'' Abdominal Crunch Positions With the Others in Terms of Interspinous Distance in Adult Patients ''

Study Overview
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Brief Summary
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The most important factor for ease of operation and safety during spinal anesthesia is the determination of the spinal space. Increasing lumbar flexion facilitates access to the spinal space. Traditionally, patients undergo spinal anesthesia with lateral or sitting lumbar flexion. In a study by Martha L Walker et al., The maximum extension of the knees, adduction of the hip, and a modified sitting position with the back flexion, ie, the abdominal crunch position, were found to be effective in increasing the flexion of the lumbar spine. In our study, we aimed to measure the interspinal distance with the abdominal crunch position with the help of ultrasonography (USG) and to compare the interspinal distance with the measurements obtained in traditional positions (sitting position and lateral decubitus).

Detailed Description
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Interspinal distance will be measured by ultrasonography by 3 different positions, respectively, for the patients who will undergo elective surgery and meet the study criteria and give voluntary consent. This evaluation process is to record and compare the measurement results. Patients will not undergo any interventional procedures. Patients who have difficulty in positioning due to hip, femur, knee and tibial fractures or arthrosis and who cannot be communicated will not be included in the study. One hundred of patients over the age of 18 who will undergo elective surgery will be included in the study.

Official Title
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''Compare Abdominal Crunch Positions With Conventional Sitting and Lateral Decubitus Positions in Terms of Interspinous Distance in Adult Patients''

Conditions
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Anesthesia, Spinal

Intervention / Treatment
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* Other: Spinal Anesthesia Position


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients over the age of 18 Undergo elective surgery Exclusion Criteria: Patients with vertebral anomaly Patient with not communicated

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Traditional Sitting Position<br>We are going to use the Traditional Sitting Position on each patients. | Other: Spinal Anesthesia Position<br>* The patient positions during the spinal anesthesia<br>|
| Lateral Decubitis Position<br>We are going to use the Lateral Decubitis Position on each patients. | Other: Spinal Anesthesia Position<br>* The patient positions during the spinal anesthesia<br>|
| Abdominal Crunch Position<br>We are going to use the Abdominal Crunch Position on each patients. | Other: Spinal Anesthesia Position<br>* The patient positions during the spinal anesthesia<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Inter spinal distance | Increasing of the Inter spinal distance | Through study completion, an average of 6 months. |