09-07-2008

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Uluslararası Danışmanlar
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ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri

 

ORIGINAL RESEARCH ARTICLES


Quantitative Evaluation Of Sacroiliac Joints With Computed Tomography In Normal Population

Dr.Osman Ege ÇOBANKARA,a Dr.Aydın KARABACAKOĞLU,a Dr.Serdar KARAKÖSE,aDr.Güngör TAŞTEKİNb

aRadyoloji AD, bNükleer Tıp AD, Selçuk Üniversitesi Meram Tıp Fakültesi, KONYA



Objective: In this study, the anatomic and physiological findings of sacroiliac (SI) joints (length, width of joint and dimension of joint surface sclerosis) were established and correlated with certain parameters (e.g., sex, age, height and weight) in normal subjects. In so doing, we aimed to increase the specificity and sensitivity of computed tomography (CT) in the diagnosis of SI joint pathologies.
Material and Methods: Between the years 2001-2002, both SI joints of total of 140 (70 females, 70 males) patients without SI joint complaint were measured (length and width of SI joints and dimensions of joint surface sclerosis on coronal CT images). In all cases according to age, weight, height and sex, the results of the measurements were compared and analyzed statistically with student-t and correlation tests.
Results: According to sex group statistical analysis, bilateral SI joint lengths were longer in males than in females. There were no differences in either surface sclerosis or in SI joint width when the female and male groups were compared. According to age group statistical analysis, SI joint length and surface sclerosis of SI joints significantly increased, but SI joint width significantly decreased dependent to age. According to height and weight statistical analysis, SI joint length increased and joint width decreased significantly, while SI joint surface sclerosis mildly increased with regard height and weight, but there was no significant difference between them.
Conclusion: Measurements of SI joint length width surface sclerosis and determination of normal distribution according to various parameters can be beneficial in differentiating normal cases from patients with SI joint pathologies. Furthermore, these values may increase the sensitivity and specificity of CT in the assesment of diagnosis of SI joint pathologies.


Keywords: Sacroiliac joint, computed tomography

Turkiye Klinikleri J Med Sci 2004, 24:26-34

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