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Formerly Journal of Turgut Ozal Medical Center - ISSN 1300-1744

  • Annals of Medical Research



    Annals of Medical Research International Monthly Published Medical Journal

  • Annals of Medical Research

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  • Annals of Medical Research


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  • Annals of Medical Research
  • Annals of Medical Research
  • Annals of Medical Research
  • Annals of Medical Research

Dear readers,

Our journal is the official publication of Inonu University Medical Faculty and published uninterruptedly for 25 years. It was first published as the name of Inonu University Medical Journal and later as Journal of Turgut Ozal Medical Center. During its publication period, the journal accepted Turkish or English articles for publication.

Abstracting in an international index is just a paramount objective in the 25th year of the journal. Because of this goal, it was necessary to make a decision both in terms of journal name and publication language. It was important in this respect that the name of a general medical journal should be related to medicine again and it should be in English. For these reasons, the name of the journal was switched to Annals of Medical Research and its publication language is changed to in English. The logo of the journal was chosen as an apricot, which is the symbol of our city Malatya, the world capital of apricot. I hope the journal succeeds with its new name. Annals of Medical Research is published monthly.

Editor-in-Chief

 

Radiological evaluation of anatomical changes in implant and adjacent segments after rigid fusion (p.3099-106)

Radiological evaluation of anatomical changes in implant and adjacent segments after rigid fusion (p.3099-106)

Umit Ali Malcok1, Nilufer Aylanc2
1Department of Neurosurgery, Faculty of Medicine, Canakkale Onsekiz Mart University, Canakkale, Turkey
2Department of Radiology, Faculty of Medicine, Canakkale Onsekiz Mart University, Canakkale, Turkey
Copyright@Author(s) - Available online at www.annalsmedres.org
Content of this journal is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Abstract

Aim: We aimed to determine the anatomical remodeling seen after lumbar spine stabilization in detail. Using magnetic resonance images, it is also aimed to reveal this remodeling is not only limited to the adjacent segment and also happens in the upper instrumented vertebra region. At the end of this study, it is suggested to develop new radiological parameters to predict the changes in the adjacent segment and upper instrumented vertebra regions.
Materials and Methods: Twenty cases operated for degenerative lumbar stenosis were included in our study. Quantitative data were obtained by radiological measurements by a radiologist and neurosurgeon. On magnetic resonance images, the anatomical structures changed by remodeling were compared before and after the operation during (6-26 months) postoperative period. Unlike previous studies, anterior, middle and posterior disc heights; Cobb angle in the adjacent segment, spinal canal area, bilateral neural foramen, facet joint areas and flavum thicknesses were evaluated.
Results: From the sixth month after lumbar fusion, it was observed that angles and anatomical structures were changed in adjacent segment. Also, it was observed that the areas with neural structures expanded in the upper instrumented vertebra region. The degeneration in adjacent segment and relaxation in the upper instrumented vertebra region were found to be statistically significant. A statistically strong positive correlation was found between the number of vertebrae included in the lumbar fusion and the mean height of the adjacent segment disc (r: 0.526, p: 0.017).
Conclusion: After comparing the measurements in adjacent segment and upper instrumented vertebra regions before and after the operation, it was concluded that the remodeling was statistically significant. We suggest that the parameters in our study can be used as a scoring method for early detection of adjacent segment degeneration and/or disease. Thus, it will be possible to create follow-up indicators findings after fusion.

Keywords: Adjacent segment; lumbar vertebrae; spinal fusion; upper instrumented vertebra

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doi:10.5455/annalsmedres.2020.05.424

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Annals of Medical Research is the scientific official journal of the Inonu University Faculty of Medicine. It is published monthly. The essential aim of the Annals of Medical Research is to publish scientifically high quality clinical and experimental research articles on fields of medicine which can contribute to the literature data. In addition, review articles, case reports, editorials, letters to the editors and manuscripts on publication ethics and medical history, which can contribute to the education and practices of physicians and health sector professionals within the scope of the journal’s target audience and which can increase the level of scientific communication between the authors and readers, are included in the scope of the journal.

 

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