{"id":2766,"date":"2024-11-20T23:47:55","date_gmt":"2024-11-20T23:47:55","guid":{"rendered":"https:\/\/kamranaghayev.com\/basarisiz-sirt-cerrahisi-sendromu\/"},"modified":"2025-05-11T12:44:58","modified_gmt":"2025-05-11T12:44:58","slug":"basarisiz-sirt-cerrahisi-sendromu","status":"publish","type":"post","link":"https:\/\/kamranaghayev.com\/tr\/basarisiz-sirt-cerrahisi-sendromu\/","title":{"rendered":"Ba\u015far\u0131s\u0131z S\u0131rt Cerrahisi Sendromu (FBSS)"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\" id=\"h-what-is-the-failed-back-syndrome\">Ba\u015far\u0131s\u0131z s\u0131rt sendromu nedir?<\/h2>\n\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;69d11ecc46f89&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69d11ecc46f89\" class=\"wp-block-image alignright size-full is-resized wp-lightbox-container\"><img decoding=\"async\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" src=\"https:\/\/kamranaghayev.com\/wp-content\/uploads\/2023\/12\/failed-back-syndrome-content-1.webp\" alt=\"\" class=\"wp-image-547\" style=\"width:300px\"\/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\taria-label=\"B\u00fcy\u00fct\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.imageButtonRight\"\n\t\t\tdata-wp-style--top=\"state.imageButtonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><\/figure>\n\n<p class=\"\">Ba\u015far\u0131s\u0131z bel sendromu, bel ameliyat\u0131n\u0131n hastaya beklenen fayday\u0131 sa\u011flamad\u0131\u011f\u0131 bir durumdur. Birka\u00e7 ba\u015far\u0131s\u0131z s\u0131rt sendromu senaryosu vard\u0131r<\/p>\n\n<ul class=\"wp-block-list\">\n<li class=\"\">Ameliyat hi\u00e7bir rahatlama sa\u011flamad\u0131 ve hastan\u0131n semptomlar\u0131 ameliyattan \u00f6nceki gibi devam etti<\/li>\n\n\n\n<li class=\"\">Ba\u015flang\u0131\u00e7ta bir iyile\u015fme d\u00f6nemi (&#8220;balay\u0131 d\u00f6nemi&#8221;) vard\u0131, sonras\u0131nda semptomlar geri d\u00f6nd\u00fc<\/li>\n\n\n\n<li class=\"\">Ameliyattan sonra semptomlar k\u00f6t\u00fcle\u015fti<\/li>\n<\/ul>\n\n<h2 class=\"wp-block-heading\" id=\"h-what-are-the-reasons-that-lead-to-failed-back-syndrome\">Ba\u015far\u0131s\u0131z bel sendromuna yol a\u00e7an nedenler nelerdir?<\/h2>\n\n<p class=\"\">Ba\u015far\u0131s\u0131z bel sendromuna neden olan bir\u00e7ok farkl\u0131 sebep vard\u0131r.<\/p>\n\n<h3 class=\"wp-block-heading\" id=\"h-misdiagnosis\">Yanl\u0131\u015f Te\u015fhis<\/h3>\n\n<p class=\"\">Hastan\u0131n durumu lomber dejeneratif hastal\u0131\u011fa ba\u011fl\u0131 olmayabilir. \u00d6rne\u011fin piriformis sendromu, siyatik sinirin kal\u00e7a seviyesinde s\u0131k\u0131\u015fmas\u0131 sonucu ortaya \u00e7\u0131kan bir n\u00f6ropatidir. Bu sendromun semptomlar\u0131 a\u011fr\u0131, uyu\u015fma ve g\u00fc\u00e7s\u00fczl\u00fckt\u00fcr &#8211; lomber disk herniasyonuna \u00e7ok benzer.<\/p>\n\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;69d11ecc47df9&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69d11ecc47df9\" class=\"wp-block-image aligncenter size-full is-resized wp-lightbox-container\"><img decoding=\"async\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" src=\"https:\/\/kamranaghayev.com\/wp-content\/uploads\/2023\/12\/failed-back-syndrome-content-2.webp\" alt=\"\" class=\"wp-image-548\" style=\"width:auto;height:250px\"\/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\taria-label=\"B\u00fcy\u00fct\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.imageButtonRight\"\n\t\t\tdata-wp-style--top=\"state.imageButtonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><\/figure>\n\n<p class=\"\">Bu nedenle, yanl\u0131\u015f te\u015fhis gereksiz bel ameliyatlar\u0131na yol a\u00e7abilir ve hastan\u0131n durumunu iyile\u015ftirmeyece\u011fi a\u00e7\u0131kt\u0131r. Dejeneratif bel hastal\u0131\u011f\u0131 olarak s\u0131kl\u0131kla yanl\u0131\u015f tan\u0131 konulan bir di\u011fer yayg\u0131n durum da sakro-ileittir. Bu durum, sakrum ve ileum aras\u0131ndaki eklemin dejeneratif ya da otoimm\u00fcn iltihaplanmas\u0131ndan kaynaklan\u0131r. Belde a\u011fr\u0131ya neden olur ve s\u0131kl\u0131kla dejeneratif lomber hastal\u0131k olarak yetersiz veya yanl\u0131\u015f te\u015fhis edilir.<\/p>\n\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;69d11ecc487c2&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69d11ecc487c2\" class=\"wp-block-image aligncenter size-full is-resized wp-lightbox-container\"><img decoding=\"async\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" src=\"https:\/\/kamranaghayev.com\/wp-content\/uploads\/2023\/12\/failed-back-syndrome-content-3.webp\" alt=\"\" class=\"wp-image-549\" style=\"width:auto;height:250px\"\/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\taria-label=\"B\u00fcy\u00fct\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.imageButtonRight\"\n\t\t\tdata-wp-style--top=\"state.imageButtonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><\/figure>\n\n<p class=\"\">Hastan\u0131n semptomlar\u0131 ameliyattan sonra hi\u00e7 de\u011fi\u015fmediyse, ger\u00e7ek nedenin tespit edilemedi\u011fine dair g\u00fc\u00e7l\u00fc bir g\u00f6sterge vard\u0131r.<\/p>\n\n<h3 class=\"wp-block-heading\" id=\"h-failed-back-after-lumbar-disc-herniation-surgery\">Lomber disk hernisi ameliyat\u0131 sonras\u0131 ba\u015far\u0131s\u0131z bel<\/h3>\n\n<p class=\"\"><a href=\"https:\/\/kamranaghayev.com\/tr\/lomber-disk-herniasyonu\/\">Lomber disk herniasyonu<\/a> vakalar\u0131nda, semptomlar ameliyattan bir s\u00fcre sonra tekrarlayabilir. Lomber diskektomi radik\u00fclopati tedavisinde \u00e7ok etkilidir. Bu prosed\u00fcr, f\u0131t\u0131kla\u015fm\u0131\u015f par\u00e7an\u0131n \u00e7\u0131kar\u0131lmas\u0131n\u0131 ve sinir k\u00f6k\u00fcn\u00fcn s\u0131k\u0131\u015ft\u0131r\u0131lmas\u0131n\u0131 i\u00e7erir. Cerrah daha sonra dejenere n\u00fckleus pulposusun bir k\u0131sm\u0131n\u0131 \u00e7\u0131kar\u0131r. Ancak, dejenere olmu\u015f \u00e7ekirdek materyalinin bir k\u0131sm\u0131 yerinde kal\u0131r. Bu nedenle, kalan n\u00fckleus pulposus materyali mevcut annulus penceresinden yeniden herniasyon yapabilir ve semptomlara neden olabilir. Disk herniasyonlar\u0131n\u0131n yakla\u015f\u0131k %8&#8217;i ilk ameliyattan sonra tekrarlar.<\/p>\n\n<p class=\"\">Bir ba\u015fka yayg\u0131n senaryo da lomber diskektomi ameliyat\u0131n\u0131 takiben devam eden bel a\u011fr\u0131s\u0131d\u0131r. Bu sendrom, f\u0131t\u0131kla\u015fmadan sorumlu dejenere diskten kaynaklanan s\u00fcrekli a\u011fr\u0131dan kaynaklanmaktad\u0131r. Cerrahi, sinir k\u00f6k\u00fc s\u0131k\u0131\u015fmas\u0131n\u0131 etkili bir \u015fekilde ortadan kald\u0131r\u0131r ancak disk dejenerasyonunun kendisini tedavi edemez. Bu nedenle, lomber disk cerrahisi hasarl\u0131 diskin kendisinden kaynaklanan bel a\u011fr\u0131s\u0131 i\u00e7in rahatlama sa\u011flayamaz. Hastalar bu \u00f6nemli ger\u00e7e\u011fin fark\u0131nda olmal\u0131d\u0131r. Ameliyat \u00f6ncesinde hastalar\u0131n uygun \u015fekilde e\u011fitilmemesi hasta memnuniyetsizli\u011fine yol a\u00e7abilir.<\/p>\n\n<h3 class=\"wp-block-heading\" id=\"h-failed-back-after-laminectomy\">Laminektomi sonras\u0131 ba\u015far\u0131s\u0131z s\u0131rt<\/h3>\n\n<p class=\"\">Tarihsel olarak, ba\u015far\u0131s\u0131z bel sendromu ba\u015flang\u0131\u00e7ta post-laminektomi sendromu olarak adland\u0131r\u0131lm\u0131\u015ft\u0131r. Bu nedenle, bu iki durum bazen e\u015fanlaml\u0131 olabilmektedir. Ancak post-laminektomi sendromu art\u0131k ba\u015far\u0131s\u0131z s\u0131rt\u0131n bir\u00e7ok formundan biri olarak kabul edilmektedir.<\/p>\n\n<p class=\"\">Laminektomi, spinal stenoz i\u00e7in yayg\u0131n olarak uygulanan bir prosed\u00fcrd\u00fcr. Laminektomi ayr\u0131ca t\u00fcm\u00f6rler, siringomiyeli ve vask\u00fcler ve konjenital malformasyonlar i\u00e7in omurili\u011fe cerrahi olarak eri\u015fmek i\u00e7in de kullan\u0131l\u0131r. Herhangi bir omurga seviyesinde yap\u0131labilir, ancak servikal ve lomber segmentler en s\u0131k g\u00f6r\u00fclen yerlerdir. Genellikle spinal stenoz tedavisi i\u00e7in yap\u0131l\u0131r. Cerrah, omurga kanal\u0131n\u0131 geni\u015fletmek i\u00e7in laminay\u0131 (omur kemiklerinin arka k\u0131s\u0131mlar\u0131) \u00e7\u0131kar\u0131r. Lamina&#8217;y\u0131 bir arada tutan ba\u011flar da \u00e7\u0131kar\u0131l\u0131r. Bu ba\u011flar \u00f6ne do\u011fru a\u015f\u0131r\u0131 e\u011filmeyi \u00f6nler. Laminektomi omurilik ve sinirler \u00fczerindeki bask\u0131y\u0131 azaltmada \u00e7ok etkilidir, ancak baz\u0131 handikaplar\u0131 vard\u0131r.<\/p>\n\n<p class=\"\">Laminektomiden sonra omurga s\u0131rt deste\u011fini kaybeder. Bu nedenle, kifoz (omurgan\u0131n \u00f6ne do\u011fru e\u011filmesi) laminektomi sonras\u0131 \u00e7ok yayg\u0131n bir durumdur. \u00c7\u0131kar\u0131lan lamina say\u0131s\u0131 artt\u0131k\u00e7a, kifoz olas\u0131l\u0131\u011f\u0131 da artar. Bu deformite \u015fekli omurga y\u00fck\u00fcn\u00fc \u00f6ne kayd\u0131r\u0131r ve pozitif sagittal dengeye neden olur. Zamanla daha da ilerleyebilir ve \u00f6nemli deformiteye neden olabilir.<\/p>\n\n<p class=\"\">Stenozun alt\u0131nda yatan neden olan intervertebral disk dejenerasyonu laminektomiden etkilenmez. Darl\u0131k, omurgadan sinir \u00e7\u0131k\u0131\u015flar\u0131 olan intervertebral foraminay\u0131 daraltmaya devam eder. Bu durum foraminal stenoz olarak adland\u0131r\u0131l\u0131r.<\/p>\n\n<h3 class=\"wp-block-heading\" id=\"h-lumbar-fusion-failure\">Lomber f\u00fczyon ba\u015far\u0131s\u0131zl\u0131\u011f\u0131<\/h3>\n\n<p class=\"\"><a href=\"https:\/\/kamranaghayev.com\/tr\/spinal-fuzyon\/\">Spinal f\u00fczyon<\/a> ameliyat\u0131ndan sonra ba\u015far\u0131s\u0131z bel sendromunun \u00e7ok yayg\u0131n bir nedeni kemik f\u00fczyonunun olmamas\u0131d\u0131r. F\u00fczyon hakk\u0131nda pek \u00e7ok yanl\u0131\u015f anlama var ve bu makale bu konuyu ayr\u0131nt\u0131l\u0131 olarak a\u00e7\u0131kl\u0131\u011fa kavu\u015fturmay\u0131 ama\u00e7l\u0131yor. Lomber f\u00fczyon ve enstr\u00fcmantasyon \u00e7ok s\u0131k kar\u0131\u015ft\u0131r\u0131lan ve birbirinin yerine kullan\u0131lan terimlerdir.<\/p>\n\n<p class=\"\">Enstr\u00fcmantasyon veya daha yayg\u0131n olarak donan\u0131m yerle\u015ftirme &#8211; cerrah taraf\u0131ndan ger\u00e7ekle\u015ftirilen bir prosed\u00fcrd\u00fcr. Cerrah, omurgan\u0131n bir b\u00f6l\u00fcm\u00fcn\u00fc stabilize etmek i\u00e7in kafesler, vidalar, kemik greftleri veya ba\u015fka ara\u00e7lar yerle\u015ftirir. Bu prosed\u00fcr\u00fcn amac\u0131 ameliyattan bir s\u00fcre sonra f\u00fczyon elde etmektir.<\/p>\n\n<p class=\"\">F\u00fczyon, iki kom\u015fu kemi\u011fin birbirine kayna\u015farak tek bir kat\u0131 kemik haline geldi\u011fi biyolojik bir s\u00fcre\u00e7tir. K\u0131r\u0131k sonras\u0131 kemik iyile\u015fmesi bir f\u00fczyon \u00f6rne\u011fidir. Ameliyat\u0131 takiben f\u00fczyon yap\u0131lmal\u0131d\u0131r. Lomber enstr\u00fcmantasyon sonras\u0131 f\u00fczyon i\u00e7in ola\u011fan s\u00fcre yakla\u015f\u0131k 6-12 ayd\u0131r. F\u00fczyon d\u00fczg\u00fcn bir \u015fekilde geli\u015fmezse, bu durum &#8220;ba\u015far\u0131s\u0131z f\u00fczyon&#8221;, &#8220;kaynamama&#8221;, &#8220;yalanc\u0131 f\u00fczyon&#8221; veya &#8220;yalanc\u0131 artroz&#8221; olarak adland\u0131r\u0131l\u0131r.<\/p>\n\n<p class=\"\">Kaynamaman\u0131n iki olas\u0131 g\u00f6r\u00fcn\u00fcm\u00fc vard\u0131r: donan\u0131m hatas\u0131 veya kemik gev\u015femesi. Omurga hareketli bir yap\u0131d\u0131r ve g\u00fcnl\u00fck aktiviteler s\u0131ras\u0131nda \u00e7ok fazla hareket eder. Enstr\u00fcmante edilmi\u015f seviyede f\u00fczyon geli\u015fmezse, bu segment hafif hareketli kal\u0131r. Bu segmentin hareketi donan\u0131m taraf\u0131ndan k\u0131s\u0131tlanm\u0131\u015ft\u0131r. Bu durumda, omurga kelimenin tam anlam\u0131yla sert donan\u0131ma kar\u015f\u0131 sava\u015fmaktad\u0131r. Bu \u00e7at\u0131\u015fman\u0131n iki olas\u0131 sonucu vard\u0131r: donan\u0131m ar\u0131zas\u0131 ve kemik ar\u0131zas\u0131.<\/p>\n\n<h3 class=\"wp-block-heading\" id=\"h-hardware-failure\">Donan\u0131m ar\u0131zas\u0131<\/h3>\n\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;69d11ecc4929f&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69d11ecc4929f\" class=\"wp-block-image aligncenter size-full is-resized wp-lightbox-container\"><img decoding=\"async\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" src=\"https:\/\/kamranaghayev.com\/wp-content\/uploads\/2023\/12\/failed-back-syndrome-content-4.webp\" alt=\"\" class=\"wp-image-550\" style=\"width:auto;height:250px\"\/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\taria-label=\"B\u00fcy\u00fct\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.imageButtonRight\"\n\t\t\tdata-wp-style--top=\"state.imageButtonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><\/figure>\n\n<p class=\"\">Her metalin bir yorulma \u00f6mr\u00fc vard\u0131r, yani b\u00fck\u00fclebilece\u011fi birka\u00e7 zaman vard\u0131r. Hareketli omurgadan kaynaklanan s\u00fcrekli stres ile metal ar\u0131zas\u0131 meydana gelir ve donan\u0131m k\u0131r\u0131lmalar\u0131na neden olur. A\u015fa\u011f\u0131daki resim lomber donan\u0131m yerle\u015ftirilen bir hastaya aittir. F\u00fczyon geli\u015fmedi ve vidalardan biri kemi\u011fin i\u00e7inde k\u0131r\u0131ld\u0131. Bir cerrah donan\u0131m\u0131n \u00e7o\u011funu \u00e7\u0131kard\u0131 ancak k\u0131r\u0131k par\u00e7ay\u0131 geri alamad\u0131.<\/p>\n\n<h3 class=\"wp-block-heading\" id=\"h-bone-failure\">Kemik yetmezli\u011fi<\/h3>\n\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;69d11ecc4994f&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69d11ecc4994f\" class=\"wp-block-image alignright size-full is-resized wp-lightbox-container\"><img decoding=\"async\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" src=\"https:\/\/kamranaghayev.com\/wp-content\/uploads\/2023\/12\/failed-back-syndrome-content-5.webp\" alt=\"\" class=\"wp-image-551\" style=\"width:300px\"\/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\taria-label=\"B\u00fcy\u00fct\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.imageButtonRight\"\n\t\t\tdata-wp-style--top=\"state.imageButtonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><\/figure>\n\n<p class=\"\">Bu senaryoda, v\u00fccuttan gelen s\u00fcrekli hareket vidalar\u0131n etraf\u0131nda kemik kayb\u0131na neden olur. Tipik olarak bu durum en iyi BT taramas\u0131nda anla\u015f\u0131l\u0131r. Kemik vidalar\u0131n\u0131n etraf\u0131ndaki gev\u015fek kemik, taramada tipik bir &#8220;halo&#8221; g\u00f6r\u00fcnt\u00fcs\u00fc olu\u015fturur ve bu durum i\u00e7in \u00e7ok spesifiktir. Vidalar\u0131n etraf\u0131nda kemik kayb\u0131 oldu\u011funda, t\u00fcm donan\u0131m gev\u015fer ve kemikten d\u0131\u015far\u0131 \u00e7\u0131kabilir.<\/p>\n\n<h3 class=\"wp-block-heading\" id=\"h-adjacent-level-degeneration\">Biti\u015fik seviye dejenerasyonu<\/h3>\n\n<p class=\"\">Bu durumla f\u00fczyon i\u015fleminden sonra s\u0131kl\u0131kla kar\u015f\u0131la\u015f\u0131l\u0131r. F\u00fczyon omurgan\u0131n bir b\u00f6l\u00fcm\u00fcn\u00fc dondurdu\u011fundan, hemen yak\u0131n\u0131ndaki disk eklemleri k\u0131s\u0131tl\u0131 genel hareketi telafi etmek zorundad\u0131r. Sonu\u00e7 olarak, kom\u015fu eklemler daha fazla y\u00fcklenir ve daha h\u0131zl\u0131 dejenere olur. Bu senaryoda, hasta f\u00fczyon ameliyat\u0131ndan sonra iyile\u015fir ve hatta tamamen a\u011fr\u0131s\u0131z hale gelebilir. Ancak birka\u00e7 y\u0131l sonra, kom\u015fu dejenerasyon semptomlar\u0131n tekrarlamas\u0131na neden olabilir.<\/p>\n\n<p class=\"\">Kom\u015fu seviye dejenerasyonunu \u00f6nlemek i\u00e7in cerrahlar genellikle f\u00fczyon d\u0131\u015f\u0131 teknikler kullan\u0131rlar. Omurgan\u0131n fizyolojisini korumak i\u00e7in hareketin korunmas\u0131 esast\u0131r. F\u00fczyon yerine yapay disk protezi kullan\u0131lmas\u0131, kom\u015fu seviyede dejenerasyon ve tekrarlayan ameliyat olas\u0131l\u0131\u011f\u0131n\u0131 \u00f6nemli \u00f6l\u00e7\u00fcde azalt\u0131r.<\/p>\n\n<h2 class=\"wp-block-heading\" id=\"h-what-are-the-symptoms-of-failed-back-syndrome\">Ba\u015far\u0131s\u0131z bel sendromunun belirtileri nelerdir?<\/h2>\n\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;69d11ecc4a169&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69d11ecc4a169\" class=\"wp-block-image alignright size-full is-resized wp-lightbox-container\"><img decoding=\"async\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" src=\"https:\/\/kamranaghayev.com\/wp-content\/uploads\/2023\/12\/failed-back-syndrome-content-6.jpg\" alt=\"\" class=\"wp-image-552\" style=\"width:300px\"\/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\taria-label=\"B\u00fcy\u00fct\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.imageButtonRight\"\n\t\t\tdata-wp-style--top=\"state.imageButtonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><\/figure>\n\n<p class=\"\">Ba\u015far\u0131s\u0131z bel sendromunun ana belirtisi s\u0131rt a\u011fr\u0131s\u0131d\u0131r. Devam eden radik\u00fclopati varsa, bacak a\u011fr\u0131s\u0131 da s\u0131rt a\u011fr\u0131s\u0131na e\u015flik edebilir. A\u011fr\u0131 fiziksel aktivite ile daha da k\u00f6t\u00fcle\u015fir. Bazen hastalar s\u0131rtlar\u0131nda donan\u0131m &#8220;hissedebilirler&#8221;.<\/p>\n\n<p class=\"\">A\u011fr\u0131 genellikle kroniktir ve ki\u015finin ya\u015fam kalitesini \u00f6nemli \u00f6l\u00e7\u00fcde etkiler. A\u011f\u0131r vakalarda depresyon ve di\u011fer psikolojik sorunlar geli\u015febilir. Baz\u0131 durumlarda, devam eden sinir s\u0131k\u0131\u015fmas\u0131 ile a\u011fr\u0131 bacaktan a\u015fa\u011f\u0131 yay\u0131l\u0131r. Bacaklarda uyu\u015fma, kar\u0131ncalanma ve g\u00fc\u00e7s\u00fczl\u00fck de s\u0131k g\u00f6r\u00fclen semptomlard\u0131r. Bazen hastalar g\u00fcnl\u00fck aktivitelerde yard\u0131ma ihtiya\u00e7 duyabilir.<\/p>\n\n<h2 class=\"wp-block-heading\" id=\"h-diagnosing-the-failed-back-syndrome\">Ba\u015far\u0131s\u0131z s\u0131rt sendromunun te\u015fhisi<\/h2>\n\n<p class=\"\">Ba\u015far\u0131s\u0131z bel sendromunun te\u015fhisi bir yapbozun birle\u015ftirilmesi gibidir. Do\u011fru bir resim olu\u015fturmak i\u00e7in her par\u00e7an\u0131n do\u011fru yerle\u015ftirilmesi gerekir.<\/p>\n\n<p class=\"\">Klinik muayene, ba\u015far\u0131s\u0131z bir s\u0131rt\u0131n te\u015fhisinde \u00f6nemli bir ad\u0131md\u0131r. Hastan\u0131n ilk ameliyattan fayda g\u00f6r\u00fcp g\u00f6rmedi\u011fi, bir &#8220;balay\u0131&#8221; d\u00f6nemi ge\u00e7irip ge\u00e7irmedi\u011fi veya ameliyattan sonra semptomlar\u0131n k\u00f6t\u00fcle\u015fip k\u00f6t\u00fcle\u015fmedi\u011fi, devam eden sorunlardan \u015f\u00fcphelenmek i\u00e7in \u00e7ok \u00f6nemlidir.<\/p>\n\n<p class=\"\">R\u00f6ntgen, BT ve MR dahil olmak \u00fczere radyolojik inceleme, sorunun tam olarak belirlenmesine yard\u0131mc\u0131 olur. Hastalarda omurga koronal ve sagital dengesi, kom\u015fu seviye dejenerasyonu, k\u0131r\u0131k donan\u0131m, kaynamama ve herniasyon n\u00fcks\u00fc ile ilgili sorunlar olabilir. Bu durumlar genellikle g\u00f6r\u00fcnt\u00fcleme \u00e7al\u0131\u015fmalar\u0131nda iyi tan\u0131mlan\u0131r.<\/p>\n\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;69d11ecc4aa44&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69d11ecc4aa44\" class=\"wp-block-image aligncenter size-full is-resized wp-lightbox-container\"><img decoding=\"async\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" src=\"https:\/\/kamranaghayev.com\/wp-content\/uploads\/2023\/12\/failed-back-syndrome-content-7.jpg\" alt=\"\" class=\"wp-image-553\" style=\"width:auto;height:250px\"\/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\taria-label=\"B\u00fcy\u00fct\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.imageButtonRight\"\n\t\t\tdata-wp-style--top=\"state.imageButtonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><\/figure>\n\n<p class=\"\">Baz\u0131 durumlarda, elektromiyografi (EMG) ve sinir iletim \u00e7al\u0131\u015fmalar\u0131 ay\u0131r\u0131c\u0131 tan\u0131da yard\u0131mc\u0131 olabilir. Bu \u00e7al\u0131\u015fmalar \u00f6zellikle radik\u00fclopatiyi tan\u0131mlamak ve periferik sinir s\u0131k\u0131\u015fmas\u0131ndan ay\u0131rt etmek i\u00e7in yararl\u0131d\u0131r.<\/p>\n\n<h2 class=\"wp-block-heading\" id=\"h-how-is-the-failed-back-syndrome-treated\">Ba\u015far\u0131s\u0131z bel sendromu nas\u0131l tedavi edilir?<\/h2>\n\n<p class=\"\">Altta yatan sorunun do\u011fru te\u015fhisi ba\u015far\u0131n\u0131n anahtar\u0131d\u0131r. \u00c7o\u011fu durumda, nedeni bulmak ve d\u00fczeltmek i\u00e7in son derece deneyimli uzmanlar gerekir.<\/p>\n\n<p class=\"\">Ba\u015far\u0131s\u0131z bel sendromu i\u00e7in s\u0131kl\u0131kla revizyon cerrahisi uygulanmaktad\u0131r. Ameliyat\u0131n t\u00fcr\u00fc ve kapsam\u0131 altta yatan soruna ba\u011fl\u0131d\u0131r.<\/p>\n\n<p class=\"\">En yayg\u0131n iki senaryo tekrarlayan disk herniasyonu ve ba\u015far\u0131s\u0131z f\u00fczyondur. Her iki durumda da tedavi genellikle f\u00fczyondan olu\u015fur.<\/p>\n\n<p class=\"\">Bol miktarda, y\u00fcksek kaliteli greftleme ile enstr\u00fcmantasyon, sa\u011flam f\u00fczyon elde etmek i\u00e7in \u00f6nemli bir ad\u0131md\u0131r. Ancak revizyon cerrahisi teknik a\u00e7\u0131dan ilk cerrahiye g\u00f6re daha zordur. Omurga ve sinirlerin etraf\u0131nda olu\u015fan skar dokusu cerrahi manip\u00fclasyonu \u00f6nemli \u00f6l\u00e7\u00fcde engeller. Bu nedenle revizyon cerrahisinde komplikasyon oran\u0131 daha y\u00fcksektir. Bu nedenle, bu t\u00fcr ameliyatlar son derece deneyimli beyin cerrahlar\u0131 taraf\u0131ndan yap\u0131lmal\u0131d\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ba\u015far\u0131s\u0131z bel cerrahisi sendromuna (FBSS) kapsaml\u0131 bir bak\u0131\u015f: nedenleri, semptomlar\u0131 ve FBSS te\u015fhisine y\u00f6nelik sistematik yakla\u015f\u0131m.<\/p>\n","protected":false},"author":2,"featured_media":3741,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"content-type":"","footnotes":""},"categories":[24,31],"tags":[],"class_list":["post-2766","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-hastaliklar","category-omurga-hastaliklari"],"acf":[],"_links":{"self":[{"href":"https:\/\/kamranaghayev.com\/tr\/wp-json\/wp\/v2\/posts\/2766","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kamranaghayev.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kamranaghayev.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kamranaghayev.com\/tr\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/kamranaghayev.com\/tr\/wp-json\/wp\/v2\/comments?post=2766"}],"version-history":[{"count":0,"href":"https:\/\/kamranaghayev.com\/tr\/wp-json\/wp\/v2\/posts\/2766\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kamranaghayev.com\/tr\/wp-json\/wp\/v2\/media\/3741"}],"wp:attachment":[{"href":"https:\/\/kamranaghayev.com\/tr\/wp-json\/wp\/v2\/media?parent=2766"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kamranaghayev.com\/tr\/wp-json\/wp\/v2\/categories?post=2766"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kamranaghayev.com\/tr\/wp-json\/wp\/v2\/tags?post=2766"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}