Evaluation of structural changes in the spinal segment in patients with lumbar osteochondrosis with impaired movement patterns using the methods of radiation diagnosis

  • I.V. Gresko The Danylo Halytsky National Medical University in Lviv
Keywords: lumbar osteochondrosis, motor stereotype disturbance, lumbar vertebrae asymmetry


Aim. To investigate the lumbar segments roentgenanatomic changes in patients with vertebral osteochondrosis with a disturbance of the motor stereotype.

Material and Methods.The material of the study were protocols of clinical and radiological examination of 80 patients of 22-44 years of agewith lumbar osteochondrosis with a disturbance of the male motor stereotype . X-ray characteristics and signs of degeneration of elements of lumbar segments were evaluated. Statistical methods used were ones of descriptive statistics, and t-criterion by Student method with significance level of p<0,05.

Results and Discussion. In the course of lumbar spondylograms analysis, a significant predominance of structural asymmetry of the elements of the lumbar segments was established: asymmetry of articular processes (in LIII - LIV - 77.5%, LIV - LV - 85.0%, LV - SI - 70.0%, disconverting of articular facets - 72.5%, 81.3%, 57.5% respectively, the asymmetry of the transverse processes is 51.3%, 46.4%, and 76.3%, respectively. Anomalies of the tropism, and rotation of the spinous processes were observed in more than half of the patients. All patients showed signs of degeneration of all elements of the investigated lumbar segments. On the magnetic resonance imaging scans, changes in end-plates of the vertebral bodies of Modic 1 and Modic 2 types were dominant, which amounted to 63.8% for the LIII - LIV segment, 82.6% for LIV - LV and 87.5% for LV - SI. There were signs of degeneration of intervertebral discs of varying degrees in all the studied lumbar segments.

Conclusions. The roentgenanatomic characteristics of lumbar segments in patients with spinal osteochondrosis with motor stereotype disturbance are characterized by a significant predominance of the structural asymmetry of the LIII, LIV, and LV vertebrae: the asymmetrical value of articular (77.5%, 85.0%, 70.0%, respectively) and transverse (51, 3%, 46.4%, 76.3%, respectively) of the processes, discontinuity of the articular facies (72.5%, 81.3%, 57.5% respectively), anomalies of tropism (47.5%, 55.0%, 52.5%, respectively), rotation of spinous processes (67.5%, 63.8%, 33.8%, respectively). Dysplastic and degenerative deformations of the lumbar segments visualized in radiography and magnetic resonance imaging in patients with vertebral osteochondrosis with the motor stereotype disturbance can potentiate the development of vertebral pain syndromes.


Ajiboye LO, Oboirien M, Buunaaim Alexis DB: The incidence and clinico-radiological findings in symptomatic adult patients with lumbar degenerative disc diseases in a Tertiary orthopaedic hospital, South-West, Nigeria. East African Orthop J 2018, 12, 27-32.

Aissiou M, Perie D, Mac-Thiong JM: Correlations of radiographic findings in patients with low back pain. Normalized intervertebral disc MRI signal as a biomarker of pain. J Biomed Scie Engin 2013, 6, 372-380. https://doi.org/10.4236/jbise.2013.63A047

Comerford M, Mottram S: Kinetic control. The management of uncontrolled movement. Elsevier Australia, Churchill Livingstone 2012, 1st ed., 3-43.

D'Anastasi M, Birkenmaier C, Schmidt GP, Wegener B, Reiser MF, Baur-Melnyk A: Correlation between vacuum phenomenon on CT and fluid on MRI in degenerative disks. AJR, 2011, 197, 1182-1189. https://doi.org/10.2214/AJR.10.6359

Elgbinedion BO, Akhigde A: Correlations of radiographic findings in patients with low back pain. Niger Med J 2011, 52, 28-34.

Forster M, Mahn F, Gockel U, Brosz M, Freynhagen R, Tolle TR, Baron R: Axial low back pain: One painful area - many perceptions and mechanisms. PLoS One, 2013, 8, e68273. https://doi.org/10.1371/journal.pone.0068273

Gervais J, Perie D, Aubin CE: Sensitivity of MRI signal distribution within the intervertebral disc to image segmentation and data normalization. Comput Methods Biomech Biomed Engin, 2014, 17, 1383-1390. https://doi.org/10.1080/10255842.2012.748756

Hancock MJ, Maher CG, Latimer J, Spindler MF, McAuley JH, Laslett M, Bogduk N: Systematic review of tests to identify the disc, SIJ or facet joint as the source of low back pain. Eur Spine J 2007, 16, 1539-1550. https://doi.org/10.1007/s00586-007-0391-1

Kaadeh T, Rafeemanesh E, Omidi-Kashani F: Investigating a possible link between MRI findings and clinical complaints in the patients with chronic low back pain. Austin J Orthop Rheumatol 2018, 5, 1070-1075.

Koistad HA, Christensen MV, Jensen LD, Schlunssen V, Thuistrup AM, Bonde JPB: Notification of occupational disease and the risk of work disability: a two-year follow-up study. Scand J Work Environ Health 2013, 39, 411-419. https://doi.org/10.5271/sjweh.3336

Masi AT, Nair K, Evans T, Ghandour Y: Clinical, biomechanical, and physiological translational interpretations of human resting myofascial tone or tension. Int J Ther Massage Bodywork, 2010, 3, 16-28. https://doi.org/10.3822/ijtmb.v3i4.104

Muriuki MG, Havey RM, Voronov LI, Carandang G, Zindrick MR, Lorenz MA, Lomasney L, Patwardhan AG: Effects of motion segment level, Pfirrmann intervertebral disc degeneration grade and gender on lumbar spine kinematics. J Orthop Res 2016, 34, 1389-1398. https://doi.org/10.1002/jor.23232

Ract I, Meadeb JM, Mercy G, Cueff F, Husson JL, Guillin R: A review of the value of MRI signs in low back pain. Diagn Interv Imaging 2015, 96, 239-249. https://doi.org/10.1016/j.diii.2014.02.019

Rai GS, Mehra A, Singh Gaur TN: A prospective study of magnetic resonance imaging findings in patients of chronic low back pain: a clinico-radiological correlation. Int J Res Med Sci 2016, 4, 47-56. https://doi.org/10.18203/2320-6012.ijrms20151538

Sahrmann S, Azevedo DC, Van Dillena L: Diagnosis and treatment of movement system impairment syndromes. Brazil J Phys Therapy 2017, 21, 391-399. https://doi.org/10.1016/j.bjpt.2017.08.001

Teraguchi M, Yoshimura N, Hashizume H, Muraki S, Yamada H, Oka H, Minamide A, Nakagawa H, Ishimoto Y, Nagata K, Kagotani R, Tanaka S, Kawaguchi H, Nakamura K, Akune T, Yoshida M. The association of combination of disc degeneration, end plate signal change, and Schmorl node with low back pain in a large population study: the Wakayama spine study. Spine J 2015, 15, 622-628. https://doi.org/10.1016/j.spinee.2014.11.012

Vardeh D, Mannion RJ, Woolf CJ: Toward a mechanism-based approach to pain diagnosis. J Pain, 2016, 17, T50-T69. https://doi.org/10.1016/j.jpain.2016.03.001

Wani SK, Deshpande N: Correlation of pain and disability with MRI findings in patients with lumbar discogenic back pain. Int J Physiother Res 2014, 2, 418-423.

How to Cite
Gresko, I. (2019). Evaluation of structural changes in the spinal segment in patients with lumbar osteochondrosis with impaired movement patterns using the methods of radiation diagnosis. Acta Medica Leopoliensia, 25(1), 49-55. https://doi.org/10.25040/aml2019.01.049