Posterior servikal füzyon
Posterior servikal füzyon is a surgical procedure performed from the back of the neck that stabilizes the spine using screws or hooks and rods to provide support for the fusion process.
Understanding spine symptoms
Hayatınızın kontrolünü yeniden kazanın
Pain in the spine
Boyun ve kol ağrısı
Servikal anatomi
The cervical spine, situated in the neck region, represents a sophisticated framework composed of bones, nerves, muscles, ligaments, and tendons. Functionally delicate, it serves as the protective housing for the omurilik, which transmits messages from the brain to govern various bodily functions. Simultaneously, the cervical spine demonstrates remarkable strength and flexibility, enabling the neck to articulate movements in all directions.
Comprised of seven vertebrae labeled C1 through C7, the cervical spine establishes a connection with the skull at its upper end and with the upper back around shoulder level at its lower end. Intervertebral disks, acting as shock absorbers, are positioned between each vertebra.
Neden boyun veya kol ağrım var?
Neck pain is a common issue that can disrupt daily routines and significantly affect the overall yaşam kalitesi. The duration of discomfort varies depending on the underlying cause, ranging from a few days to an extended period. Poor posture, whether from prolonged computer use or leaning over a workstation, along with stress, can strain neck muscles. Osteoartrit, affecting many individuals, is another significant contributor. Furthermore, neck problems may extend pain into the shoulder or down the arm.
If your condition doesn't improve within a few days, you should seek medical evaluation, typically involving physical examinations and diagnostic imaging such as X-rays, MRI, or BT taramasıs. Now, let's take a look at some causes.
Dejeneratif Disk Hastalığı (DDD)
Degenerative disc disease (DDD) is a condition associated with the deterioration of the discs located between the vertebrae of the spinal column, mainly due to the aging process. This process leads to a loss of disc height and hydration, resulting in a diminished ability to cushion and provide mobility between the vertebrae. This condition can cause weakness, numbness, and neck pain.
Servikal disk hernisi
Servikal disk hernisi is a condition in which one of the discs in the neck extends beyond its normal boundary. This can press on nearby nerves, leading to pain, numbness, or weakness in the neck, shoulders, arms, or hands. The condition can be caused by aging, injury, repetitive strain, or poor posture.
Spinal stenoz
Degenerative spinal stenosis is a spinal condition in which the space where nerves pass through the spine gradually narrows. This narrowing may result from natural aging and “wear and tear” on the spine from günlük aktiviteler
Omur kırıkları
Spinal fractures are common and usually caused by osteoporosis, tumors, or trauma like car accidents, falls, or sports injuries. Most spinal fractures won’t need surgery, but you might need to temporarily wear a neck collar. However, severe spinal fractures will need to be surgically repaired. Even if you need surgery to repair your broken vertebrae, you shouldn’t expect to have any long-term effects from a spinal fracture if your omurilik isn’t damaged.
Mevcut çözümler nelerdir?
If conservative measures and non-surgical spine treatment to control your spine pain and limited mobility are not effective in relieving your symptoms, doktorunuz may recommend you undergo omurga cerrahisi. Cerrahınız can reach your spine through anterior and/or posterior "approaches" depending on the nature and location of your disease.
Anterior servikal füzyon
Anterior cervical discectomy and fusion is a surgical procedure performed from the front of the neck. The damaged disc is removed, and an interbody spacer is inserted into the disc space to facilitate fusion and provide support.
Yakınınızdaki omurga cerrahlarını mı arıyorsunuz?
Pain in the spine
Bel ve bacak ağrısı
Torakolomber anatomi
The thoracolumbar region encompasses the lower thoracic and upper lumbar vertebrae, vital for stability and movement. Comprising 12 thoracic and 5 lumbar vertebrae, it marks the transition between the mid and lower back. The thoracolumbar spine provides support for the upper body while allowing flexibility for various activities.
Muscles and ligaments in this area aid in posture, movement, and protection of vital organs. Nerve roots stemming from the omurilik here extend to the lower body, influencing sensation and motor function. The intricate interplay of bones, muscles, nerves, and connective tissues in the thoracolumbar region facilitates essential bodily functions and mobility.
Neden bel ve bacak ağrım var?
The lower back, also called the lumbar region, is the area of the back that starts below the ribcage. Pain in this area can be caused by osteoporosis, disc diseases, trauma (e.g. car accidents), falls, sports injuries, or tumors. It may last for a short period (acute), a little longer (sub-acute), or a long period (chronic). It can also cause pain to radiate down a leg (sometimes called sciatica).
If your condition doesn't improve within a few days, you should seek medical evaluation, typically involving physical examinations and diagnostic imaging such as X-rays, MRI, or BT taramasıs.
In 2020, low back pain (LBP) affected 619 million people globally and it is estimated that the number of cases will increase to 843 million cases by 2050, driven largely by population expansion and aging. 1
If your condition doesn't improve within a few days, you should seek medical evaluation, typically involving physical examinations and diagnostic imaging such as X-rays, MRI, or BT taramasıs. Now, let's take a look at some causes.
Dejeneratif Disk Hastalığı (DDD)
Degenerative disc disease (DDD) is a condition associated with the deterioration of the discs located between the vertebrae of the spinal column, mainly due to the aging process. This process leads to a loss of disc height and hydration, resulting in a diminished ability to cushion and provide mobility between the vertebrae. This condition can cause weakness, numbness, and back pain.
Spondilolistezis
Spondilolistezis is a spinal condition where one of your vertebrae slips forward above the vertebrae below. This displaced vertebra can apply pressure to the nerve, causing lower back or leg pain. This type of instability in your spine can occur from degenerative changes, stress fractures, congenital abnormalities, and in rare cases a tumor or trauma.
Spinal stenoz
Degenerative spinal stenosis is a spinal condition in which the space where nerves pass through the spine gradually narrows. This narrowing may result from natural aging and “wear and tear” on the spine from günlük aktiviteler.
Pressure on the nerves may cause pain and damage. Symptoms may include numbness and a “prickly” feeling in your legs, calves, or buttocks; aching, dull back pain spreading to your legs; decreased endurance when standing or walking. Symptoms may improve when sitting, leaning forward, lying on your back, or sitting with raised feet.
Omur kırıkları
Degenerative disc disease (DDD) is a condition associated with the deterioration of the discs located between the vertebrae of the spinal column, mainly due to the aging process. This process leads to a loss of disc height and hydration, resulting in a diminished ability to cushion and provide mobility between the vertebrae. This condition can cause weakness, numbness, and back pain.
Mevcut çözümler nelerdir?
If conservative measures and nonsurgical spine treatments are not effective in relieving your spine pain and symptoms, doktorunuz may recommend you undergo omurga cerrahisi. Cerrahınız can reach your spine through anterior and/or posterior "approaches" depending on the nature and location of your disease.
Posterior torakolomber füzyon
Posterior torakolomber füzyon is a surgical procedure that stabilizes the spine using cages, rods, screws, and bone grafts to fuse vertebrae, addressing instability, deformity, or spinal weakness from injury or disease.
Anterior lomber füzyon
Anterior thoracolumbar fusion stabilizes the spine by accessing and fusing vertebrae from the front, often used to address instability, deformity, or trauma affecting the thoracolumbar region surgically.
Yakınınızdaki omurga cerrahlarını mı arıyorsunuz?
Pain in the spine
Pelvis ağrısı
Pelvis anatomisi
The sacroiliac joint (SIJ) occurs twice in the pelvis, connecting the sacrum to the pelvic blades (ilium) on both sides. It is one of the largest joints in the human body. Like other joints, it contains eklem kıkırdağı, synovial fluid, a joint capsule, and a ligament apparatus; however, it is very different from all the other joints in that it has minimal mobility.
Neden pelvis ağrısı olur?
Pain stemming from the sacroiliac joint (SIJ) can result from various factors like childbirth, joint malformation, accidents, or conditions like Rheumatoid Arthritis. Additionally, even a healthy SIJ may cause discomfort if it compensates for adjacent painful or blocked joints by moving excessively. Identifying SIJ-related issues can be challenging as their symptoms often mimic other medical conditions, leading to potential oversight.
The manifestation of SIJ-related symptoms is characterized by deep back pain in the pelvic region usually one-sided. Pain may extend to the buttocks, lateral thigh, calf, and occasionally the groin, creating a sensation that differs from the actual source.
Patients may experience restlessness while sitting, the urge to relieve one side of the buttocks, and frequent position changes, often mistaken for nervousness by others. Some report a sense of reduced control over the affected leg while walking, despite normal muscle movement and skin sensation.
At night, discomfort may disrupt sleep when changing positions or lying on the affected side, although falling asleep typically remains unaffected. These symptoms underscore the complexity of SIJ-related issues, often necessitating individualized identification and treatment, especially in cases where no other apparent cause for deep-seated back pain exists.
Mevcut çözümler nelerdir?
In the event that surgery is the only option, an SI joint fusion can be achieved with different approaches:
Posterior S2AI
As part of posterior lumbar fixation, it’s possible to stabilize SI joint with an S2AI fixation, providing stability and support for conditions like sacroiliac joint dysfunction or pelvic fractures.
Lateral SI füzyonu
Through a small incision, just below your waist, the sacroiliac screws are inserted to stabilize your sacroiliac joint, resulting in an improvement in your yaşam kalitesi.
Yakınınızdaki omurga cerrahlarını mı arıyorsunuz?
Pain in the spine
Deformite
Omurga hizalaması
Spine alignment refers to the proper positioning and arrangement of the vertebrae in the spinal column, ensuring that it maintains a solid and balanced structure.
A healthy spine appears straight if viewed from behind and curved in an “S” shape when viewed from the side.
The natural spine curves work together to provide stability, support, and flexibility.
Optimal spine alignment is essential for maintaining proper posture, preventing discomfort or pain, and facilitating the overall function of the nervous system.
Skolyoz nedir?
Scoliosis is a deformity of the spine in which, instead of appearing straight when viewed from behind, it curves laterally in various patterns.
Patients with skolyoz could have curves that look more like a “C” (one curve) or an “S” (two curves) viewed from behind. Depending on the age of the patient, skolyoz can be Adolescent Scoliosis or Adult Scoliosis.
Scoliosis affects less than 1 percent of the world population, mostly children between the ages of 10-16 years. In the elderly, the incidence can be as high as 68.6%. The most common causes include a continuation of adolescent idiopathic (unknown case) skolyoz or a (new) skolyoz due to degeneration of the discs, artrit of the facet joints, and collapse and wedging of the disc spaces.
Patients may have a variety of symptoms, which can lead to gradual loss of function:
- Low back pain and stiffness are the 2 most common symptoms 2
- Numbness, cramping, and shooting pain in the legs due to pinched nerves
- Loss of sagittal balance, which can cause muscle fatigue
In 90 percent of cases, scoliotic curves are mild and do not require active treatment. 3
Mevcut çözümler nelerdir?
In the management of skolyoz, the initial preference is for nonsurgical interventions whenever feasible.
Conservative approaches typically encompass medication, bracing, and engagement in fizik tedavi and exercise.
Surgical intervention is typically reserved for patients experiencing persistent pain, breathing difficulties, significant disfigurement, or a progressively worsening curve angle.
The goal of surgical treatment is to obtain curve correction and to prevent curve progression by fusing the spine at the optimum degree of safe correction of the deformity. This is generally achieved by placing metal implants into the spine that are then connected to rods, which correct the spine curvature and hold it in the corrected position until the spine elements fuse.
Each case of skolyoz is unique, necessitating a tailored approach for optimal outcomes for this reason doktorunuz may suggest that you undergo a Patient-Specific Scoliosis Correction using MySpine and NextAR, the latest hastaya özel solutions developed by Medacta
Yakınınızdaki omurga cerrahlarını mı arıyorsunuz?
DOKTORUNUZU BULUN
Buradaki bilgiler yalnızca referans amaçlıdır ve tıbbi tavsiye veya öneri niteliği taşımaz. Her hasta bir hekim tarafından bireysel olarak muayene edilmeli ve bilgilendirilmelidir; bu bilgiler söz konusu muayene ve/veya tavsiyenin yerini kısmen veya tamamen almaz. Sonuçlar tüm hastalar için tipik, gösterge niteliğinde veya temsil edici olmayabilir. Sonuçlar sağlık durumu, kilo, aktivite ve diğer değişkenlere göre farklılık gösterebilir. Tüm hastalar bu ürün ve/veya prosedür için aday değildir. Uygun ameliyat sonrası aktiviteler ve ağrı yönetimi hastadan hastaya değişir. Durumunuz ve sunulan prosedürün sizin için uygun olup olmadığı konusunda, ilgili riskleri göz önünde bulundurarak doktorunuzla konuşun. Tüm içerik Medacta’nın telif hakkı, ticari marka ve/veya diğer fikri mülkiyet haklarıyla korunur ve Medacta’nın yazılı izni olmadan kullanılamaz.
Kaynaklar
1- https://www.who.int/news-room/fact-sheets/detail/low-back-pain - accessed on 12/10/2023.
2- http://www.aans.org/ - accessed on 12/10/2023.
3- http://www.srs.org/ - accessed on 12/10/2023.