ANALYSIS OF CLINICAL AND STRUCTURAL CHANGES IN WORKING-AGE POPULATION WITH LUMBAR SPINE OSTEOCHONDROSIS
Keywords:
Lumbar spine osteochondrosis, magnetic resonance imaging
Abstract
Aim. To assess clinical and anatomical preconditions for relapsing course of lumbar spine osteochondrosis. Material and methods. 71 patients of working age with lumbar spine osteochondrosis were examined. Clinical manifestations, neurological status and magnetic resonance imaging of lumbar spine were analyzed. The analysis took into account gender characteristics and age subgroup. Results. Damage of L3L4 segment was registered in 17 cases (in 3 women and 14 men predominantly of 2 and 3 age subgroup), however all of them had combined character: 9 protrusions (average size – 2.6 ± 0.6 mm) and 8 hernias (average size – 5.6 ± 4.3 mm). Damage of L4L5 segment either isolated or combined is registered in 47 cases out of 71 (in 8 women and 39 men predominantly of 2 and 3 age subgroup): 15 protrusions (average size – 2.9 ± 1.0 mm) and 32 hernias (average size – 6.2 ± 1.8 mm). Damage of L5S1 segment – in 55 cases out of 71 (in 10 women and 45 men predominantly of 2 and 3 age subgroup): 15 protrusions (average size – 2.4 ± 0.8 mm) and 40 hernias (average size – 7.4 ± 2.8 mm). Conclusion. There was a lack of dependence between degenerative changes in L3L4, L4L5, L5S1 segments and age and gender. Statistically significant correlation between degree of spine degenerative changes and severity of clinical manifestations was found.References
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2. Dadasheva M.N., Agafonov B.V. [Management of Patients with Back Pain. Recommendations for Diagnosis and Treatment]. Russkiy meditsinskiy zhurnal [Russian Medical Journal], 2016, no. 24, pp. 1613–1616.
3. Isaykin A.I., Ivanova M.A., Kavelina A.V. [Discogenic Lumbalgia]. Russkiy meditsinskiy zhurnal [Russian Medical Journal], 2016, no. 24, pp. 1599–1605. (in Russ.)
4. Zhivolupov S.A., Vorob'eva M.N., Samartsev I.N., Rashidov N.A. [Innovations in differential diagnostics and monitoring of lumbosacral radiculopathy]. Zhurn. nevrologii i psikhiatrii im. S.S. Korsakova [Journal of Neurology and Psychiatry Named After S.S. Korsakov], 2014, vol. 114, no. 8 (2), pp. 25–37. (in Russ.)
5. Kotova O.V. [Acute Pain in Lower Back and Neck]. Consilium Medicum [Consilium Medicum], 2016, vol. 18, no. 9, pp. 122–124. (in Russ.)
6. Kremer Yu. Zabolevaniya mezhpozvonkovykh diskov [Intervertebral Disk Diseases], russian translation: V.A. Shirokova. Moscow, MEDpress-inform Publ., 2015. 472 p.
7. Kushniruk P.I., Dreval' O.N., Pisarev V.B. [Anatomico-Morphological Substantiation of the Tactic of Microsurgical Access in the Removal of Hernias of Lumbar Intervertebral Disks]. Vestnik VolGMU [Bulletin of the Volgograd State Medical University], 2005, vol. 13, no. 1, pp. 65–69. (in Russ.)
8. Mumentaler M., Shter M., Myuller-Fal' G. Porazhenie perifericheskikh nervov i koreshkov [Defeat of Peripheral Nerves and Rootlets], russian translation: A.N. Barinova. Moscow, MEDpress-inform Publ., 2013. 616 p.
9. Nikiforov A.S., Avakyan G.N., Mendel' O.I. [Osteochondrosis of the Spine and its Complications]. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova [Journal of Neurology and Psychiatry Named After S.S. Korsakov], 2012, vol. 112, no. 8, pp. 108–111. (in Russ.)
10. Popelyanskiy Ya.Yu. Ortropedicheskaya nevrologiya (vertebronevrologiya) [Orthopedic Neurology (Vertebroneurology)]. Moscow, Medpress-inform Publ., 2011. 672 p.
11. Rachin A.P., Vygovskaya S.N., Nuvakhova M.B., Averchenkova A.A. [Practical Aspects of Therapy of Chronic Back Pain]. Russkiy meditsinskiy zhurnal [Russian Medical Journal], 2015, no. 12, pp. 660–663. (in Russ.)
12. Byval'tsev V.A., Belykh E.G., Alekseeva N.V., Sorokovikov V.A. Primenenie shkal i anket v obsledovanii patsientov s degenerativnym porazheniem poyasnichnogo otdela pozvonochnika: metodicheskie rekomendatsii [The Use of Scales and Questionnaires in the Examination of Patients with Degenerative Lesions of the Lumbar Spine. Methodical Recommendations]. Irkutsk, FGBU NTSRVH SO RAMS Publ., 2013. 32 p.
13. Proskurin V.V. Manual'naya terapiya vistseral'nykh proyavleniy osteokhondroza pozvonochnika [Manual Therapy of Visceral Manifestations of Osteochondrosis of the Spine]. Moscow, RUDN Publ., 1993. 148 p.
14. Rodichkin P.V., Shalamanov N.S. [Pathophysiological Substantiation of Complex Therapy of Intervertebral Hernias]. Vestnik Rossiyskoy Voenno-meditsinskoy akademii [Bulletin of the Russian Military Medical Academy], 2012, no. 2, pp. 72–79. (in Russ.)
15. Titova E.P., Khamtsova E.I., Maslova N.N. [Clinical Recommendations for Management of Patients with Lower Back Pain]. Russkiy meditsinskiy zhurnal [Russian Medical Journal], 2015, no. 12, pp. 690–693. (in Russ.)
16. Ye D., Liang W., Dai L. Comparative and Quantitative Proteomic Analysis of Normal and Degenerated Human Annulus Fibrosus Cells. Clin. Exp. Pharmacol. Physiol., 2015, no. 42, pp. 530–536. DOI: 10.1111/1440-1681.12386
17. da Silva Baptista J., de Vasconcellos Fontes R.B., Liberti E.A. Aging and Degeneration of the Intervertebral Disc. Review of Basic Science. Columna, 2015, no. 14, pp. 144–148.
18. Yee A., Lam M.P., Tam V. Fibrotic-Like Changes in Degenerate Human Intervertebral Discs Revealed by Quantitative Proteomic Analysis. Osteoarthritis Cartilage, 2016, no. 24, pp. 503–513. DOI: 10.1016/j.joca.2015.09.020
19. Matsumoto M., Okada E., Toyama Y. Аge-Related Lumbar and Cervical Intervertebral Disc Changes in Asymptomatic Subjects. Eur. Spine J., 2013, no. 22, pp. 708–713.
20. Sarath Babu N., Krishnan S., Brahmendra C.V. Quantitative Proteomic Analysis of Normal and Degenerated Human Intervertebral Disc. Spine J., 2016, no. 16, pp. 989–1000. DOI: 10.1016/j.spinee.2016.03.051
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Published
2017-06-01
How to Cite
Kurenkov, E., & Makarova, V. (2017). ANALYSIS OF CLINICAL AND STRUCTURAL CHANGES IN WORKING-AGE POPULATION WITH LUMBAR SPINE OSTEOCHONDROSIS. Human. Sport. Medicine, 17(2), 62-69. https://doi.org/10.14529/hsm170206
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Clinical and Experimental Medicine
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