AN ENTRAPMENT FOR LUMBAR DİSC SURGERY, PİRİFORMİS SYNDROME: A COMPİLATİON

Ozet:Piriformis sendromu piriformis kasinin siyatik siniri sikistirmasi ile olusan noromuskuler bir hastaliktir. Klinik uygulamalarda lomber radikulopati ile benzer sikayete neden olmasi nedeni ile siklikla gozden kacar. Piriformis sendromunu anlasilabilmesi icin piriformis kasi ile siyatik sinir yapilarinin fonksiyon ve iliskisinin bilinmesi gerekir. Bu sendromu gozardi ederek yapilan klinik degerlendirmenin doguracagi sonuclar siklikla onemsenmez. Anahtar Kelimeler: Piriformis sendrom, Siyatik Sinir, Radikulopati. Introduction: Piriformis syndrome (PS) is an uncommon neuromuscular disorder that occurs with the strangling of the sciatic nerve by the piriformis muscle. The disorder usually occurs when the sciatic nerve is compressed or irritated by the muscle. An important feature of the diseaseis that PS is often overlooked in clinical practice because its presentation may be similar to that of lumbar radiculopathy. In US, it is reported that the patients with low back pain and sciatica were turned out to be PS at the rate of 6-8%(1). The ability to recognize PS requires an understanding of the structure and function of the piriformis muscle and its relationship to the sciatic nerve (3). The author review the anatomic and clinical features of this condition, summarizing the medical diagnosis and management.