“Thickened” ligamentum flavum caused by laminectomy

Objective The purpose of this study was to evaluate the effect of a laminectomy on the adjacent ligamentum flavum (LF) by measuring LF thickness using magnetic resonance imaging (MRI). Materials and methods A total of 78 patients (31 man, 47 woman) with laminectomy were included in our study. After determination of laminectomy level, measurements were done from the thickest parts of the bilateral LF at the upper level of the laminectomy where bilateral facet joints were evident at the slice. Results Ipsilateral ligamentum flavum with laminectomy was significantly thicker than the contralateral ligamentum flavum with laminectomy. Conclusion Laminectomy cause thickening of ligamentum flavum. Therefore we assume that it should kept in mind that LFH may develop at the adjacent level to the laminectomy and careful clinical and radiological assessments’ should be done to exclude LFH in cases who complain about the recurrence of complaints during the post-operative period after laminectomy

NLO’nun beyin apselerinin tanı ve farmakolojik tedavi yönetimine etkileri

Aim: The present study aims to examine the effectiveness of the neutrophil-tolymphocyte ratio in the treatment and diagnosis of patients with brain abscesses. Methods: In this retrospective study, radiological, neurological, and surgical data obtained from the medical records of healthy volunteers (n = 10) who presented to the hospital for check-ups and patients with brain abscesses who were treated (n = 10) were evaluated statistically. Alpha significance value was accepted as 0.05). The preoperative neutrophil-to-lymphocyte ratio in cases diagnosed with brain abscesses showed statistical significance compared to that in the healthy volunteers (P 0,05). Sağlıklı bireylere oranla beyin apsesi tanısı alan olgulara ait preoperatif NLO değerlerinin istatistiksel olarak anlamlılık (P<0,05) gösterdiği ve NLO değerinin sağlıklı bireylere oranla yaklaşık 3,31 kat artış gösterdiği kaydedildi. Sonuç: NLO oranı ile abse boyutu arasında (r=0,662; P=0,037) pozitif yönde kuvvetli ilişki bulunmaktadır. Artış gösteren NLO, beyin apsesinin tanısında erken uyarı sinyali olarak hizmet edebilir

Complications of 200 cervical anterior surgery cases and the management of these complications in light of the literature

Aim: The aim of this retrospective study was to evaluate the possible complications and the complication management of cervicalanterior discectomies and fusions in light of the literature.Materials and Methods: The study population consisted of patients who presented to the clinic with neck pain and/or arm pain, lossof strength, and sensory disturbances who were operated on after a lack of response to conservative/medical treatment. This studyincluded 200 cervical discopathy and/or cervical spondylosis cases. The literature review was performed according to the PreferredReporting Items for Systematic Reviews and Meta?analyses guidelines without language or country restrictions.Results: The most common complication was dysphagia. The complications also included dural tears, cerebrospinal fluid leakage,graft extrusions, neurological deterioration, postoperative hematomas, and recurrent laryngeal nerve injuries. These were found tobe consistent with the literature.Conclusion: In order to minimize the incidence of complications, the preoperative clinical examinations and radiological imaging ofeach patient should be examined carefully, and the appropriate surgical planning should be performed. It is also important to complywith the rules of asepsis and antisepsis, make sure the surgical time is as short as possible, and perform a dissection based on thepatient’s anatomy with the appropriate surgical equipment. In addition, it is important to wash the surgical area frequently, drain thesystem at the end of the operation, close the tissues in accordance with anatomical integrity, and perform close clinical follow-ups