{"id":1897,"date":"2023-12-26T10:28:52","date_gmt":"2023-12-26T10:28:52","guid":{"rendered":"https:\/\/doktorsimsek.com\/?page_id=1897"},"modified":"2023-12-26T10:30:30","modified_gmt":"2023-12-26T10:30:30","slug":"omurga-kiriklari-cerrahisi","status":"publish","type":"page","link":"https:\/\/doktorsimsek.com\/en\/omurga-kiriklari-cerrahisi\/","title":{"rendered":"Omurga K\u0131r\u0131klar\u0131 Cerrahisi"},"content":{"rendered":"

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Tedaviler<\/div>

Omurga K\u0131r\u0131klar\u0131 Cerrahisi<\/p>

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Ayn\u0131 zamanda vertebral k\u0131r\u0131k olarak adland\u0131r\u0131lan bir omurga k\u0131r\u0131\u011f\u0131,

spinal kolonun omurgas\u0131n\u0131 etkileyen bir k\u0131r\u0131kt\u0131r.<\/strong><\/span><\/h1><\/div><\/header>
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<\/p>\n

Omurga k\u0131r\u0131klar\u0131n\u0131n \u00e7o\u011fu t\u00fcr\u00fc omurilik yaralanmas\u0131nda \u00f6nemli bir risk olu\u015fturur. Ani bir travmadan sonra, e\u011fer omurgadaki k\u0131r\u0131k dengesiz ise yani, i\u00e7 veya d\u0131\u015f fiksasyon olmaks\u0131z\u0131n omurlar\u0131n hizalanmas\u0131nda muhtemel bir de\u011fi\u015fiklik varsa omurga yaralanmas\u0131 (veya zaten zedelenmi\u015f omurgan\u0131n k\u00f6t\u00fcle\u015fmesi) riski vard\u0131r.<\/h4>\n

Hastan\u0131n ya\u015f\u0131na, sa\u011fl\u0131k durumuna, omurgadaki k\u0131r\u0131\u011f\u0131n\/yaralanman\u0131n yerine, t\u00fcr\u00fcne ve nedenine g\u00f6re omurga k\u0131r\u0131\u011f\u0131 kaynama s\u00fcresi de\u011fi\u015fiklik g\u00f6sterir.<\/h4>\n

Omurga K\u0131r\u0131klar\u0131n\u0131n Nedeni Nedir?<\/strong><\/h2>\n

Omurga k\u0131r\u0131\u011f\u0131n\u0131n kaynama s\u00fcresini etkileyen \u015feylerin ba\u015f\u0131nda k\u0131r\u0131\u011f\u0131n nedeni gelmektedir. D\u00fc\u015fmeler veya travmalar omurga k\u0131r\u0131\u011f\u0131 olu\u015fturabilir. Bu yaralanmalar\u0131n \u00e7o\u011funda ameliyat gerekmez, ancak b\u00fcy\u00fck k\u0131r\u0131klar derhal ve uygun bir \u015fekilde tedavi edilmedik\u00e7e, ciddi uzun s\u00fcreli problemlere neden olabilir.<\/h4>\n

Omurga k\u0131r\u0131klar\u0131, s\u0131kl\u0131kla osteoporotik hastalardaki min\u00f6r travmadan sonra g\u00f6r\u00fclen a\u011fr\u0131l\u0131 s\u0131k\u0131\u015ft\u0131rma k\u0131r\u0131klar\u0131ndan, patlama k\u0131r\u0131klar\u0131 ve trafik kazas\u0131 veya y\u00fcksekten d\u00fc\u015fme ile olu\u015fan k\u0131r\u0131k \u00e7\u0131k\u0131klar gibi daha a\u011f\u0131r yaralanmalara kadar uzan\u0131r. Bu ciddi yaralanmalar spinal kas\u0131lma ve a\u011fr\u0131 riski y\u00fcksek spinal instabilite ile sonu\u00e7lan\u0131r. Omurga \u00e7\u00f6kme k\u0131r\u0131klar\u0131n\u0131n en yayg\u0131n nedeni osteoporozdur ve 50 ya\u015f \u00fcst\u00fc ki\u015filerde en s\u0131k g\u00f6r\u00fcl\u00fcr. Osteoporoz veya kemiklerin zay\u0131flamas\u0131 a\u011fr\u0131l\u0131 vertebral kompresyon k\u0131r\u0131klar\u0131na neden olabilir.<\/h4>\n

D\u00fc\u015fme gibi omurgaya harici bir g\u00fc\u00e7 uyguland\u0131\u011f\u0131nda, bu g\u00fc\u00e7 y\u00fck\u00fc desteklemek i\u00e7in vertebral kolon i\u00e7indeki kemi\u011fin yetene\u011fini a\u015fabilir. Bu, omurga g\u00f6vdesinin \u00f6n k\u0131sm\u0131n\u0131n ezilmesine ve s\u0131k\u0131\u015ft\u0131r\u0131larak k\u0131r\u0131lmas\u0131na neden olabilir. T\u00fcm vertebral kolon k\u0131r\u0131l\u0131rsa patlamaya neden olur. S\u0131k\u0131\u015ft\u0131rma hafifse hafif a\u011fr\u0131 ve minimal \u015fekil bozuklu\u011fu ya\u015fan\u0131r. S\u0131k\u0131\u015ft\u0131rma \u015fiddetli, omurilik veya sinir k\u00f6klerini etkiliyorsa, \u015fiddetli a\u011fr\u0131 ve \u00f6ne e\u011filmi\u015f bir deformite (kifoz) ya\u015fan\u0131r.<\/h4>\n

Stres k\u0131r\u0131klar\u0131 (spondiloliz) spinal vertebran\u0131n (bel kemi\u011finin) deformitesi olup, genellikle kendili\u011finden d\u00fczelir ve a\u011fr\u0131 gider. Bununla birlikte, ezilmi\u015f kemik yeterince iyile\u015fmezse, bazen a\u011fr\u0131 devam edebilir. \u015eiddetli osteoporoz vakalar\u0131nda, \u00f6ne e\u011filme kadar basit bir hareket \u201cezilme frakt\u00fcr\u00fc\u201d veya spinal kompresyon k\u0131r\u0131\u011f\u0131 yaratmaya yeterli olabilir.<\/h4>\n

Omurga K\u0131r\u0131klar\u0131n\u0131n Tedavisi<\/strong><\/h2>\n

\u00c7o\u011fu omurga k\u0131r\u0131\u011f\u0131 12 hafta boyunca korse ile immobilizasyon deste\u011fi sa\u011flanarak tedavi edilir. Bu destek, a\u011fr\u0131y\u0131 azaltmaya ve deformiteyi \u00f6nlemeye yard\u0131mc\u0131 olur. Omurga k\u0131r\u0131\u011f\u0131 kaynama s\u00fcresi normal ko\u015fullarda korse kullan\u0131m\u0131n\u0131n yeterli oldu\u011fu vakalarda yakla\u015f\u0131k 12 haftad\u0131r denilebilir. Elbette hastan\u0131n ya\u015f\u0131na ve sa\u011fl\u0131k durumuna g\u00f6re bu s\u00fcre uzayabilir. Genelde trafik kazas\u0131 veya y\u00fcksekten d\u00fc\u015fme sonucu olu\u015fan k\u0131r\u0131k \u00e7\u0131k\u0131klar\u0131n kaynama s\u00fcresi \u00e7ok daha uzundur. \u00c7\u00fcnk\u00fc \u015fiddetli vakalar ameliyat gerektirebilir.<\/h4>\n

Vertebroplasti yani kapal\u0131 omurga ameliyat\u0131 kompresyon k\u0131r\u0131klar\u0131n\u0131n tedavisinde kullan\u0131labilen yeni bir cerrahi i\u015flemdir. Bu i\u015flemde, cerrah s\u0131k\u0131\u015ft\u0131r\u0131lm\u0131\u015f omurgaya kateter yerle\u015ftirir. Kateter, k\u0131r\u0131lm\u0131\u015f omurgaya vertebral kolonu stabilize eden ve sertle\u015ftiren kemik \u00e7imentosu enjekte etmek i\u00e7in kullan\u0131l\u0131r. Bu i\u015flemin omurga k\u0131r\u0131\u011f\u0131 a\u011fr\u0131s\u0131n\u0131n azalmas\u0131na veya ortadan kalkmas\u0131na, omurga k\u0131r\u0131\u011f\u0131 kaynama s\u00fcresinin k\u0131salmas\u0131na, hareketlili\u011fe h\u0131zl\u0131 bir geri d\u00f6n\u00fc\u015f\u00fcn sa\u011flanmas\u0131na ve yatak istirahatinden kaynaklanan kemik kayb\u0131n\u0131 \u00f6nlemeye yard\u0131mc\u0131 oldu\u011fu g\u00f6r\u00fclm\u00fc\u015ft\u00fcr. Bununla birlikte, omurga deformitesini d\u00fczeltmez.<\/h4>\n

Kifoplasti, r\u00f6ntgen k\u0131lavuzlu\u011funda vertebral kolona bir t\u00fcp sokulmas\u0131n\u0131 ve bunu takiben \u015fi\u015firilebilir bir kemik tamponunun yerle\u015ftirilmesini i\u00e7erir. S\u0131rtta k\u00fc\u00e7\u00fck bir kesi yap\u0131l\u0131r. \u015ei\u015firildikten sonra tampon, omur g\u00f6vdesini \u00f6zg\u00fcn y\u00fcksekli\u011fine geri getirirken, kemik \u00e7imentosu ile doldurulacak bir bo\u015fluk olu\u015fturur. \u00c7imento \u00e7atlaklar\u0131 ve bo\u015fluklar\u0131 kapat\u0131r ve omurlar\u0131n yeniden \u00e7\u00f6kmesini \u00f6nler. Bo\u015fluk dolduktan sonra t\u00fcp \u00e7\u0131kar\u0131l\u0131r ve kesi dikilir.<\/h4>\n

Omurga K\u0131r\u0131\u011f\u0131 Cerrahisi<\/strong><\/h2>\n

Omurga k\u0131r\u0131klar\u0131nda ameliyat omurgan\u0131n b\u00fct\u00fcnl\u00fc\u011f\u00fcn\u00fcn bozuldu\u011fu ya da omurilik kanal\u0131na kemik girdi\u011fi zaman mutlaka yap\u0131lmal\u0131d\u0131r. Bu ameliyatlarda k\u0131r\u0131lan omur alt ve \u00fcst seviyelerinden vida ve metal \u00e7ubuklarla sabitlenir.<\/h4>\n

Omurga k\u0131r\u0131\u011f\u0131 ameliyat\u0131 \u00f6ncesi var olan g\u00fc\u00e7 kayb\u0131 ve di\u011fer n\u00f6rolojik arazlar\u0131n bas\u0131 ortadan kald\u0131r\u0131larak ve omurgan\u0131n b\u00fct\u00fcnl\u00fc\u011f\u00fc sa\u011flanarak d\u00fczeltilmesi ama\u00e7lan\u0131r. K\u0131r\u0131k yerine g\u00f6re ve \u015fiddetine g\u00f6re al\u0131nan sonu\u00e7lar \u00e7ok de\u011fi\u015fkenlik g\u00f6sterebilmektedir.<\/h4>\n

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