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Dergiler / Kocatepe Tıp Dergisi / 2026 / Cilt: 21 Sayı: 2

KRONİK BOYUN AĞRISI ŞİKAYETİ OLAN HASTALARDA SERUM D VİTAMİNİ SEVİYELERİ, AĞRI ŞİDDETİ VE SERVİKAL DİSK DEJENERASYONU İLİŞKİLİ MİDİR?

CERVICAL DISC DEGENERATION, SEVERITY OF PAIN AND VITAMIN D LEVELS IN PATIENTS WITH CHRONIC NECK PAIN: IS THERE ANY RELATIONSHIP?

Hilal Altaş(ORDU UNIVERSITY)0000-0001-5531-6764
Ali Yılmaz(ORDU UNIVERSITY)0000-0001-5378-4409
Sayfa
195–200
Yayın Tarihi
2020-05-11
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BULGULAR: Çalışmaya 123 hasta dahil edildi.

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Amaç & Hipotez:AMAÇ: Kemik metabolizması üzerinde D vitaminin etkileri uzun zamandır bilinmektedir.
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Temel Bulgular & Veri:GEREÇ VE YÖNTEM: Beyin cerrahisi polikliniğine kronik boyun ağrısı şikayeti ile başvuran hastaların serum D vitamini seviyeleri, başvuru sırasındaki ağrı şiddeti (VAS) değerleri ve servikal MRG incelemeleri retrospektif olarak değerlendirildi.
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Sonuç & Katkı:BULGULAR: Çalışmaya 123 hasta dahil edildi.
🔬Tür:Deneysel Tarla Denemesi
📍Kapsam:123 hasta
⚙️Değişkenler:Vitamin D · neck pain · Magnetic resonance imaging

Özet

AMAÇ: Kemik metabolizması üzerinde D vitaminin etkileri uzun zamandır bilinmektedir. Çalışmamızda serum vitamin D seviyeleri ile intervertebral disk dejenerasyonu, disk yüksekliği ve ağrı şiddeti arasındaki ilişkiyi saptamayı hedefledik. GEREÇ VE YÖNTEM: Beyin cerrahisi polikliniğine kronik boyun ağrısı şikayeti ile başvuran hastaların serum D vitamini seviyeleri, başvuru sırasındaki ağrı şiddeti (VAS) değerleri ve servikal MRG incelemeleri retrospektif olarak değerlendirildi. BULGULAR: Çalışmaya 123 hasta dahil edildi. Vitamin D düzeylerine göre ayrılan gruplar arasında, VAS skorlarına göre anlamlı fark saptanmıştır (p=0.003). Vitamin D düzeylerine göre ayrılan gruplar arasında yapılan karşılaştırmalarda yaş (p=0.180), cinsiyet (p=0. 244/p=0.146) ve servikal C5-6 disk yüksekliği açısından (p= 0.299) istatistiksel olarak anlamlı bir ilişki bulunamamıştır. SONUÇ: Çalışmamızda, servikal disk dejenerasyonu ve servikal lordoz kaybı olan hastalarda düşük serum vitamin D seviyeleri ile VAS arasında anlamlı fark saptanmıştır. Metabolik düzeyde D vitamini eksikliğinin, kronik boyun ağrısı ile başvuran, muayenede nörolojik bozukluğu ve disk hernisi olmayan hastalarda göz önünde bulundurulması gerektiğine inanıyoruz.

Abstract

OBJECTIVE: Effects of vitamin D on bone metabolism has been long known. We aimed to detect the relationship between vitamin D levels and intervertebral disc degeneration, disc height and severity of pain in patients with chronic neck pain. MATERIAL AND METHODS: The data of patients who were admitted to neurosurgery polyclinic with chronic neck pain complaints were analyzed retrospectively, whom their vitamin D levels measured, pain severity (VAS) scores ware noted at the time of admission and were radiologically examined with cervical MRI. RESULTS: Overall, 123 patients were included in the study. There was a significant relationship in terms of VAS scores between the groups divided on the basis of vitamin D levels (p=0.003). There was no statistically significant relationship in terms of age (p=0.180), gender (p=0. 244/p=0.146), and cervical C5-6 disk height (p= 0.299) in the comparison performed within the groups divided on the basis of vitamin D levels. CONCLUSIONS: In the present study, it was shown that there is a significant relationship between low vitamin D levels and VAS in patients who had cervical disk degeneration and loss of cervical lordosis. We believe that vitamin D deficiency at a metabolic level should be considered in patients who are admitted with chronic neck pain, who do not exhibit neurologic deficits in the examination, and who do not have disc hernia.

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Bu Makaleye Atıf Yap

Altaş, H., Yılmaz, A. (2020). KRONİK BOYUN AĞRISI ŞİKAYETİ OLAN HASTALARDA SERUM D VİTAMİNİ SEVİYELERİ, AĞRI ŞİDDETİ VE SERVİKAL DİSK DEJENERASYONU İLİŞKİLİ MİDİR?. Kocatepe Tıp Dergisi, Cilt: 21 Sayı: 2, 195–200. https://doi.org/10.18229/kocatepetip.634480

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