AN ENTRAPMENT FOR LUMBAR DİSC SURGERY, PİRİFORMİS SYNDROME: A COMPİLATİON

Öz

Piriformis syndrome is a neuromuscular disorder that occurs when the sciatic nerve is compressed by the piriformis muscle. The ability to recognize piriformis syndrome requires an
understanding of the structure and function of the piriformis muscle and its relationship to the sciatic nerve. The consequences of the clinical evaluation made by ignoring this syndrome are often underestimated.Piriformis syndrome (PS) is an uncommon neuromuscular disorder that occurs with the strangling of the sciatic nerve by the piriformis muscle. The disorder usually occurs when the sciatic nerve is compressed or irritated by the muscle. An important feature of the diseaseis that PS is often overlooked in clinical practice because its presentation may be similar to that of lumbar radiculopathy. In US, it is reported that the patients with low back pain and sciatica were turned out to be PS at the rate of 6-8%(1). The ability to recognize PS requires an understanding of the structure and function of the piriformis muscle and its relationship to the sciatic nerve (3). 

Anahtar Kelimeler

• Piriformis syndrome
• Sciaticnerve
• Radiculopaty

LOMBER DİSK CERRAHİSİNE BİR TUZAK, PİRİFORMİS SENDROMU: DERLEME

Öz

Piriformis sendromu piriformis kasının siyatik siniri sıkıştırması ile oluşan nöromusküler bir hastalıktır. Klinik uygulamalarda lomber radikülopati ile benzer şikayete neden olması nedeni ile sıklıkla gözden kaçar. Piriformis sendromunu anlaşılabilmesi için piriformis kası ile siyatik sinir yapılarının fonksiyon ve ilişkisinin bilinmesi gerekir. Bu sendromu gözardı ederek yapılan klinik değerlendirmenin doğuracağı sonuçlar sıklıkla önemsenmez.

Piriformis sendromu piriformis kasının siyatik siniri sıkıştırması ile oluşan nöromusküler bir hastalıktır. Klinik uygulamalarda lomber radikülopati ile benzer şikayete neden olması nedeni ile sıklıkla gözden kaçar. Piriformis sendromunu anlaşılabilmesi için piriformis kası ile siyatik sinir yapılarının fonksiyon ve ilişkisinin bilinmesi gerekir. Bu sendromu gözardı ederek yapılan klinik değerlendirmenin doğuracağı sonuçlar sıklıkla önemsenmez.

Anahtar Kelimeler

• Piriformis sendrom
• Siyatik Sinir
• Radikülopati

Kaynakça

1. Fishman, LM, Dombi, GW, Michaelsen, C, Ringel, SV, Rosbruch, J, Rosner, B, and Weber, C. Piriformis Syndrome: Diagnosis, treatment and outcome- a ten year study. Archives of Physical Medicine and Rehabilitation ,83 (3): 295-302, 2002.
2. Filler AG, Haynes J, Jordan SE,Prager J, Villablanca P, Farahani K, McBride DQ, Tsuruda JS, Morisoli B, Batzdorf U, Johnson JP. Sciatica of nondisc origin and piriformissyndrome:diagnosis by magnetic resonance neurography and interventional magnetic resonance imaging with outcome study of resulting treatment. J Neurosurg Spine, 2: 99-115, 2005
3. Fishman, LM, Shaffer, MF. The Piriformis Syndrome is Underdiagnosed. Muscle and Nerve.83: 626-629, 2003.
4. Kirschner JS, Foye PM, Cole JL.Piriformis syndrome, diagnosis and treatment".Muscle Nerve40 (1): 10–8,2009.
5. Lewis AM, Layzer R, Engstrom JW, Barbaro NM, Chin CT. Magnetic resonance neurography in extraspinal sciatica. Arch. Neurol.63 (10): 1469–72,2006.
6. Deyo RA, Weinstein JN (). Low back pain.N. Engl. J. Med.344 (5): 363–70.
7. Smoll NR. Variations of the Piriformis and Sciatic Nerve With Clinical Consequence: A Review. Clinical Anatomy. 23 (1): 8–17,2010.
8. Anatomic considerations, a new injection technique, and a review of the literature". Anesthesiology, 98 (6): 1442–8,2001.

9. Kuncewicz E, Gajewska E, Sobieska M, Samborski W. Piriformis muscle syndrome. Annales Academiae Medicae Stetinensis. 52 (3): 99–101; discussion 101, 2006.
10. Lang AM. Botulinum toxin type B in piriformis syndrom.Am J Phys Med Rehabil.83 (3): 198–202, 2004