Tıp Fakültesi / Faculty of Medicine

Permanent URI for this collectionhttps://hdl.handle.net/11727/1403

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search.filters.applied.f.rights: search.filters.rights.info:eu-repo/semantics/closedAccessSubject: search.filters.subject.Osteoporosis

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    Osteoporosis Knowledge Level of the Women Living in the City of Kirikkale
    (2015) Arslan, Saniye A.; Daskapan, Arzu; Atalay, Didem K.; Tuzun, Emine H.; Korkem, Duygu
    Purpose: Osteoporosis is an important common public health problem among postmenopausal women. Purpose of this study is to research osteoporosis awareness level of the women living in the city of Kirikkale and releationship between awareness level and age and level of education. Methods: 263 women participated to the study. Osteoporosis related risk factors of the participants, such as; socio-demographic data, marital status, occupational status, education level, physical exercise and smoking level were recorded. In accordance with the literature, participants were divided into two groups as young adults (under 45 years) and middle aged (45-64 years). They were also divided according to education levels as; primary education (8 years of education or less) and secondary and higher education (more than 8 years of education). Osteoporosis knowledge level was evaluated by Osteoporosis Self-efficacy Scale Turkish Version and Osteoporosis General Knowledge Score Scale (KOS). Results: Mean age of the participants is 38.98 +/- 13.81 year, body mass index (BMI) 27.26 +/- 0.39 kg/m(2), education level is 8.65 +/- 5.16 years. There was positive correlation between Osteoporosis Exercise Self Sufficiency (a subscale of Osteoporosis Self-efficacy Scale), education level (p = 0.001; r = 0.326), Osteoporosis Exercise Self Sufficiency score and regular exercise (p = 0.001). Similarly, There was positive correlation between Osteoporosis Self Sufficiency Scale total score and education level (p = 0.001; r = 0.293), Osteoporosis Self Sufficiency Scale total score and regular exercise (p = 0.001). There was positive correlation between Osteoporosis Calcium Self Sufficiency Subscale (a subscale of Osteoporosis Self-efficacy Scale) score and education level (p = 0.006; r = 0.170). There was no significant correlation between Osteoporosis Calcium Self Sufficiency Subscale score and regular exercise (p = 0.816). Discussion: Our study shows that osteoporosis knowledge level of the women living in Kirikkale increases in parallel to their education level and osteoporosis knowledge levels of younger women are higher.
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    Balloon Kyphoplasty Is a Safe and Effective Option for the Treatment of Vertebral Compression Fractures in Solid-Organ Transplant Recipients
    (2020) Sonmez, Erkin; Comert, Serhat; Akdur, Aydincan; Karakaya, Emre; Gulsen, Salih; Yilmaz, Cem; Altinors, Nur; Haberal, Mehmet; 0000-0002-7535-1804; 0000-0002-8726-3369; 0000-0002-3462-7632; 0000-0002-5693-3542; 0000-0002-4879-7974; 0000-0002-2353-8044; 27063841; AAJ-5746-2021; AAA-3068-2021; AAJ-8097-2021; AAI-8820-2021; AAD-5466-2021; AAK-2948-2021
    Objectives: Solid-organ transplant recipients are at great risk for osteoporotic vertebral compression fractures because of both underlying pretransplant bone diseases and posttransplant immunosuppressive treatments. Balloon kyphoplasty is a minimally invasive procedure that is used to treat painful osteoporotic vertebral compression fractures. It involves injection of polymethylmethacrylate into the vertebral body to stabilize the fracture and to alleviate the pain immediately. In this study, we report the results of balloon kyphoplasty for treatment of vertebral compression fractures in solid-organ transplant recipients. Materials and Methods: We retrospectively reviewed 512 liver transplant and 2248 kidney transplant procedures that were performed in our center between 1985 and 2015. Seven transplant recipients with a total of 10 acute, symptomatic vertebral compression fractures who were unresponsive to conservative treatment for 3 weeks underwent balloon kyphoplasty. Clinical outcome was graded using the visual analog scale. Radiographic evaluation included measurement of the segmental kyphosis by the Cobb method. Results: There were 4 female and 3 male patients in our study group. Ages of patients ranged from 56 to 63 years with an average age of 58.8 years. The affected vertebral levels varied from T12 to L4. Mean follow-up after balloon kyphoplasty was 3.4 years, and mean time interval from transplant to balloon kyphoplasty was 8.6 years. Statistically significant difference is evident 3 years after transplant surgery (P < .05). Sagittal alignment improved (> 5 degrees) in 2 of 7 patients (28%). Conclusions: Transplant recipients are at great risk in terms of vertebral compression fracture development, especially within 1 year after transplant. Although conservative treatment has been the first treatment choice for vertebral compression fracture, long treatment time and high costs may be needed to achieve cure. Experience with our small patient population showed that balloon kyphoplasty was effective and safe for obtaining rapid pain relief and earlier mobilization with fewer complications.
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    Vertebroplasty in Vertebral Compression Fractures: Single Institute Experience with 49 Cases
    (2017) Altınel, Faruk; Soylev, Gozde Ozcan; Tuncali, Bahattin; Altinors, Mehmet Nur; 0000-0002-7898-2943; 0000-0001-8742-5543; 0000-0002-8326-3900; AAJ-7840-2021; AAJ-4917-2021; AAJ-5382-2021
    Objective: Percutaneous vertebroplasty (PVP) is the preferred treatment option for vertebral compression fractures (VCF). In this study, the efficacy and complications of PVP were investigated among 49 patients with VCF. Methods: Forty-nine patients with VCF due to osteoporosis, trauma, osteolytic bone tumors, metastases or leukemia who were admitted to our hospital between 2012 and 2015 and treated with PVP were included in the study. In patients' preoperative and postoperative evaluation, a visual analogue scale (VAS) was used to assess back and leg pain, preoperative routine lumbar vertebral radiography was used for fracture morphology, lumbar magnetic resonance imaging was performed, and the segmental kyphotic angle, vertebral corpus compression rate, polymethylmethacrylate (PMMA) cement volume, and diffusion of PMMA were recorded. Results: Preoperative and postoperative VAS scores were 8.6 +/- 0.9 vs. 1.13 +/- 1.1 (p < 0.01). The approximate compression rate was 24.72 +/- 13.99 %, the ratio of approximate restoration height was 3.47 +/- 5.36, and the mean kyphosis angle was 7.35 +/- 6.81 degrees. The mean pre- and postoperative values of vertebral height were 1.83 +/- 0.39 cm vs1.88 +/- 0.36 cm (P <.01). Conclusion: In this study, preoperative pain in patients with VCF prominently diminished in the postoperative early and late phase. After PVP, vertebral height showed a subtle increase.