Research Article

Transizyonel vertebra tanısında grafilerin birlikte değerlendirilmesi

-

Özlem Güngör Cansu Öztürk Selma Uysal Ramadan Turay Cesur

https://doi.org/10.16919/bozoktip.917189
Cited By: 1

Abstract

AMAÇ: Lumbosakral transizyonel vertebra tanısında tüm vertebranın taranması ve C2 düzeyinden başlayarak inferiora doğru sayım altın standarttır. Bu çalışmadaki amacımız daha düşük doz radyasyon maruziyeti ile posterior anterior akciğer grafi (PA AC) ve direkt üriner sistem grafiler (DÜSG) birlikte değerlendirmesinin lumbosakral transizyonel vertebra (LSTV)tanısında kullanımını değerlendirmektir.
MATERYAL & METOD :İki radyolog tarafından 327 hastanın PA AC ve DÜSG’ini birlikte değerlendirildi.Her iki grafi birlikte LSTV açısından değerlendirildi. Daha sonra 327 hastanın skolyoz grafileri LSTV açısından değerlendirildi.
SONUÇLAR: DÜSG’nin LSTV teşhisinde tanısal doğruluğunu 120 deneğin 117'sinde gerçek pozitif, 3 kişide yanlış negatif sonuç tespit edildi. 207 kişiden 163'ünü gerçek negatif ve kalan 44 vaka yanlış pozitif olarak tespit edildi. DÜSG ve PA AC grafi birlikte değerlendirildiğinde 120 vakanın 119’unda doğru pozitif ve 1 vakada yanlış negatif sonuç elde edilmişti.167 vakayı doğru negatif ve 40 vaka yanlış pozitif olarak değerlendirildi.
SONUÇ: Herhangi bir yanıltıcı bilgi uygunsuz cerrahi veya invaziv prosedüre yol açabileceğinden, LSTV'nin doğru teşhisi son derece önemlidir. PA AC ve DÜSG'nin birlikte yorumlanmasının duyarlılığı % 97,6 ve özgüllüğü % 80,6 olarak bulunmuştur.

Keywords

lumbosakral transizyonel vertebra PA AC grafi Direkt üriner sistem grafi skolyoz grafi

References

  • 1. French HD, Somasundaram AJ, Schaefer NR, Laherty RW. Lumbosacral transitional vertebrae and its prevalence in the Australian population. Global Spine J. 2014 Dec;4(4):229-32. DOI: 10.1055/s-0034-1387808.
  • 2. Jancuska JM, Spivak JM, Bendo JA. A Review of Symptomatic Lumbosacral Transitional Vertebrae: Bertolotti's Syndrome. Int J Spine Surg. 2015 Jul 29;9:42. DOI: 10.14444/2042.
  • 3. Castellvi AE, Goldstein LA, Chan DP. (1984) Lumbosacral transitional vertebrae and their relationship with lumbar extradural defects. Spine 9:493–5.
  • 4. Delport EG, Cucuzzella TR, Kim N, Marley J, Pruitt C, Delport AG. Lumbosacral transitional vertebrae: incidence in a consecutive patient series. Pain Physician. 2006 Jan;9(1):53-6.
  • 5. Apazidis A, Ricart PA, Diefenbach CM, Spivak JM. The prevalence of transitional vertebrae in the lumbar spine. Spine J. 2011 Sep;11(9):858-62. DOI: 10.1016/j.spinee.2011.08.005.
  • 6. Konin GP, Walz DM. Lumbosacral transitional vertebrae: classification, imaging findings, and clinical relevance. AJNR Am J Neuroradiol. 2010 Nov;31(10):1778-86. DOI: 10.3174/ajnr.A2036.
  • 7. O’Brien MF, Kiklo T, Blanke KM, Lenke LG, Spinal Deformity Study Group (SDSG) (Editors in Chief) (2008) Radiographic measurement manual. Medtronic Sofamor Danek USA, Inc., Memphis;3.
  • 8. .Lian J, Levine N, Cho W.(2018) A review of lumbosacral transitional vertebrae and associated vertebral numeration. Eur Spine J. May;27(5):995-1004.
  • 9. Quinlan JF, Duke D, Eustace S. Bertolotti's syndrome. A cause of back pain in young people. J Bone Joint Surg Br. 2006 Sep;88(9):1183-6. DOI: 10.1302/0301-620X.88B9.17211.
  • 10. Khairnar KB, Rajale MB, Sacralization Of Lumbar Vertebra, Indian Journal of Basic & Applied Medical Research; 2013: 6,510-4
  • 11. Otani K, Konno S, Kikuchi S. Lumbosacral transitional vertebrae and nerve-root symptoms. J Bone Joint Surg Br. 2001 Nov;83(8):1137-40. DOI: 10.1302/0301-620x.83b8.11736.
  • 12. Konin GP, Walz DM. Lumbosacral transitional vertebrae: classification, imaging findings, and clinical relevance. AJNR Am J Neuroradiol. 2010 Nov;31(10):1778-86. DOI: 10.3174/ajnr.A2036.
  • 13. Davran R, Bayarogullari H, Atci N, Kayali A, Ozturk F, Burakgazi G. Congenital abnormalities of the ribs: evaluation with multidetector computed tomography. J Pak Med Assoc. 2017 Feb;67(2):178-86.
  • 14. Tokgoz N, Ucar M, Erdogan AB, Kilic K, Ozcan C. Are spinal or paraspinal anatomic markers helpful for vertebral numbering and diagnosing lumbosacral transitional vertebrae? Korean J Radiol. 2014 Mar-Apr;15(2):258-66. DOI: 10.3348/kjr.2014.15.2.258.
  • 15. Lee CH, Park CM, Kim KA, Hong SJ, Seol HY, Kim BH, Kim JH. Identification and prediction of transitional vertebrae on imaging studies: anatomical significance of paraspinal structures. Clin Anat. 2007 Nov;20(8):905-14. DOI: 10.1002/ca.20540.
  • 16. Holm EK, Bünger C, Foldager CB. Symptomatic lumbosacral transitional vertebra: a review of the current literature and clinical outcomes following steroid injection or surgical intervention. SICOT J. 2017;3:71. DOI: 10.1051/sicotj/2017055.

ASSESSMENT OF GRAPHICS TOGETHER IN THE DIAGNOSIS OF THE TRANSITIONAL VERTEBRAE

-

Özlem Güngör Cansu Öztürk Selma Uysal Ramadan Turay Cesur

https://doi.org/10.16919/bozoktip.917189
Cited By: 1

Abstract

AİM: Full vertebral scanning and counting from C2 inferiorly is the gold standard for the lumbosacral transitional vertebrae (LSTV) diagnosis. We aimed to investigate the use of a posteroanterior chest radiograph (CRXPA) and direct urinary system graph (DUSG) combination, which would provide lower dose radiation exposure in LSTV diagnosis.
MATERIALS & METHOD: CRX PA and DUSG of 327 patients were examined by 2 radiologists. Both of the x-ray graphs have been interpreted by the radiologist to detect existing LSTV. Scoliosis graphs were conducted of all 327 patients to detect LSTV
RESULTS: The performance accuracy of DUSG for the diagnosis of LSTV, we have observed that it provided true positive results in 117 of the 120 subjects and false-negative in 3 subjects. It could detect 163 of the 207 subjects as true negative and the remaining 44 individuals as false positive. When we have evaluated the diagnostic performance of DUSG and CRX PA together we have observed that it provided true positive results in 119 of the 120 subjects and false-negative in 1 subject. It could detect 167 of the 207 subjects as true negative and the remaining 40 individuals as false positive.
CONCLUSION: The accurate diagnosis of LSTV is highly important as any misleading information can lead to inappropriate surgery or invasive procedure. The sensitivity of interpretation of CRX PA and DUSG together has been found as 97.6% and the specificity as 80.6%.

Keywords

lumbosacral transitional vertebrae posterior and anterior chest graph direct urinary tractus graph scoliosis graph

References

  • 1. French HD, Somasundaram AJ, Schaefer NR, Laherty RW. Lumbosacral transitional vertebrae and its prevalence in the Australian population. Global Spine J. 2014 Dec;4(4):229-32. DOI: 10.1055/s-0034-1387808.
  • 2. Jancuska JM, Spivak JM, Bendo JA. A Review of Symptomatic Lumbosacral Transitional Vertebrae: Bertolotti's Syndrome. Int J Spine Surg. 2015 Jul 29;9:42. DOI: 10.14444/2042.
  • 3. Castellvi AE, Goldstein LA, Chan DP. (1984) Lumbosacral transitional vertebrae and their relationship with lumbar extradural defects. Spine 9:493–5.
  • 4. Delport EG, Cucuzzella TR, Kim N, Marley J, Pruitt C, Delport AG. Lumbosacral transitional vertebrae: incidence in a consecutive patient series. Pain Physician. 2006 Jan;9(1):53-6.
  • 5. Apazidis A, Ricart PA, Diefenbach CM, Spivak JM. The prevalence of transitional vertebrae in the lumbar spine. Spine J. 2011 Sep;11(9):858-62. DOI: 10.1016/j.spinee.2011.08.005.
  • 6. Konin GP, Walz DM. Lumbosacral transitional vertebrae: classification, imaging findings, and clinical relevance. AJNR Am J Neuroradiol. 2010 Nov;31(10):1778-86. DOI: 10.3174/ajnr.A2036.
  • 7. O’Brien MF, Kiklo T, Blanke KM, Lenke LG, Spinal Deformity Study Group (SDSG) (Editors in Chief) (2008) Radiographic measurement manual. Medtronic Sofamor Danek USA, Inc., Memphis;3.
  • 8. .Lian J, Levine N, Cho W.(2018) A review of lumbosacral transitional vertebrae and associated vertebral numeration. Eur Spine J. May;27(5):995-1004.
  • 9. Quinlan JF, Duke D, Eustace S. Bertolotti's syndrome. A cause of back pain in young people. J Bone Joint Surg Br. 2006 Sep;88(9):1183-6. DOI: 10.1302/0301-620X.88B9.17211.
  • 10. Khairnar KB, Rajale MB, Sacralization Of Lumbar Vertebra, Indian Journal of Basic & Applied Medical Research; 2013: 6,510-4
  • 11. Otani K, Konno S, Kikuchi S. Lumbosacral transitional vertebrae and nerve-root symptoms. J Bone Joint Surg Br. 2001 Nov;83(8):1137-40. DOI: 10.1302/0301-620x.83b8.11736.
  • 12. Konin GP, Walz DM. Lumbosacral transitional vertebrae: classification, imaging findings, and clinical relevance. AJNR Am J Neuroradiol. 2010 Nov;31(10):1778-86. DOI: 10.3174/ajnr.A2036.
  • 13. Davran R, Bayarogullari H, Atci N, Kayali A, Ozturk F, Burakgazi G. Congenital abnormalities of the ribs: evaluation with multidetector computed tomography. J Pak Med Assoc. 2017 Feb;67(2):178-86.
  • 14. Tokgoz N, Ucar M, Erdogan AB, Kilic K, Ozcan C. Are spinal or paraspinal anatomic markers helpful for vertebral numbering and diagnosing lumbosacral transitional vertebrae? Korean J Radiol. 2014 Mar-Apr;15(2):258-66. DOI: 10.3348/kjr.2014.15.2.258.
  • 15. Lee CH, Park CM, Kim KA, Hong SJ, Seol HY, Kim BH, Kim JH. Identification and prediction of transitional vertebrae on imaging studies: anatomical significance of paraspinal structures. Clin Anat. 2007 Nov;20(8):905-14. DOI: 10.1002/ca.20540.
  • 16. Holm EK, Bünger C, Foldager CB. Symptomatic lumbosacral transitional vertebra: a review of the current literature and clinical outcomes following steroid injection or surgical intervention. SICOT J. 2017;3:71. DOI: 10.1051/sicotj/2017055.
There are 16 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Authors

Özlem Güngör 0000-0003-0793-3498

Cansu Öztürk 0000-0003-3659-5184

Selma Uysal Ramadan 0000-0002-3653-7892

Turay Cesur 0000-0002-2726-8045

Publication Date

Cite

APA Güngör, Ö., Öztürk, C., Uysal Ramadan, S., Cesur, T. (n.d.). ASSESSMENT OF GRAPHICS TOGETHER IN THE DIAGNOSIS OF THE TRANSITIONAL VERTEBRAE. Bozok Tıp Dergisi. https://doi.org/10.16919/bozoktip.917189
AMA Güngör Ö, Öztürk C, Uysal Ramadan S, Cesur T. ASSESSMENT OF GRAPHICS TOGETHER IN THE DIAGNOSIS OF THE TRANSITIONAL VERTEBRAE. Bozok Tıp Dergisi. doi:10.16919/bozoktip.917189
Chicago Güngör, Özlem, Cansu Öztürk, Selma Uysal Ramadan, and Turay Cesur. “ASSESSMENT OF GRAPHICS TOGETHER IN THE DIAGNOSIS OF THE TRANSITIONAL VERTEBRAE”. Bozok Tıp Dergisin.d. https://doi.org/10.16919/bozoktip.917189.
EndNote Güngör Ö, Öztürk C, Uysal Ramadan S, Cesur T ASSESSMENT OF GRAPHICS TOGETHER IN THE DIAGNOSIS OF THE TRANSITIONAL VERTEBRAE. Bozok Tıp Dergisi
IEEE Ö. Güngör, C. Öztürk, S. Uysal Ramadan, and T. Cesur, “ASSESSMENT OF GRAPHICS TOGETHER IN THE DIAGNOSIS OF THE TRANSITIONAL VERTEBRAE”, Bozok Tıp Dergisi, doi: 10.16919/bozoktip.917189.
ISNAD Güngör, Özlem et al. “ASSESSMENT OF GRAPHICS TOGETHER IN THE DIAGNOSIS OF THE TRANSITIONAL VERTEBRAE”. Bozok Tıp Dergisi. n.d. https://doi.org/10.16919/bozoktip.917189.
JAMA Güngör Ö, Öztürk C, Uysal Ramadan S, Cesur T. ASSESSMENT OF GRAPHICS TOGETHER IN THE DIAGNOSIS OF THE TRANSITIONAL VERTEBRAE. Bozok Tıp Dergisi. doi:10.16919/bozoktip.917189.
MLA Güngör, Özlem et al. “ASSESSMENT OF GRAPHICS TOGETHER IN THE DIAGNOSIS OF THE TRANSITIONAL VERTEBRAE”. Bozok Tıp Dergisi, doi:10.16919/bozoktip.917189.
Vancouver Güngör Ö, Öztürk C, Uysal Ramadan S, Cesur T. ASSESSMENT OF GRAPHICS TOGETHER IN THE DIAGNOSIS OF THE TRANSITIONAL VERTEBRAE. Bozok Tıp Dergisi.

Cited By

Local injection therapy for pain syndrome in patients with lumbosacral transitional vertebrae
Russian Journal of Pain
https://doi.org/10.17116/pain20232102166
Copyright © BOZOK Üniversitesi - Tıp Fakültesi