterior cervical discectomy with and without intervertebral bone graft placement. Neurosurgery 43:268-273, 1998
  • Bertalanffy H, Eggert HR: Complications of anterior cervical discectomy without fusion in 450 consecutive patients. Acta Neurochir (Wien). 99(1-2):41-50, 1989
  • Bolesta MJ, Rechtine GR 2nd, Chrin AM: One- and two-level anterior cervical discectomy and fusion: the effect of plate fixation. Spine J. 2(3):197-203, 2002
  • Donaldson JW, Nelson PB: Anterior cervical discectomy without interbody fusion. Surg Neurol.57 (4):219-224, 2003
  • White BD, Fitzgerald JJ: To graft or not to graft: rationalizing choice in anterior cervical discectomy. British J Neurosurg. 19(2): 148-154, 2005
  • Brown MD, Malinin TI, Davis PB: A roentgoneographic evaluation of frozen allografts versus authografts in anterior cervical spine fusions. Clin Orthop 119-231-236, 1976
  • Murphy MA, Trimble MB, Piedmonte MR, Kalfas IH. Changes in the cervical foraminal area after anterior discectomy with and without a graft. Neurosurgery 1994; 34:93-69
  • Aydın Y, Kaya RA, Can SM, Türkmenoğlu O, Çavuşoğlu H, Ziyal IM: Minimally invasive anterior contralateral approach for the treatment of cervical disc herniation. Surg Neurol. 63(3):210-219, 2005
  • Nabhan A, Pape D, Pitzen T, et al. Radiographic analysis of fusion progression following one-level cervical fusion with or without plate fixation. Zentralbl Neurochir 2007;68:133–8.
  • Pompili A, Canitano S, Caroli F, et al. Asymptomatic esophageal perforation caused by late screw migration after anterior cervical plating: report of a case and review of relevant literature. Spine (Phila Pa 1976) 2002;27:E499–502.
  • Oktenoglu T, Cosar M, Ozer AF, et al. Anterior cervical microdiscectomy with or without fusion.J Spinal Disord Tech2007;20:361–8.

STABILIZATION OF THE CERVICAL DISC HERNIATION WITH THE ANTERIOR PLATE

Yıl 2019, , 162 - 166, 27.08.2019
https://doi.org/10.18229/kocatepetip.461905

Öz

OBJECTIVE: In this study; results of clinical and radiologic follow-up of patients who had single-level cervical disc herniation and applyed fusion with anterior short-segment plate-screw after discectomy were evaluated.

MATERIAL AND METHODS: 44 patients who underwent anterior plate-screw stabilization after single level discectomy performed in Department of Neurosurgery in Afyonkarahisar Health Sciences University Faculty of Medicine were scanned from the hospital data processing system and patient files between 01.01.2015 and 31.12.2017. Patients followed for at least 1 year were evaluated clinically and radiologically by cervical dynamic x-ray.

RESULTS: As a result of the research, file information of 44 patients was reached. Patients were evaluated clinically and radiologically. The location where the surgery was performed the most in 20 patients was C6-7 (45%). The most common symptom was unilateral arm pain. Seventy-two percent of the patients (32 patients) were found to have received a physical therapy program. As a result of the treatment, complaints of 34 patients were completely resolved. No kyphotic angulation or graft collapse was observed in the radiological follow-ups of the patients.

CONCLUSIONS: In the treatment of the cervical disc herniation, good results were obtained in the one year follow-up of plate and fusion procedurs after microsurgical microdiscectomy with good evaluation before operation.

Kaynakça

  • Radhakrishnan K, Litchy WJ, O’Fallon WM, et al. Epidemiology of cervical radiculopathy. A population-based study from Rochester, Minnesota, 1976 through 1990. Brain 1994;117:325–35.
  • Schoenfeld AJ, George AA, Bader JO, et al. Incidence and epidemiology of cervical radiculopathy in the United States military: 2000 to 2009. J Spinal Disord Tech 2012;25: 17–22.
  • Jacobs W, Willems PC, Kruyt M, et al. Systematic review of anterior interbody fusion techniques for single- and double-level cervical degenerative disc disease. Spine (Phila Pa 1976) 2011;36:E950–60.
  • Boselie TF, Willems PC, van Mameren H, et al. Arthroplasty versus fusion in single-level cervical degenerative disc disease: a Cochrane review. Spine (Phila Pa 1976) 2013;38:E1096–107.
  • Cloward RB: The anterior approach for removal of ruptured cervical disc. J Neurosurg 16:602-7, 1958
  • Smith GW, Robinson RA: The treatment of certain spine disorders by anterior removal of the intervertebral disc and interbody fusion. J Bone and Joint Surg. 40A:624-62, 1958
  • Hirsch C: Cervical disc rupture: diagnosis and therapy. Acta Orthop Scan 30:172-186, 1964
  • Thorell W, Cooper J, Hellbusch L, Leibrock L: The long term outcome of patients undergoing anterior cervical discectomy with and without intervertebral bone graft placement. Neurosurgery 43:268-273, 1998
  • Bertalanffy H, Eggert HR: Complications of anterior cervical discectomy without fusion in 450 consecutive patients. Acta Neurochir (Wien). 99(1-2):41-50, 1989
  • Bolesta MJ, Rechtine GR 2nd, Chrin AM: One- and two-level anterior cervical discectomy and fusion: the effect of plate fixation. Spine J. 2(3):197-203, 2002
  • Donaldson JW, Nelson PB: Anterior cervical discectomy without interbody fusion. Surg Neurol.57 (4):219-224, 2003
  • White BD, Fitzgerald JJ: To graft or not to graft: rationalizing choice in anterior cervical discectomy. British J Neurosurg. 19(2): 148-154, 2005
  • Brown MD, Malinin TI, Davis PB: A roentgoneographic evaluation of frozen allografts versus authografts in anterior cervical spine fusions. Clin Orthop 119-231-236, 1976
  • Murphy MA, Trimble MB, Piedmonte MR, Kalfas IH. Changes in the cervical foraminal area after anterior discectomy with and without a graft. Neurosurgery 1994; 34:93-69
  • Aydın Y, Kaya RA, Can SM, Türkmenoğlu O, Çavuşoğlu H, Ziyal IM: Minimally invasive anterior contralateral approach for the treatment of cervical disc herniation. Surg Neurol. 63(3):210-219, 2005
  • Nabhan A, Pape D, Pitzen T, et al. Radiographic analysis of fusion progression following one-level cervical fusion with or without plate fixation. Zentralbl Neurochir 2007;68:133–8.
  • Pompili A, Canitano S, Caroli F, et al. Asymptomatic esophageal perforation caused by late screw migration after anterior cervical plating: report of a case and review of relevant literature. Spine (Phila Pa 1976) 2002;27:E499–502.
  • Oktenoglu T, Cosar M, Ozer AF, et al. Anterior cervical microdiscectomy with or without fusion.J Spinal Disord Tech2007;20:361–8.
Toplam 18 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Klinik Tıp Bilimleri
Bölüm Makaleler-Araştırma Yazıları
Yazarlar

Serhat Yıldızhan 0000-0001-9394-5828

Yayımlanma Tarihi 27 Ağustos 2019
Kabul Tarihi 20 Şubat 2019
Yayımlandığı Sayı Yıl 2019

Kaynak Göster

APA Yıldızhan, S. (2019). SERVİKAL DİSK HERNİLERİNDE ANTERİOR PLAK İLE STABİLİZASYON. Kocatepe Tıp Dergisi, 20(1), 162-166. https://doi.org/10.18229/kocatepetip.461905
AMA Yıldızhan S. SERVİKAL DİSK HERNİLERİNDE ANTERİOR PLAK İLE STABİLİZASYON. KTD. Ağustos 2019;20(1):162-166. doi:10.18229/kocatepetip.461905
Chicago Yıldızhan, Serhat. “SERVİKAL DİSK HERNİLERİNDE ANTERİOR PLAK İLE STABİLİZASYON”. Kocatepe Tıp Dergisi 20, sy. 1 (Ağustos 2019): 162-66. https://doi.org/10.18229/kocatepetip.461905.
EndNote Yıldızhan S (01 Ağustos 2019) SERVİKAL DİSK HERNİLERİNDE ANTERİOR PLAK İLE STABİLİZASYON. Kocatepe Tıp Dergisi 20 1 162–166.
IEEE S. Yıldızhan, “SERVİKAL DİSK HERNİLERİNDE ANTERİOR PLAK İLE STABİLİZASYON”, KTD, c. 20, sy. 1, ss. 162–166, 2019, doi: 10.18229/kocatepetip.461905.
ISNAD Yıldızhan, Serhat. “SERVİKAL DİSK HERNİLERİNDE ANTERİOR PLAK İLE STABİLİZASYON”. Kocatepe Tıp Dergisi 20/1 (Ağustos 2019), 162-166. https://doi.org/10.18229/kocatepetip.461905.
JAMA Yıldızhan S. SERVİKAL DİSK HERNİLERİNDE ANTERİOR PLAK İLE STABİLİZASYON. KTD. 2019;20:162–166.
MLA Yıldızhan, Serhat. “SERVİKAL DİSK HERNİLERİNDE ANTERİOR PLAK İLE STABİLİZASYON”. Kocatepe Tıp Dergisi, c. 20, sy. 1, 2019, ss. 162-6, doi:10.18229/kocatepetip.461905.
Vancouver Yıldızhan S. SERVİKAL DİSK HERNİLERİNDE ANTERİOR PLAK İLE STABİLİZASYON. KTD. 2019;20(1):162-6.

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