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