Distribution of Lumbar Microdiscectomy Cases by Tuffier’s Line Levels

Ali Akar; Ümit Ali Malçok

Makale detayları

Distribution of Lumbar Microdiscectomy Cases by Tuffier’s Line Levels

Yazarlar:

Ali Akar | Ümit Ali Malçok

Yayıncı:

Selcuk University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Genel Tıp Dergisi Vol.33 Issue 2, pp.194-198

Belge Tipi:

Makale

Yayın Tarihi:

4/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001288876

pISSN:

2602-3741

Anahtar kelimeler:

Özet:

 Objective: The most used method in the surgical treatment of lumbar disc herniation LDH is lumbar microdiscectomy LMD. In this study, we aimed to show the relationship between Tuffiers line TL, which is widely used in determining the L4-5 distance in lumbar spinal interventions, and LMD levels. Materials and Methods: In this study, a total of 204 patients who had LMD or had low back pain were reviewed retrospectively. According to the projection of TL at the spine level; it was divided into 5 categories as L4 corpus, L4 lower endplate, L4-5 disc space, L5 upper endplate, L5 corpus. The cases were analyzed according to age, gender, disc level and changes in TL. Results: 92.1 of the cases were operated at the L4-5 or L5-S1 level. TL was mostly at L5 upper endplate level in women, L4-5 disc space and above in men, and there was a significant relationship between TLs and gender in both groups p0.05. Conclusion: In our study, we found that although TLs were caudally in patients operated at L5-S1 level, they displaced cranially in patients operated at L4-5 level. However, it was observed that LDH development in the lower lumbar region and increased at the upper levels with ageing.

 Objective: The most used method in the surgical treatment of lumbar disc herniation LDH is lumbar microdiscectomy LMD. In this study, we aimed to show the relationship between Tuffiers line TL, which is widely used in determining the L4-5 distance in lumbar spinal interventions, and LMD levels. Materials and Methods: In this study, a total of 204 patients who had LMD or had low back pain were reviewed retrospectively. According to the projection of TL at the spine level; it was divided into 5 categories as L4 corpus, L4 lower endplate, L4-5 disc space, L5 upper endplate, L5 corpus. The cases were analyzed according to age, gender, disc level and changes in TL. Results: 92.1 of the cases were operated at the L4-5 or L5-S1 level. TL was mostly at L5 upper endplate level in women, L4-5 disc space and above in men, and there was a significant relationship between TLs and gender in both groups p0.05. Conclusion: In our study, we found that although TLs were caudally in patients operated at L5-S1 level, they displaced cranially in patients operated at L4-5 level. However, it was observed that LDH development in the lower lumbar region and increased at the upper levels with ageing.

 Objective: The most used method in the surgical treatment of lumbar disc herniation LDH is lumbar microdiscectomy LMD. In this study, we aimed to show the relationship between Tuffiers line TL, which is widely used in determining the L4-5 distance in lumbar spinal interventions, and LMD levels. Materials and Methods: In this study, a total of 204 patients who had LMD or had low back pain were reviewed retrospectively. According to the projection of TL at the spine level; it was divided into 5 categories as L4 corpus, L4 lower endplate, L4-5 disc space, L5 upper endplate, L5 corpus. The cases were analyzed according to age, gender, disc level and changes in TL. Results: 92.1 of the cases were operated at the L4-5 or L5-S1 level. TL was mostly at L5 upper endplate level in women, L4-5 disc space and above in men, and there was a significant relationship between TLs and gender in both groups p0.05. Conclusion: In our study, we found that although TLs were caudally in patients operated at L5-S1 level, they displaced cranially in patients operated at L4-5 level. However, it was observed that LDH development in the lower lumbar region and increased at the upper levels with ageing.

 Amaç: Lomber disk hernisinin LDH cerrahi tedavisinde en sık kullanılan yöntem, lomber mikrodiskektomidir LMD. Bu çalışma ile, lomber spinal girişimlerde L4-5 mesafesini tespit edilmesinde yaygın olarak kullanılan Tuffiers çizgisi TL ile LMD seviyeleri arasındaki ilişkiyi göstermeyi amaçladık. Gereç ve yöntem: Bu çalışmada, LMD yapılan veya bel ağrısı şikayeti olan toplam 204 hasta retrospektif olarak incelendi. TL seviyesinin omurga düzeyindeki izdüşümüne göre; L4 korpus, L4 alt endplate, L4-5 disk aralığı, L5 üst endplate, L5 korpus olmak üzere 5 kategoriye ayrıldı. Olgular yaş, cinsiyet, disk seviyesi ve TL seviyesindeki değişimlere göre analiz edildi. Bulgular: Olguların  92.1i L4-5 veya L5-S1 seviyesinden opere edilmişti. TL seviyesi, kadınlarda sıklıkla L5 üst endplate seviyesinde iken erkeklerde L4-5 disk aralığı ve üstünde idi ve TL seviyeleri ile cinsiyet arasında her iki grupta da anlamlı bir ilişki mevcuttu p0.05. Sonuç: Çalışmamızda, TL seviyeleri, L5-S1 seviyesinden opere edilen hastalarda kaudalde olmasına karşın, L4-5 seviyesinde opere edilenlerde kraniale doğru yer değiştirdiğini tespit ettik. Bununla birlikte, LDH gelişiminin alt lomber bölgeden başladığı ve yaşın ilerlemesi ile birlikle üst seviyelerde arttığı görüldü.

Makale detayları

Distribution of Lumbar Microdiscectomy Cases by Tuffier’s Line Levels

Yazarlar:

Ali Akar | Ümit Ali Malçok

Yayıncı:

Selcuk University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Genel Tıp Dergisi Vol.33 Issue 2, pp.194-198

Belge Tipi:

Makale

Yayın Tarihi:

4/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001288876

pISSN:

2602-3741

Tuffier

Lumbar disc herniation

Lumbar microdiscectomy

Tuffier çizgisi

Lomber disk hernisi

Lomber mikrodiskektomiTuffier çizgisi

Lomber disk hernisi

Lomber mikrodiskektomi

Sayı

Makale detayları

Yazarlar: Ali Akar | Ümit Ali Malçok

Yayıncı: Selcuk University

Ana Başlıklar: Klinik Tıp Bilimleri

Dergi: Genel Tıp Dergisi Vol.33 Issue 2, pp.194-198

Belge Tipi: Makale

Yayın Tarihi: 4/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001288876

pISSN: 2602-3741

Sayı

Yazarlar:

Ali Akar | Ümit Ali Malçok

Yayıncı:

Selcuk University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Genel Tıp Dergisi Vol.33 Issue 2, pp.194-198

Belge Tipi:

Makale

Yayın Tarihi:

4/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001288876

pISSN:

2602-3741