Torakolomber geçiş bölgesi instabil kırıklarında epidemiyoloji ve cerrahi sonuçlar
Küçük Resim Yok
Tarih
2021
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İnönü Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Travmatik patolojiler önlenebilir hastalıklar olarak değerlendirilmelidir. Epidemiyolojik çalışmalar gelişmiş ülkelerde daha fazla yapılmaktadır. Çalışmamızda bölgemiz için epidemiyolojik verileri elde etmeyi ve istatistiki analizlerle veriler arasındaki bağı ortaya koyarak bu kliniğin yönetimine objektif katkı sağlamayı amaçlıyoruz. Materyal ve Metod: İnönü Üniversitesi Tıp Fakültesi Turgut Özal Tıp Merkezinde 2011–2020 tarihleri arasında gerçekleştirilmiş spinal cerrahiler retrospektif olarak tarandı. İstatistiksel analizler için IBM SPSS Statistics 22 programı kullanıldı. Normal dağılıma uygunluk Kolmogorov-Smirnov ve Shapiro Wilks testleri ile değerlendirildi. Tanımlayıcı istatistiksel metodların (Ortalama, Standart sapma, medyan, frekans) yanı sıra niceliksel verilerin karşılaştırılmasında Kruskal Wallis Test, Mann Whitney U test ve Wilcoxon işaret testi kullanıldı. Niteliksel verilerin karşılaştırılmasında ise Ki-Kare testi, Fisher Freeman Halton Exact Ki-Kare testi ve Tek Gözlü düzende ki-kare testi kullanıldı. Anlamlılık p<0.05 düzeyinde değerlendirildi. Bulgular: Erkeklerde kırık görülme oranı kadınlardan anlamlı yüksektir. Yaş arttıkça kırık görülme oranı anlamlı oranda artar. En sık etyolojik neden yüksekten düşmeler olurken onu trafik kazaları izlemiştir. Cinsiyetler ile etyoloji arasında bağ saptanamamıştır. Yaş arttıkça basit düşmelerle kırık görülme oranı anlamlı artış göstermiştir. Kırılan seviyelere bakıldığında en çok L1 sonra T12 vertebra kırıkları tespit edilmiştir. Eşlik eden organ yaralanması en çok ekstremite kırıkları sonra hemotoraks olarak tespit edilmiştir. Kronik hastalıklar ileyatış süresi arasında bağ saptanmamıştır. Cerrahi teknikler ile yatış süresi arasında bağ saptanmamıştır. Cerrahi teknikler ile başarı oranları arasında fark saptanmamıştır. Sonuçlar: Bölgemiz için özellikle tarım işçilerinde omurga kırıkları hakkında toplumsal bilinç oluşturulmalıdır. Yaşlı nüfus minör travmalarla da omurga kırıkları oluşabileceği konusunda eğitilmelidir. Cerrahi teknikler hastaya uygun seçildiğinde tüm tekniklerde yüksek başarı oranı sağlanabilmektedir. Yapılan analizler objektif veriler sunmakta ve hastalıkların daha iyi yönetilmesine olanak sağlamaktadır. Omurga cerrahisi ile uğraşan her cerrah epidemiyolojik ve istatistiki çalışmalara da en az cerrahi kadar önem vermelidir. Anahtar Kelimeler: Cerrahi sonuç, Epidemiyoloji, Torakolomber Geçiş Bölgesi, Torakolomber Kırık
Epidemiology and Surgical Outcomes in Unstable Fractures of the Thoracolumbar Transition Zone Objective: Traumatic pathologies should be considered as preventable diseases. Epidemiological studies are carried out more in developed countries. In our study, we aim to obtain epidemiological data for our region and to make an objective contribution to the management of this clinic by revealing the link between statistical analysis and data. Materials and Methods: Spinal surgeries performed at İnönü University Faculty of Medicine Turgut Özal Medical Center between 2011 and 2020 were reviewed retrospectively. IBM SPSS Statistics 22 program was used for statistical analysis. Normal distribution was evaluated with Kolmogorov-Smirnov and Shapiro Wilks tests. Kruskal Wallis Test, Mann Whitney U test and Wilcoxon sign test were used to compare quantitative data as well as descriptive statistical methods (mean, standard deviation, median, frequency). Chi-square test, Fisher Freeman Halton Exact Chi-square test and Single-Eyed chi-square test were used to compare qualitative data. Significance was evaluated at the p<0.05 level. Results: The incidence of fractures in men is significantly higher than in women. As age increases, the incidence of fractures increases significantly. While the most common etiological cause was falls from height, it was followed by traffic accidents. No correlation was found between genders and etiology. As the age increased, the incidence of fractures with simple falls increased significantly. When looking at the broken levels, the most L1 and then T12 vertebra fractures were detected. Accompanying organ injury was mostly detected as extremity fractures and then hemothorax. No correlation was found between chronic diseases and length of stay. No correlation was found between surgical techniques and length of stay. There was no difference between surgical techniques and success rates. Conclusions: Social awareness should be created for our region, especially about spinal fractures in agricultural workers. The elderly population should be educated about the possibility of spinal fractures with minor traumas. When surgical techniques are chosen appropriately for the patient, a high success rate can be achieved in all techniques. Analyzes provide objective data and enable better management of diseases. Every surgeon dealing with spine surgery should give importance to epidemiological and statistical studies at least as much as surgery. Keywords: Surgical outcome, Epidemiology, Thoracolumbar Transition Region, Thoracolumbar Fracture
Epidemiology and Surgical Outcomes in Unstable Fractures of the Thoracolumbar Transition Zone Objective: Traumatic pathologies should be considered as preventable diseases. Epidemiological studies are carried out more in developed countries. In our study, we aim to obtain epidemiological data for our region and to make an objective contribution to the management of this clinic by revealing the link between statistical analysis and data. Materials and Methods: Spinal surgeries performed at İnönü University Faculty of Medicine Turgut Özal Medical Center between 2011 and 2020 were reviewed retrospectively. IBM SPSS Statistics 22 program was used for statistical analysis. Normal distribution was evaluated with Kolmogorov-Smirnov and Shapiro Wilks tests. Kruskal Wallis Test, Mann Whitney U test and Wilcoxon sign test were used to compare quantitative data as well as descriptive statistical methods (mean, standard deviation, median, frequency). Chi-square test, Fisher Freeman Halton Exact Chi-square test and Single-Eyed chi-square test were used to compare qualitative data. Significance was evaluated at the p<0.05 level. Results: The incidence of fractures in men is significantly higher than in women. As age increases, the incidence of fractures increases significantly. While the most common etiological cause was falls from height, it was followed by traffic accidents. No correlation was found between genders and etiology. As the age increased, the incidence of fractures with simple falls increased significantly. When looking at the broken levels, the most L1 and then T12 vertebra fractures were detected. Accompanying organ injury was mostly detected as extremity fractures and then hemothorax. No correlation was found between chronic diseases and length of stay. No correlation was found between surgical techniques and length of stay. There was no difference between surgical techniques and success rates. Conclusions: Social awareness should be created for our region, especially about spinal fractures in agricultural workers. The elderly population should be educated about the possibility of spinal fractures with minor traumas. When surgical techniques are chosen appropriately for the patient, a high success rate can be achieved in all techniques. Analyzes provide objective data and enable better management of diseases. Every surgeon dealing with spine surgery should give importance to epidemiological and statistical studies at least as much as surgery. Keywords: Surgical outcome, Epidemiology, Thoracolumbar Transition Region, Thoracolumbar Fracture
Açıklama
Anahtar Kelimeler
Nöroşirürji, Neurosurgery
