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    AVASCULAR NECROSIS OF THE HIP: DELAYED DIAGNOSIS DUE TO LUMBAR DISC DEGENERATION
    (NOBEL ILAC, 2010) Kozakcioglu, Meral; Atalay, Ayce
    Avascular necrosis might be encountered following steroid use for various medical conditions We report a patient who has developed avascular necrosis of the hip following steroid use for facial nerve palsy The diagnosis was delayed since nonspecific findings on lumbar magnetic resonance imaging was held responsible for his complaints
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    Degeneration of the lumbar spine and dual-energy X-ray absorptiometry measurements in patients without osteoporosis
    (ELSEVIER SCIENCE INC, 2009) Atalay, Ayce; Kozakcioglu, Meral; Cubuk, Rahmi; Tasali, Nuri; Guney, Sefik
    Aim: The aim of this study was to evaluate the effects of degenerative findings on the accuracy of readings obtained by dual-energy X-ray absorptiometry (DXA) in patients without osteoporosis. Methods: Twenty-four female patients who had undergone both DXA and lumbar magnetic resonance imaging were included in the study. Conclusion: This study has demonstrated that degenerative radiologic changes, especially in the osteophyte area, affect bone mineral density measurements, so degeneration should be considered in the evaluation of this measurement. (C) 2009 Elsevier Inc. All rights reserved.
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    LOW BACK PAIN IN THE POSTPARTUM PERIOD: A CASE REPORT WITH VERTEBRAL OSTEOMYELITIS
    (Istanbul Univ, Faculty Medicine, Publishing Office, 2009) Kozakçıoğlu, Meral; Atalay, Ayce; Çubuk, Rahmi
    Tuberculosis remains a major health problem. Musculoskeletal tuberculosis accounts for about 10-15 % of all tuberculosis notifications in the non-industrialized countries. The spine is the most common site the for osseous involvement and tuberculosis involved multiple sites accounts for 3% of the cases. Sacral involvement and concomittant vertebral tuberculosis is a rare combination. We report a case of tuberculosis with vertebral involvement and an additional infectious foci near the sacroiliac joint. Needle biopsy of the L1 was required for the microbiological confirmation of the diagnosis in our case since Quantiferon test in the serum was negative. The diagnosis of musculoskeletal tuberculosis remains a challange to clinicians and requires a high index of suspicion. Thorough and even invasive diagnostic work-up is mandatory for the accurete and early diagnosis of patients with osteoarticular tuberculosis.
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    Lumbar Disc and Facet Degeneration: Correlation with Age and Facet Orientation
    (AVES YAYINCILIK, IBRAHIM KARA, 2009) Cubuk, Rahmi; Kozakcioglu, Meral; Tasali, Nuri; Atalay, Ayce; Celik, Levent
    Objectives: The influence of age on orientation of the facet joint remains controversial. We aimed to examine facet joint degeneration, orientation and their relationships with disc degeneration in a group of patients in different age groups. Patients and Methods: The study included 106 patients with low back pain and/or leg symptoms who had undergone magnetic resonance imaging of L1-S1 lumbar segments. For evaluation of osteoarthritis of the facet joints grading described by Weishaupt et al. and for evaluation of disc degenerations grading by Pfirmann et al. were used. Results: Orientation of the facet joints were similar among age groups. Age was not correlated with facet joint orientation. Facet joint orientation was not correlated with facet or disc degeneration in neither female nor male patients. Age was positively correlated with facet degeneration at all spinal levels. At all levels except L3-4 level, facet joint degeneration was more prominent in male subjects. Conclusion: This study have demonstrated that facet joint orientation is similar among different age groups. The finding of greater prevalence and degree of facet arthrosis in men at all lumbar levels is in accordance with some recent studies. Our study supported the notion that disc degeneration precedes facet arthrosis.
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    Polypharmacy in the Elderly: A Multicenter Study
    (ELSEVIER SCIENCE INC, 2009) Kutsal, Yesim Gokce; Barak, Anil; Atalay, Ayce; Baydar, Terken; Kucukoglu, Selcuk; Tuncer, Tiraje; Hizmetli, Sami; Dursun, Nigar; Eyigor, Sibel; Saridogan, Merih; Bodur, Hatice; Canturk, Ferhan; Turhanoglu, Ayse; Arslan, Sule; Basaran, Aynur
    Objective: The aim of this study was to evaluate the polypharmacy issue and its correlations with socio-economic variables in Turkish elderly patients. Design: Cross-sectional Setting: Outpatient clinics of the medical schools, departments of physical medicine and rehabilitation from 12 provinces. Participants: A total of 1430 elderly in different geographical regions of Turkey during January 2007 to January 2008 were included. Measurements: Patients were interviewed using a questionnaire that included demographic characteristics, current medical diagnosis, and pharmaceuticals that are used by elderly. Demographical parameters were gender, age, marital status, number of children, level of education, province, and status of retirement. Results: The mean number of drugs was found to be higher in the females. There was a significant difference among age groups, marital status groups, and the number of children categories. The distribution of the number of drugs among education levels did not differ significantly, whereas the distribution of the number of drugs between the status of retirement and presence of chronic disease differed significantly. Conclusions: Polypharmacy is correlated with various factors including age, sex, marital status, number of children, status of retirement, and presence of chronic medical conditions but not educational status in our study group. (J Am Med Dir Assoc 2009; 10: 486-490)