Cerrahlarda Fiziksel İş Yükünün Servikal Sagittal Dengeye Etkisi

Serhat Cömert, Levent Horoz
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Abstract

Aim: Surgeons are exposed to a variety of occupational risks, including work-related musculoskeletal disorders. Occupational necessities such as repetitive movements and long-term inappropriate posture in surgeons may be the cause of neck pain. This study evaluated the cervical sagittal balance parameters of the surgeons. Material and Methods: This cross-sectional study included 57 patients with work-related neck pain between 2016 and 2019.T1S and Cobb angle were measured using magnetic resonance imaging. Personal characteristics of the participants, such as age, body mass index, height, and weight were obtained by a questionnaire filled in at the time of application. Results: Fifty-seven participants were included in the study. Of these, 13 were neurosurgeons, 13 were otolaryngology surgeons, 12 were general surgeons, 11 were plastic surgeons, and 8 were cardiovascular surgeons.The mean age of the surgeons were 38.7 ± 6.44 yearsand the mean VAS of the surgeons were 5.12± 0.73. The mean T1S was 23.2 ° ± 7.95 ° and the mean Cobb angle was 12.3° ± 7.99° In the neurosurgeons, the mean T1S was 22.2 ° ± 11.18 ° and the mean Cobb angle was 8.4 ° ± 5.91 °. Among all surgical branches, neurosurgeons had the lowest mean values in both T1s and cobb angle measurements. Coclusion: The physical workload of surgeons in their daily routines causes the cervical sagittal balance to deteriorate, suggesting that surgeons are in the high-risk group for occupational musculoskeletal diseases.
目的:外科医生面临各种职业风险,包括与工作有关的肌肉骨骼疾病。外科医生的重复性动作和长期不适当的姿势等职业必需品可能是引起颈部疼痛的原因。本研究评估了外科医生的颈椎矢状平衡参数。材料和方法:本横断面研究纳入了2016年至2019年期间57例与工作相关的颈部疼痛患者。采用磁共振成像测量T1S和Cobb角。参与者的个人特征,如年龄、身体质量指数、身高和体重是通过在申请时填写的问卷获得的。结果:57名参与者被纳入研究。其中,神经外科医生13人,耳鼻喉外科医生13人,普通外科医生12人,整形外科医生11人,心血管外科医生8人。手术年龄平均为38.7±6.44岁,VAS评分平均为5.12±0.73。T1S平均值为23.2°±7.95°,Cobb角平均值为12.3°±7.99°。神经外科患者T1S平均值为22.2°±11.18°,Cobb角平均值为8.4°±5.91°。在所有外科分支中,神经外科的T1s和cobb角测量平均值最低。结论:外科医生在日常工作中的体力负荷导致颈椎矢状平衡恶化,提示外科医生属于职业性肌肉骨骼疾病的高危人群。
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