Distribution of Lumbar Microdiscectomy Cases by Tuffier’s Line Levels

Authors : Ali AKAR, Ümit Ali MALÇOK

Pages : 194-198

Doi:10.54005/geneltip.1229507

View : 25 | Download : 10

Publication Date : 2023-04-30

Article Type : Research Paper

Abstract :Objective: The most used method in the surgical treatment of lumbar disc herniation insert ignore into journalissuearticles values(LDH); is lumbar microdiscectomy insert ignore into journalissuearticles values(LMD);. In this study, we aimed to show the relationship between Tuffier\`s line insert ignore into journalissuearticles values(TL);, which is widely used in determining the L4-5 distance in lumbar spinal interventions, and LMD levels. Materials and Methods: In this study, a total of 204 patients who had LMD or had low back pain were reviewed retrospectively. According to the projection of TL at the spine level; it was divided into 5 categories as L4 corpus, L4 lower endplate, L4-5 disc space, L5 upper endplate, L5 corpus. The cases were analyzed according to age, gender, disc level and changes in TL. Results: 92.1% of the cases were operated at the L4-5 or L5-S1 level. TL was mostly at L5 upper endplate level in women, L4-5 disc space and above in men, and there was a significant relationship between TLs and gender in both groups insert ignore into journalissuearticles values(p<0.05);. Conclusion: In our study, we found that although TLs were caudally in patients operated at L5-S1 level, they displaced cranially in patients operated at L4-5 level. However, it was observed that LDH development in the lower lumbar region and increased at the upper levels with ageing.
Keywords : Tuffier çizgisi, Lomber disk hernisi, Lomber mikrodiskektomi