SavedAdd your journal

Journals / Klinik Tıp Aile Hekimliği / 2026 / Cilt: 8 Sayı: 1

Siyatalji

Uzay Erdoğan
Pages
20–23
Publication Date
2016-02-15
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Bazı durumlarda kronikleşir ve tedavisi zor olabilir.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Siyatalji siyatik, sinir dağılımı icerisinde kalca ve bacağın posterior yüzünün aşağısına doğru yayılan bir ağrıdır.
📊
Key Findings & Data:Siyatalji genellikle lomber sinir koÅNklerinden L4,5,S1,2,3 basısına bağlı yada siyatik sinirin kendisinin bası altında kalmasına bağlı oluşur.
💡
Conclusion & Impact:Bazı durumlarda kronikleşir ve tedavisi zor olabilir.
🔬Design:Derleme
📍Scope:Comprehensive Sample
⚙️Variables:Siyatalji · lomber disk hernisi · epidural steroid enjeksiyonu

Özet

Siyatalji siyatik, sinir dağılımı icerisinde kalca ve bacağın posterior yüzünün aşağısına doğru yayılan bir ağrıdır. Siyatalji genellikle lomber sinir koÅNklerinden L4,5,S1,2,3 basısına bağlı yada siyatik sinirin kendisinin bası altında kalmasına bağlı oluşur. Sıklıkla 40-50 yaşlar arasında ve erkekleri kadınlarda daha sık etkiler. İnflamatuar, immünolojik ve basıncla ilgili süreclerin karmaşık etkileşiminin siyatalji gelişiminde etkili olabileceği üzerine kanıtlar mevcuttur. Siyataljinin tek nedeninin herniye nükleus pulposus olmadığı mutlaka akla getirilmelidir. Neyse ki siyatalji vakalarının büyük kısmı kendini sınırlar ve birkac ay icerisinde düzelme eğilimi goÅNsterir. Bazı durumlarda kronikleşir ve tedavisi zor olabilir.

🔖

Cite This Article

Erdoğan, U. (2016). Siyatalji. Klinik Tıp Aile Hekimliği, Cilt: 8 Sayı: 1, 20–23. https://ajindex.com/articles/1594817

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (42)

  1. Merskey H, Bokduk N. Classi cation of Chronic Pain, 2nd Edn. IASP Press, 1994, 15, 198
  2. Ropper, AH; Zafonte, RD. "Sciatica.". The New England Journal of Medicine 2015, 372 (13), 1240–8
  3. "Slipped disk: Overview" Institute for Quality and Efficiency in Health Care. Retrieved 2 July 2015,
  4. Frymoyer J. Lumbar disc disease: epidemiology. Instr Course Lect 1992, 41, 217–23
  5. Hippocrates (460–370 BC). The Genuine Works of Hippocrates. Translation—Adams F. London: Sydenham Society, 1849
  6. Varlotta GP, Brown MD, Kelsey JL, Golden AL. Familial predisposition for herniation of a lumbar disc in patients who are less than twenty one years old. J Bone Joint Surg Am 1991, 73, 124–8
  7. Matsui H, Kanamori M, Ishihara H, Yudoh K, Naruse Y, Tsuji H. Familial predisposition for lumbar degenerative disc disease. Spine 1998, 23, 1029–34
  8. Heikkila JK, Koskenvuo M, Heliovaara M, et al. Genetic and environmental factors in sciatica. Evidence from a nationwide panel of 9365 adult twin pairs. Ann Med 1989, 21, 393–8
  9. Riihimaki H, Viikari-Juntura E, Moneta G, Kuha J, Videman T, Tola S. Incidence of sciatic pain among men in machine operating, dynamic physical work and sedentary work. Spine 1994, 19, 138–42
  10. Manninen P, Riihimaki H, Heliovaara M. Incidence and risk factors of low-back pain in middle aged farmers. Occup Med 1995, 45, 141–6
  11. Miranda H, Viikari-Juntura E, Martikainen R, Takala EP, Riihimaki H. Individual factors, occupational loading and physical exercise as predictors of sciatica pain. Spine 2002, 27, 1002–9
  12. Heliovaara M. Body height, obesity and risk of herniated lumbar intervertebral disc. Spine 1987, 12, 469–72
  13. Mixter WJ, Barr JS. Rupture of the intervertebral disc with involvement of the spinal canal. N Engl J Med 1934, 211, 210–5
  14. Saal JS, Franson RC, Dobrow R, White AH, Goldthwaite N. High levels of in ammatory phospholipase A2 activity in lumbar disc herniations. Spine 1990, 15, 674–8
  15. Franson RC, Saal JS, Saal JA. Human disc phospholipase A2 is in ammatory. Spine 1992, 17, 5129–32
  16. Piperno M, Hellio le Graverand MP, Reboul P, et al. Phospholipase A2 activity in herniated lumbar discs. Spine 1997, 22, 2061–5
  17. Burke JG, Watson RWG, McCormack D, Dowling FE, Walsh MG, Fitzpatrick JM. Intervertebral discs which cause low back pain secrete high levels of proin ammatory mediators. J Bone Joint Surg Br 2002, 84, 196–201
  18. Sullivan WJ, Willick SE, Chira-Adisai W, et al. Incidence of intravascular uptake in lumbar spinal injection procedures. Spine 2000, 25, 481–6
  19. Brisby H, Balague F, Schafer D, et al. Glycosphingolipid antibodies in serum in patients with sciatica. Spine 200,; 27, 380–6
  20. Onozawa T, Atsuta Y, Sato M, Ikawa M, Tsunekawa H, Feng X. Nitric oxide induced ectopic ring in a lumbar nerve root with cauda equina compression. Clin Orthop 2003, 408, 167–73
  21. Porchet F, Wietlisbach V, Burnand B, Daeppen K, Villemure JG, Vader JP. Relationship between severity of lumbar disc disease and disability scores in sciatica patients. Neurosurgery 2002, 50, 1253–9
  22. Aota Y, Onari K, An HS, Yoshikawa K. Dorsal root ganglia morphologic features in patients with herniation of nucleus pulposus. Spine 2001, 26, 2125–32
  23. Cicala RS, Turner R, Moran BS, et al. Methylprednisolone acetate does not cause in ammatory changes in the epidural space. Anesthesiology 1990, 72, 556–8
  24. Brisby H, Olmarker K, Larsson K, Nutu M, Rydevic B. Proin ammatory cytokines in cerebrospinal uid and serum in patients with disc herniation and sciatica. Eur Spine J 2002, 11, 62–6
  25. Haddox JD. Lumbar and cervical epidural steroid therapy. Anesthesiol Clin North America 1992, 10, 179–203
  26. Stirling A, Worthington T, Ra q M, Lambert PA, Elliott TS. Association between sciatica and propionibacterium acnes. Lancet 2001, 357, 2024–5
  27. Hammer A, Knight I, Agarwal A. Localised venous plexi in the spine simulating prolapse of an intervertebral disc; a report of six cases. Spine 2003, 28, 5–12
  28. Yurtseven T, Zileli M, Goker EN, Taumergen E, Hoscoskun C, Parildar M. Gluteal artery pseudoaneurism, a rare cause of sciatica pain: a case report and literature review. J Spinal Disord Tech 2002, 15, 330–3
  29. Kumar B, Sriram KG, George C. Osteophyte at the sacro-iliac joint as a cause of sciatica: a report of four cases. J Orthop Surg 2002, 10, 73–6
  30. Revel M, Amor B, Mathieu A, Wybier M, Vallee C, Chevrot A. Sciatica induced by primary epidural adhesions. Lancet 1988, 1, 527–8
  31. Bodack MP, Cole JC, Nagler W. Sciatic neuropathy secondary to a uterine broid: a case report. Am J Phys Med Rehabil 1999, 78, 157–9
  32. Papapietro N, Gulino G, Zobel BB, Di Martino A, Denaro V. Cyclic sciatica related to an extrapelvic endometriosis of the sciatic nerve: new concepts in surgical therapy. J Spinal Disord Tech 2002, 15, 436–9
  33. Weber H, Holme I, Amlie E. The natural course of acute sciatica with nerve root symptoms in a double-blind placebocontrolled trial evaluating the effect of piroxicam. Spine 1993, 18, 1433–8
  34. Karppinen J, Malvimaara A, Kurunlahti M, et al. Periradicular in ltration for sciatica. Spine 2001, 26, 1059–67
  35. Weber H. Lumbar disc herniation: a controlled, prospective study with ten years of observation. Spine 1983, 8, 131–40
  36. Boden SD, Davis DO, Dina TS, Patronas NJ, Wiesel SW. Abnormal magnetic resonance scans of the lumbar spine in asymptomatic subjects: a prospective investigation. J Bone Joint Surg [Am] 1990, 72, 403–8
  37. Jensen MC, Brant-Zawadzki MN, Obuchowski N, Modil MT, Malkasian D, Ross JS. Magnetic resonance imaging of the lumbar spine in people without back pain. N Engl J Med 1994, 331, 69–73
  38. Boos N, Semmer N, Elfering E, et al. Natural history of individuals with asymptomatic disc abnormalities in magnetic resonance imaging. Spine 2000, 25, 1484–92
  39. Lievre JA, Bloch-Michel H, Pean G. L’ hydrocortisone en injection locale. Revue du Rhumatisme et des Maladies Osteoarticulares 1953, 20,: 310–1
  40. Carette S, Leclaire R, Marcoux S, et al. Epidural corticosteroid injections for sciatica due to herniated nucleus pulposis. N Engl J Med 1997, 336, 1634–40
  41. Buchner M, Zeifang F, Brocai DR, Schiltenwolf M. Epidural corticosteroid injection in the conservative management of sciatica. Clin Orthop 2000, 375, 149–56
  42. McQuay H, Moore A. Epidural Corticosteroids for sciatica. An Evidenced Based Resource for Pain Relief, Ch. 27. New- York: Oxford University Press, 1998, 216–8