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Professional paper - Review paper
Bolni sindrom leđa
Medicina Fluminensis : Medicina Fluminensis, 48 (2012), 3; 285-289. urn:nbn:hr:184:002498
Vukas, Duje; Bajek, Goran; Ledić, Darko; Houra, Karlo; Eškinja, Neven; Stanković, Branislav; Girotto, Dean; Šimić, Hrvoje; Gavranić, Ana; Kolbah, Barbara; Kolić, Zlatko

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Vukas, D., Bajek, G., Ledić, D., Houra, K., Eškinja, N., Stanković, B. ... Kolić, Z. (2012). Bolni sindrom leđa. Medicina Fluminensis : Medicina Fluminensis, 48. (3), 285-289. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:002498

Vukas, Duje, et al. "Bolni sindrom leđa." Medicina Fluminensis : Medicina Fluminensis, vol. 48, no. 3, 2012, pp. 285-289. https://urn.nsk.hr/urn:nbn:hr:184:002498

Vukas, Duje, Goran Bajek, Darko Ledić, Karlo Houra, Neven Eškinja, Branislav Stanković, Dean Girotto, et al. "Bolni sindrom leđa." Medicina Fluminensis : Medicina Fluminensis 48, no. 3 (2012): 285-289. https://urn.nsk.hr/urn:nbn:hr:184:002498

Vukas, D., et al. (2012) 'Bolni sindrom leđa', Medicina Fluminensis : Medicina Fluminensis, 48(3), pp. 285-289. Available at: https://urn.nsk.hr/urn:nbn:hr:184:002498 (Accessed 26 April 2024)

Vukas D, Bajek G, Ledić D, Houra K, Eškinja N, Stanković B, and sur.. Bolni sindrom leđa. Medicina Fluminensis : Medicina Fluminensis [Internet]. 2012 September 03 [cited 2024 April 26];48(3):285-289. Available at: https://urn.nsk.hr/urn:nbn:hr:184:002498

D. Vukas, et al., "Bolni sindrom leđa", Medicina Fluminensis : Medicina Fluminensis, vol. 48, no. 3, pp. 285-289, September 2012. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:002498. [Accessed: 26 April 2024]

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Metadata
Title (croatian)Bolni sindrom leđa
Title (english)Low back pain
AuthorDuje Vukas
AuthorGoran Bajek
AuthorDarko Ledić
AuthorKarlo Houra
AuthorNeven Eškinja
AuthorBranislav Stanković
AuthorDean Girotto
AuthorHrvoje Šimić
AuthorAna Gavranić
AuthorBarbara Kolbah
AuthorZlatko Kolić
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Neurosurgery)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Orthopedics
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Surgery
Abstract (croatian)
Bol donjeg segmenta leđa značajan je javnozdravstveni problem. Radi se o čestom kliničkom stanju od kojeg često obolijeva radno aktivno stanovništvo. Kronična ili akutna lumbalgija neupitno spada u vodeće dijagnoze zbog kojih radno aktivno stanovništvo izostaje s posla. Simptomi bola u donjem dijelu leđa zahvaćaju i stariju populaciju. Iznimno kompleksna anatomska struktura slabinskog segmenta kralježnice sklona je ozljedama te prenaprezanju, koje su vodeći uzrok bola. S biomehaničkog pogleda radi se o dijelu kralježnice koji je zadužen za kretnje velikih amplituda (fleksija i ekstenzija, naginjanje u stranu te aksijalna rotacija) te je istovremeno podvrgnut velikim silama (prijenos aksijalne težine, nošenje i podizanje predmeta). Sve to može dovesti do ozljeda. Bol može biti uzrokovan promjenama i narušavanjem integriteta svih anatomskih struktura slabinskog segmenta (kralježak, zigoapofizijalni zglob, sakroilijakalni zglob, mišićje i ligamentarni aparat). Najčešće se ipak radi o bolesti intervertebralnog diska (hernija) s posljedičnom kompresijom na neuralne strukture. Tada govorimo o radikulopatiji (lumboishijalgiji). Osim navedenih ozljeda uvijek se mora razmišljati i o mogućem isključenju ostale patologije koja kao simptom ima bol u leđima (ekspanzivni procesi, infekcije, trauma, bolesti bubrega). Liječenje lumbalgije i/ili radikulopatije uglavnom je konzervativno i kod najvećeg broja bolesnika konzervativni tretman dovodi do potpunog izlječenja. Kod nastupa kroniciteta tegoba uz proširenje neuroradiološke obrade, u obzir dolazi i operacijsko liječenje.
Abstract (english)
Low back pain is an important public health problem. It is a relatively frequent clinical condition among active population. Chronic or acute low back pain is among the most frequent diagnosis that make people miss their work. Back pain is found also among the elderly. The exceptionally complex anatomical structure of the lumbar segment makes it prone to injuries and overstrain, as the main causes of pain symptoms. From the biomechanical point of view it is the spinal segment which is responsible for large amplitude motions (flexion and extension, lateral banding and axial rotation), which means that this segment is subject to great force i.e. strain (axial weight and lifting). All these factors may lead to injuries. Pain can be caused by changes and loss of integrity of all anatomical structures of the lumbar segment (vertebra, fasset joint, sacro-iliacal joint, muscles or ligaments). More often, the main spine problem is intervertebral disc disease (disc herniation), with compression effect on spinal nerve roots and medula. In these case, the leading symptom is sciatica (radiculopathy). Along with the above mentioned spinal conditions, there is also need to consider other possible problems associated with back pain (tumors, infections, trauma, kidney diseases). The treatment of back pain/radiculopathy is almost always conservative and in the majority of patients it leads to complete recovery. If back pain starts to be chronic, this requires neuroradiologic analysis, with surgical treatment being also an option.
Keywords (croatian)
Keywords (english)
Languagecroatian
Publication typeProfessional paper - Review paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleMedicina Fluminensis : Medicina Fluminensis
Numberingvol. 48, no. 3, pp. 285-289
p-ISSN0025-7729
URN:NBNurn:nbn:hr:184:002498
Publication2012-09-03
Document URLhttp://hrcak.srce.hr/86940
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2017-05-12 06:41:01