Researcher:
Abay, Berk

Profile Picture
ORCID

Job Title

Undergraduate Student

First Name

Berk

Last Name

Abay

Name

Name Variants

Abay, Berk

Email Address

Birth Date

Filters

2020 - 20222

Advanced Search

Filter by

Settings

Researcher Of Publications: search.filters.isAuthorOfPublication.5dd677de-23f8-4bc1-9c5c-4b0c01afe770

Search Results

Now showing 1 - 2 of 2
  • Placeholder
    PublicationMetadata only
    Management of scapular dysfunction in facioscapulohumeral muscular dystrophy: the biomechanics of winging, arthrodesis indications, techniques and outcomes
    (Bioscientifica Ltd, 2022) N/A; N/A; Eren, İlker; Gedik, Cemil Cihad; Kılıç, Uğur; Abay, Berk; Birsel, Olgar; Demirhan, Mehmet; Faculty Member; Researcher; Doctor; Undergraduate Student; Faculty Member; Faculty Member; School of Medicine; School of Medicine; N/A; School of Medicine; School of Medicine; School of Medicine; N/A; N/A, Koç University Hospital; N/A; N/A; N/A; 168021; 327612; N/A; N/A; N/A; 9882
    center dot Facioscapulohumeral muscular dystrophy (FSHD) is a common hereditary disorder which typically results in scapular winging due to wasting of the periscapular muscles affected by this condition.center dot Scapulothoracic arthrodesis (STA) is the current surgical treatment for FSHD patients with severe winging and preserved deltoid muscle. center dot There are several different techniques in the literature such as multifilament cables alone and cable or cerclage wires combined with single or multiple plates. We prefer cables without plates as it provides independent strong fixation points and strongly recommend utilization of autograft.center dot The functional results of studies report that regardless of the technique used, shoulder elevation and thus quality of life is improved, as shown with outcome scores.center dot There are several complications associated with STA. Pulmonary complications are common and usually resolve spontaneously. Meticulous surgical technique and effective postoperative analgesia may reduce the incidence. Scapular complications which are associated with the fixation may be encountered in the early or late period, which are related to the learning curve of the surgeon.center dot In conclusion, STA is a reliable solution to a major problem in FSHD patients that helps them maintain their activities of daily living until a cure for the disease is found. A successful result is strongly dependent on patient selection, and a multidisciplinary team of neurologists, geneticists and orthopaedic surgeons is required to achieve good results.
  • Thumbnail Image
    PublicationOpen Access
    Spinal fusion in facioscapulohumeral dystrophy for hyperlordosis: a case report
    (Lippincott Williams and Wilkins (LWW), 2020) Sar, Cüneyt; Eren, İlker; Çakmak, Özgür Öztop; Günerbüyük, Caner; Demirhan, Mehmet; Abay, Berk; Faculty Member; Teaching Faculty; School of Medicine; Graduate School of Health Sciences; 168021; N/A; N/A; 9882; N/A
    Rationale: facioscapulohumeral muscular dystrophy (FSHD) is the third most common muscular dystrophy, which is associated with facial, shoulder girdle, and paraspinal muscle atrophy. Most of the patients develop hypokyphosis and hyperlordosis in the course of the disease, to preserve standing posture. Corrective fusion is contraindicated in these patients as the surgery results with loss of compensatory hyperlordosis and leads to loss of trunk balance while standing. Although spinal fusion in neuromuscular scoliosis is a known treatment option, there are no studies in the literature on the spinal fusion of this specific patient group. Patient concerns: in this case report we have presented a 66-year-old woman, who was admitted with back and abdominal pain, inability to sit straight, abdominal discomfort, and numbness in the lower extremities after prolonged sitting. Diagnoses: the patient developed severe hyperlordosis causing intra-abdominal disorders, radicular symptoms, and sitting discomfort due to FSHD. Interventions: the patient underwent T2-S1 fusion and successful fusion was achieved. Outcomes:Individualized Neuromuscular Quality of Life Questionnaire (INQoL) was used to assess preoperative and 3 years postoperative functional outcomes. All domains and total score improved at the end of the follow-up period and successful fusion was verified radiologically. Lessons: this case suggests that spinal fusion may provide functional improvement in carefully selected patient groups. Patient stratification considering spinal disability is required for further studies in this specific indication.