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

Yıl 2012, Cilt: 3 Sayı: 09, 17 - 21, 03.03.2015

Seyit Başarslan

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

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• Anatomic considerations, a new injection technique, and a review of the literature". Anesthesiology, 98 (6): 1442–8,2001.
• Kuncewicz E, Gajewska E, Sobieska M, Samborski W. Piriformis muscle syndrome. Annales Academiae Medicae Stetinensis. 52 (3): 99–101; discussion 101, 2006.
• Lang AM. Botulinum toxin type B in piriformis syndrom.Am J Phys Med Rehabil.83 (3): 198–202, 2004