Haydarpasa Numune Med J. Baskýdaki Makaleler: HNHJ-35492 | DOI: 10.14744/hnhj.2020.35492

Baþarýsýz bel cerrahisi hastalarýnda sakroiliak disfonksiyon sýklýðý ve bunu etkileyen demografik ve cerrahi faktörler

Hatun Deniz Aytaç¹, Duygu Geler Külcü², Nilgün Mesci^2
1Baþakþehir Çam ve Sakura Þehir Hastanesi, Fizik Tedavi ve Rehabilitasyon Kliniði, Ýstanbul
²Saðlýk Bilimleri Üniversitesi, Haydarpaþa Numune Eðitim ve Araþtýrma Hastanesi, Fizik Tedavi ve Rehabilitasyon Kliniði, Ýstanbul

GÝRÝÞ ve AMAÇ: Baþarýsýz bel cerrahisi sendromu (BBCS) hastalarýnda sakroiliak eklem disfonksiyonu (SÝED) sýklýðýný araþtýrmak ve SÝED’li hastalar ile SÝED’siz hastalarýn demografik özelliklerini ve cerrahi ile ilgili faktörlerini karþýlaþtýrmaktýr.
YÖNTEM ve GEREÇLER: Kesitsel olarak tasarlanan çalýþmamýza 18- 75 yaþ arasý 50 baþarýsýz bel cerrahisi hastasý dahil edildi. Yapýlan özel sakroiliak eklem testlerinden en az üçünün ve tanýsal enjeksiyon testinin pozitif olduðu hastalara SÝED tanýsý kondu. BBCS’li hastalarda SÝED sýklýðý belirlendi. SÝED’li hastalarla SÝED’siz hastalarýn demografik özellikleri, klinik bulgularý ve cerrahi ile ilgili faktörleri karþýlaþtýrýldý.
BULGULAR: Baþarýsýz bel cerrahisi hastalarýnda SÝED sýklýðýný %30 olarak bulduk. SÝED’li hastalarla SÝED’siz hastalar arasýnda demografik özellikler, klinik bulgular ve cerrahi ile ilgili faktörler açýsýndan anlamlý bir fark görmedik (p>0.05).
TARTIÞMA ve SONUÇ: Baþarýsýz bel cerrahisi, kiþiyi sosyal ve psikolojik yönden etkileyen çok önemli bir sakatlýk sebebidir. Tedavi yönetiminin bu sebeple doðru yapýlmasý son derece önemlidir. Hastalar her yönüyle deðerlendirilmeli, mevcut klinik bulgular ve aðrý sadece operasyonla ilgili faktörlere baðlanmamalýdýr. Kalça muayenesi ve SÝED’ye yönelik muayene ve testler ayrýntýlý olarak yapýlmalýdýr.

Anahtar Kelimeler: Baþarýsýz bel cerrahisi sendromu, Sakroiliak eklem, Sakroiliak eklem disfonksiyonu

---

Sakroiliac dysfunction frequency in patients with failed back surgery and demographic and surgical factors affecting this

Hatun Deniz Aytaç¹, Duygu Geler Külcü², Nilgün Mesci^2
1Baþakþehir Çam and Sakura City Hospital, Clinic of Physical Therapy and Rehabilitation, Istanbul
²Health Sciences University, Haydarpaþa Numune Training and Research Hospital, Clinic of Physical Therapy and Rehabilitation, Istanbul

INTRODUCTION: We aimed to investigate the frequency of “Sacroiliac Joint Dysfunction (SIJD)” in patients who have undergone “Failed Back Surgery Syndrome (FBSS)” and surgical factors and the demographical data of the patients with or without SIJD.
METHODS: In our cross-sectional study, 50 patients between the ages of 18-75 who have undergone to FBSS were included. Patients with the positive results in at least three of the specific SIJD tests and the positive result in diagnostic injection test were diagnosed as SIJD. The frequency of SIJD was determined in patients with FBSS. The demographical data, clinical features and surgical factors were compared in groups with or without SIJD.
RESULTS: We found the frequency of SIJD is %30 in patients with FBSS. There were no difference was found in demographic data and the characteristics of the patient groups (p>0.05).
DISCUSSION AND CONCLUSION: Failed Back Surgery Syndrome is a very important cause of disability that negatively affects the patient socially and psychologically. Therefore it is very important to manage the treatment correctly. Patients should be evaluated in all respects and the pain shouldn’t be attributed only to surgical factors. Hip examination and the existance of SIJD should be evaluated all the times.

Keywords: Failed back surgery syndrome, Sacroiliac joint, Sacroiliac joint dysfunction

---