CLINICAL AND NEUROLOGICAL PECULIARITIES OF PATIENT DIAGNOSTICS WITH DEGENERATIVE PATHOLOGY OF THE LUMBAR SPINE
Keywords:
intervertebral disc herniation, spinal canal stenosis, computed tomography- myelography, magnetic resonance imaging, and myelography
Abstract
The problem of degenerative-dystrophic diseases is relevant due to it’s high prevalence of pathology. The most common causes of lumbar spine pain are hernias of intervertebral discs and spinal canal stenosis. The lumbosacral spine is prone to present of intervertebral disc hernias due to the peculiarities of biomechanics, and is therefore the main cause of spinal surgery among adult population. The aim of this paper is is to analyze the literature and study the diagnostics of degenerative diseases of the lumbar spine. The analytical, bibliosemantic, system approach and system analysis methods were used in the work. We must use neuroimaging data for determing the localization of intervertebral disc herniation and concomitant spinal canal stenosis. Modern standardized set of research includes X-Ray functional spondylography, computed tomography (CT) and MRI. Progress in neurosurgery is more related to use MRI and CT due to it’s great informativeness. Application of a complex of neuroimaging techniques for degenerative-dystrophic diseases of lumbar spine allows to reduce the number of diagnostic errors and detect diseases in the early stages.
References
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3. Bischoff, R. J., Rodriguez, R. P., Gupta, K., Righi, A., Dalton, J. E., & Whitecloud, T. S. (1993). A comparison of computed tomography-myelography, magnetic resonance imaging, and myelography in the diagnosis of herniated nucleus pulposus and spinal stenosis. Journal of spinal disorders, 6(4).
4. Cowley, P. (2016). Neuroimaging of Spinal Canal Stenosis. Magnetic Resonance Imaging Clinics of North America, 24(3).
5. Kreiner, D. S., Shaffer, W. O., Baisden, J. L., Gilbert, T. J., Summers, J. T., Toton, J. F., … Reitman, C. A. (2013). An evidence-based clinical guideline for the diagnosis and treatment of degenerative lumbar spinal stenosis (update). The Spine Journal, 13(7).
6. Kuittinen, P, Sipola, P, Aalto, TJ, Määttä, S, Parviainen, A, Saari, T, et al. (2014). Correlation of lateral stenosis in MRI with symptoms, walking capacity and EMG findings in patients with surgically confirmed lateral lumbar spinal canal stenosis. BMC Musculoskelet Disord.15.
7. Lafian, A. M., & Torralba, K. D. (2018). Lumbar spinal stenosis in older adults. Rheumatic Disease Clinics, 44(3).
8. Majidi, H., Shafizad, M., Niksolat, F., Mahmudi, M., Ehteshami, S., Poorali, M., & Mardanshahi, Z. (2019). Relationship Between Magnetic Resonance Imaging Findings and Clinical Symptoms in Patients with Suspected Lumbar Spinal Canal Stenosis: a Case-control Study. Acta Informatica Medica, 27(4).
9. McCall, I. W. (2000). Lumbar herniated disks. Radiologic Clinics, 38(6).
10. Mysliwiec, L. W., Cholewicki, J., Winkelpleck, M. D., & Eis, G. P. (2010). MSU classification for herniated lumbar discs on MRI: toward developing objective criteria for surgical selection. European spine journal, 19(7).
11. Nazarenko, N. V., Remnov, A. G., & Golyakhovskiy, A. V. (2017). Elektroneyromiograficheskaya otsenka funktsional'nogo sostoyaniya poyasnichnogo otdela pozvonochnika [Electroneuromyographic assessment of the functional state of the lumbar spine]. Saratovskiy nauchno-meditsinskiy zhurnal, 13(1). [In Russian].
12. Nikolayev, S.G. Praktikum po klinicheskoy elektromiografii [Tutorial on Clinical Electromyography]. Ivanovo, 2003. [In Russian].
13. Nordberg, C. L., Boesen, M., Fournier, G. L., Bliddal, H., Hansen, P., & Hansen, B. B. (2020). Positional changes in lumbar disc herniation during standing or lumbar extension: a cross-sectional weight-bearing MRI study. European Radiology.
14. Ponomarenko, S. O. (2015). Porivnyalʹnyy analiz promenevykh metodiv doslidzhennya pry stenozi khrebetnoho kanalu poperekovoho viddilu khrebta [Comparative analysis of radiological methods of research in stenosis of the spinal canal of the lumbar spine]. Ukrayinsʹkyy radiolohichnyy zhurnal, (23, vyp. 1). [In Ukrainian].
15. Ravindra, V. M., Senglaub, S. S., Rattani, A., Dewan, M. C., Härtl, R., Bisson, E., … & Shrime, M. G. (2018). Degenerative lumbar spine disease: estimating global incidence and worldwide volume. Global spine journal, 8(8).
16. Sipityy, V.I., Moroz, I.S., Yakimiv, G.A., Pecherskiy, B.V. Diagnostika i khirurgicheskoye lecheniye stenoza pozvonochnogo kanala. (2004). Ortopediya, travmatologiya i protezirovaniye. 4. [In Russian].
17. Steurer, J., Roner, S., Gnannt, R., & Hodler, J. (2011). Quantitative radiologic criteria for the diagnosis of lumbar spinal stenosis: a systematic literature review. BMC musculoskeletal disorders, 12(1).
18. Yegorov, A.V. (2014). Kompleksnoye ispol'zovaniye endovideoneyrokhirurgicheskikh tekhnologiy pri lechenii patsiyentov s gryzhami poyasnichnykh mezhpozvonkovykh diskov [Comprehensive use of endovideoneurosurgical technologies in treatment of patients with hernias of the lumbar intervertical discs] : thesis for the degree of candidate of medical sciences,
19. Zareth, N., Hilibrand, A., Gustavel, M. et al. (2003). Variation in Surgical Decision Making for Degenerative Spinal Disorders. Lumbar Spine. Part 1. 2208–2214.
20. Zhou, Z., Deng, H., Yang, W., Wang, Z., Lin, L., Munasinghe, J., … & Chen, X. (2020). Early stratification of radiotherapy response by activatable inflammation magnetic resonance imaging. Nature communications, 11(1).
21. Zileli, M., Crostelli, M., Grimaldi, M., Mazza, O., Anania, C., Fornari, M., & Costa, F. (2020). Natural Course and Diagnosis of Lumbar Spinal Stenosis: WFNS Spine Committee Recommendations. World Neurosurgery.
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Published
2021-08-20
How to Cite
Ksenzov, T. (2021). CLINICAL AND NEUROLOGICAL PECULIARITIES OF PATIENT DIAGNOSTICS WITH DEGENERATIVE PATHOLOGY OF THE LUMBAR SPINE. Scientific Journal of Polonia University, 44(1), 263-268. https://doi.org/10.23856/4431
Section
HEALTH, ENVIRONMENT, DEVELOPMENT
