{"id":12922,"date":"2015-11-15T20:26:06","date_gmt":"2015-11-15T18:26:06","guid":{"rendered":"http:\/\/is.saglikdanisma.net\/?p=11899"},"modified":"2015-11-15T20:26:06","modified_gmt":"2015-11-15T18:26:06","slug":"lomber-omurganin-ozurluluk-oranlari","status":"publish","type":"post","link":"https:\/\/saglikdanisma.net\/is\/lomber-omurganin-ozurluluk-oranlari\/","title":{"rendered":"Lomber omurgan\u0131n \u00f6z\u00fcrl\u00fcl\u00fck oranlar\u0131"},"content":{"rendered":"<p style=\"text-align: justify;\"><strong>Lomber omurgan\u0131n \u00f6z\u00fcrl\u00fcl\u00fck oranlar\u0131 (yaralanma modeli)<\/strong><\/p>\n<table width=\"696\">\n<tbody>\n<tr>\n<td width=\"32\"><strong>\u00a0<\/strong><\/p>\n<p><strong>Kategori<\/strong><\/p>\n<p><strong>\u00a0<\/strong><\/td>\n<td width=\"584\"><strong>\u00a0<\/strong><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>Tan\u0131m<\/strong><\/td>\n<td width=\"80\"><strong>\u00d6z\u00fcr Oran\u0131\u00a0 %<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"32\"><strong>I<\/strong><\/td>\n<td width=\"584\">Klinik bulgu, n\u00f6rolojik kay\u0131p, yap\u0131sal bozukluk ve k\u0131r\u0131k yoktur<\/td>\n<td width=\"80\">0<\/td>\n<\/tr>\n<tr>\n<td width=\"32\"><strong>II<\/strong><\/td>\n<td width=\"584\">\u00d6yk\u00fc ve muayene bulgular\u0131 spesifik travma veya hastal\u0131k ile ili\u015fkilidir; belirgin adale spazm\u0131 vard\u0131r, omurga hareketlili\u011fi asimetrik olarak azalm\u0131\u015ft\u0131r veya radik\u00fcler a\u011fr\u0131 var ancak objektif bulgu yoktur; yap\u0131sal b\u00fct\u00fcnl\u00fckte bozulma yoktur v<strong>eya<\/strong><\/p>\n<p>Hastada klinik olarak belirgin radik\u00fclopati ve g\u00f6r\u00fcnt\u00fcleme tetkiklerinde ayn\u0131 seviyede ve tarafta herniye disk vard\u0131r ancak konservatif tedavi ile d\u00fczelmi\u015ftir <strong>veya<\/strong><\/p>\n<p>K\u0131r\u0131klar: (1) bir vertebrada %25\u2019den az vertebra kompresyonu (2) dislokasyon olmaks\u0131z\u0131n posterior eleman k\u0131r\u0131\u011f\u0131 (3) vertebra cisminde k\u0131r\u0131k olmaks\u0131z\u0131n yer de\u011fi\u015ftiren spin\u00f6z veya transvers proses k\u0131r\u0131\u011f\u0131.<\/td>\n<td width=\"80\">&nbsp;<\/p>\n<p>8<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/td>\n<\/tr>\n<tr>\n<td width=\"32\"><strong>III<\/strong><\/td>\n<td width=\"584\">Belirgin radik\u00fclopati bulgular\u0131 vard\u0131r, dermatomal da\u011f\u0131l\u0131mda a\u011fr\u0131, duyu kayb\u0131, refleks kayb\u0131, kuvvet kayb\u0131, unilateral atrofi vard\u0131r, bulgular elektrodiagnostik testler ile g\u00f6sterilmi\u015ftir <strong>Veya<\/strong><\/p>\n<p>Klinik radik\u00fclopati bulgular\u0131 ile uyumlu, g\u00f6r\u00fcnt\u00fcleme teknikleri ile g\u00f6sterilmi\u015f, ayn\u0131 seviye ve ayn\u0131 tarafta disk hernisi veya cerrahi ile d\u00fczelen radik\u00fclopati \u00f6yk\u00fcs\u00fc vard\u0131r <strong>Veya<\/strong><\/p>\n<p>K\u0131r\u0131klar: (1) bir vertebra cisminde %25-50 aras\u0131 kompresyon k\u0131r\u0131\u011f\u0131, (2) spinal kanal\u0131 etkileyen posterior eleman k\u0131r\u0131\u011f\u0131. Her iki durumda da k\u0131r\u0131k yap\u0131sal b\u00fct\u00fcnl\u00fc\u011f\u00fc bozmadan iyile\u015fir.<\/td>\n<td width=\"80\">&nbsp;<\/p>\n<p>13<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/td>\n<\/tr>\n<tr>\n<td width=\"32\"><strong>IV<\/strong><\/td>\n<td width=\"584\">Hareket segmentinin b\u00fct\u00fcnl\u00fc\u011f\u00fcnde bozulma olmas\u0131; fleksiyon-ekstansiyon grafilerinde 2 kom\u015fu vertebrada \u00f6ne-arkaya 5mm\u2019den fazla hareket olmas\u0131 veya tutulan hareket segmentinde biti\u015fik hareket segmentine g\u00f6re 11 dereceden daha fazla a\u00e7\u0131sal hareket olmas\u0131. Lumbosakral eklemin yap\u0131sal b\u00fct\u00fcnl\u00fc\u011f\u00fcnde L4-5\u2019de 15 dereceden fazla a\u00e7\u0131sal hareket olmas\u0131 ile tan\u0131mlanan kay\u0131p olmas\u0131. Kas spazm\u0131 ve a\u011fr\u0131 mevcuttur. <strong>Veya<\/strong><\/p>\n<p>K\u0131r\u0131klar: (1) n\u00f6rolojik bulgu olmaks\u0131z\u0131n bir vertebrada %50\u2019den fazla kompresyon (2)n\u00f6rolojik motor bozukluk olmaks\u0131z\u0131n fraktur veya dislokasyonla birlikte \u00e7ok seviyeli omurga segment yap\u0131sal bozuklu\u011fu<\/td>\n<td width=\"80\">&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>23<\/p>\n<p>&nbsp;<\/td>\n<\/tr>\n<tr>\n<td width=\"32\"><strong>V<\/strong><\/td>\n<td width=\"584\">Kategori III ve IV\u2019\u00fcn kriterlerini kar\u015f\u0131lar, hem radik\u00fclopati hem hareket segmentinin b\u00fct\u00fcnl\u00fc\u011f\u00fcnde bozulma vard\u0131r; kategori III\u2019deki gibi alt ekstremitelerde atrofi veya dermatomal da\u011f\u0131l\u0131m ile uyumlu refleks kayb\u0131, a\u011fr\u0131 ve\/veya duyu de\u011fi\u015fiklikleri veya elektron\u00f6romyografik bulgular ve kategori IV\u2019deki gibi hareket segmentinin b\u00fct\u00fcnl\u00fc\u011f\u00fcnde bozulma <strong>Veya<\/strong><\/p>\n<p>K\u0131r\u0131klar: (1) tek tarafl\u0131 n\u00f6rolojik bulgu ile birlikte bir vertebra g\u00f6vdesinde %50\u2019den fazla kompresyon<\/td>\n<td width=\"80\">25<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"<p>Lomber omurgan\u0131n \u00f6z\u00fcrl\u00fcl\u00fck oranlar\u0131 (yaralanma modeli) \u00a0 Kategori \u00a0 \u00a0 \u00a0 Tan\u0131m \u00d6z\u00fcr Oran\u0131\u00a0 % I Klinik bulgu, n\u00f6rolojik kay\u0131p, yap\u0131sal bozukluk ve k\u0131r\u0131k yoktur 0 II \u00d6yk\u00fc ve muayene bulgular\u0131 spesifik travma veya hastal\u0131k ile ili\u015fkilidir; belirgin adale spazm\u0131 vard\u0131r, omurga hareketlili\u011fi asimetrik olarak azalm\u0131\u015ft\u0131r veya radik\u00fcler a\u011fr\u0131 var ancak objektif bulgu yoktur; yap\u0131sal [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":11891,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[31],"tags":[257,258,259,27,28,30,260,32],"class_list":["post-12922","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ozurluluk-raporu","tag-hareket-genisligi","tag-lomber","tag-omurga","tag-ozur-oran-cetveli","tag-ozur-orani","tag-ozurlu","tag-yaralanma","tag-yonetmelik-eki"],"_links":{"self":[{"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/posts\/12922","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/comments?post=12922"}],"version-history":[{"count":0,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/posts\/12922\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/"}],"wp:attachment":[{"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/media?parent=12922"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/categories?post=12922"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/tags?post=12922"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}