Yıl: 2017 Cilt: 34 Sayı: 3 Sayfa Aralığı: 199 - 206 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Formulation and Validation of Equation Predicting Amount of Disc Removed Before Microscopic Discectomy

Öz:
Amaç: Mikroskopik diskektomi sırasında minimal laminotomi sonucu oluşan kısıtlı mikroskopik alan nedeniyle rüptüre olmuş disk yukarı ya da sağa kaydıysa ne kadar diskin kalıntısının kaldığını bilmek zor olabilir. Bu çalışmanın amacı cerrahiden önce ne büyüklükte herniye disk kaldığını tahmin edebilen primer lineer denklemi formüle ve valide etmektir. Yöntem: Çalışmaya mayis 2010 ve aralik 2012 tarihleri arasında izlenen ekstrüde, rüptüre ya da migrate olmuş diske bağlı radikulopatisi olan 60 hasta (35 kadin ve 25 erkek) dahil edilmiştir. Herniye olmus disklerin hacimleri MRG ve resim analizi iletişim sistemi kullanılarak belirlenmiştir. Herniye olmuş disklerin cerrahi olarak alınan parçaları operasyon salonunda elektronik bir skala kullanılarak tartılmıştır. Ağırlıklara (Y aksisi) ve hacimlere (X aksisi) bakılarak dağılım grafiği hazırlanmıştır. Regresyon analiz modeli kullanılarak primer lineer denkem hesaplanmıştır. 30 hastada (22 erkek, 8 kadin) istatistik validasyon için Wilcoxon matched pairs sign rank testi ile prospektif bir çalışma yürütülmüştür. Sonuçlar: Primer lineer equasyon Y=1.220X `tir (Y= alınan diskin tahmin edilen ağırlığı ve X= MRG´de ölçülen herniye diskin hacmi). Alınan diskin tahmini ağırlığı MRG'de herniye olmuş diskin ölçülen hacmiye yakın korelasyon göstermektedir (R2=0.818). Bu denklemin validasyonu mükemmeldir Sonuç: Primer lineer denklem cerrahiden önce alınan diskin miktarini tahmin edebilir
Anahtar Kelime:

Konular: Nörolojik Bilimler

Mikroskopik Diskektomiden Önce Alınan Disk Miktarının Tahmin Eden Denklemin Formulasyonu ve Validasyonu

Öz:
Purpose: During microscopic discectomy, knowing how much disc remains can be difficult if the ruptured disc has migrated upward or downward because of a limited microscopic field resulting from minimal laminotomy. The purpose of this study is to formulate and validate a primary linear equation that can predict the amount of herniated disc to be removed prior to surgery. Methods: Sixty patients (35 males and 25 females) who had radiculopathy by extruded, ruptured, or migrated disc from May 2010 to December 2012.Each patient underwent microscopic hemilaminotomy and discectomy on lumbar levels. Volumes of herniated discs were ascertained using MRI and a picture analysis communication system. The surgically removed part of the herniated disc was weighed using an electronic scale in the operation theater. A distribution chart was constructed using measured weights (Y axis) and volumes (X axis). Using a regression analysis model, the primary linear equation was calculated. A prospective study was conducted on 30 patients (22 males and eight females) to statistically validate the equation using the Wilcoxon matched pairs sign rank test. Results: The primary linear equation was Y=1.220X, where Y=predictable weight of removed disc and X=measured volume of herniated disc on MRI. The predictable weight of removed disc closely correlation with the measured volume of herniated disc on MRI (R2=0.818). Validation of this equation was excellent (Wilcoxon matched pairs signed rank test by Null hypothesis). Conclusions: The derived primary linear equation can predict the amount of disc to be removed prior to surgery
Anahtar Kelime:

Konular: Nörolojik Bilimler
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA JEONG S, KIM D, LEE K, LEE K (2017). Formulation and Validation of Equation Predicting Amount of Disc Removed Before Microscopic Discectomy. , 199 - 206.
Chicago JEONG Seong Yup,KIM Do Yeon,LEE Kwang Hun,LEE Kwang-Bok Formulation and Validation of Equation Predicting Amount of Disc Removed Before Microscopic Discectomy. (2017): 199 - 206.
MLA JEONG Seong Yup,KIM Do Yeon,LEE Kwang Hun,LEE Kwang-Bok Formulation and Validation of Equation Predicting Amount of Disc Removed Before Microscopic Discectomy. , 2017, ss.199 - 206.
AMA JEONG S,KIM D,LEE K,LEE K Formulation and Validation of Equation Predicting Amount of Disc Removed Before Microscopic Discectomy. . 2017; 199 - 206.
Vancouver JEONG S,KIM D,LEE K,LEE K Formulation and Validation of Equation Predicting Amount of Disc Removed Before Microscopic Discectomy. . 2017; 199 - 206.
IEEE JEONG S,KIM D,LEE K,LEE K "Formulation and Validation of Equation Predicting Amount of Disc Removed Before Microscopic Discectomy." , ss.199 - 206, 2017.
ISNAD JEONG, Seong Yup vd. "Formulation and Validation of Equation Predicting Amount of Disc Removed Before Microscopic Discectomy". (2017), 199-206.
APA JEONG S, KIM D, LEE K, LEE K (2017). Formulation and Validation of Equation Predicting Amount of Disc Removed Before Microscopic Discectomy. Journal of Neurological Sciences (Turkish), 34(3), 199 - 206.
Chicago JEONG Seong Yup,KIM Do Yeon,LEE Kwang Hun,LEE Kwang-Bok Formulation and Validation of Equation Predicting Amount of Disc Removed Before Microscopic Discectomy. Journal of Neurological Sciences (Turkish) 34, no.3 (2017): 199 - 206.
MLA JEONG Seong Yup,KIM Do Yeon,LEE Kwang Hun,LEE Kwang-Bok Formulation and Validation of Equation Predicting Amount of Disc Removed Before Microscopic Discectomy. Journal of Neurological Sciences (Turkish), vol.34, no.3, 2017, ss.199 - 206.
AMA JEONG S,KIM D,LEE K,LEE K Formulation and Validation of Equation Predicting Amount of Disc Removed Before Microscopic Discectomy. Journal of Neurological Sciences (Turkish). 2017; 34(3): 199 - 206.
Vancouver JEONG S,KIM D,LEE K,LEE K Formulation and Validation of Equation Predicting Amount of Disc Removed Before Microscopic Discectomy. Journal of Neurological Sciences (Turkish). 2017; 34(3): 199 - 206.
IEEE JEONG S,KIM D,LEE K,LEE K "Formulation and Validation of Equation Predicting Amount of Disc Removed Before Microscopic Discectomy." Journal of Neurological Sciences (Turkish), 34, ss.199 - 206, 2017.
ISNAD JEONG, Seong Yup vd. "Formulation and Validation of Equation Predicting Amount of Disc Removed Before Microscopic Discectomy". Journal of Neurological Sciences (Turkish) 34/3 (2017), 199-206.