X-RAY EXPERT CRITERIA CHARACTERIZING DEGENERATIVE-DISTROPHIC CHANGES IN CERVICAL OSTEOCHONDROSIS
Abstract
The article presents the X-ray expert criteria of degenerative-dystrophic changes in spinal-motor segments in 500 patients with cervical osteochondrosis between the ages of 20 and 78. The conducted spine X-ray analysis has revealed special features of X-ray presentations of anterior and posterior bearing complexes of the spine in cervical osteohondrosis. Special difficulties occur in establishing its cartilaginous stage (chondrosis or discosis). Such high-tech methods as CT and MRI are ineffective. Only functional spondiography is able to early detect stage I in osteochondrosis. Moreover, the images should be done in the lateral projection with the vertical orientation of a patient in the fluoroscopy mode during the unbending and bending of an examined part at all movement stages when fixing «stop-frames» to analyze the positions of vertebral bodies. During the period of osteochondrosis, morphological changes are taking place which are well visualized by CT and MRI.
About the Authors
A. N. Mikhailov
Belarusian Medical Academy of Postgraduate Education
Belarus
Academician, D. Sc. (Med.), Professor, Head of the Department
Belarus
Academician, D. Sc. (Med.), Professor, Head of the Department
I. S. Abelskaya
Belarusian Medical Academy of Postgraduate Education;
Republican Clinical Medical Center of the Administration of the President of the Republic of Belarus
Belarus
D. Sc. (Med.), Professor, Chief doctor of the Republican Clinical Medical Center of the Administration of the President of the Republic of Belarus
Belarus
D. Sc. (Med.), Professor, Chief doctor of the Republican Clinical Medical Center of the Administration of the President of the Republic of Belarus
E. E. Malevich
Belarusian Medical Academy of Postgraduate Education;
Republican Clinical Medical Center of the Administration of the President of the Republic of Belarus
Belarus
D. Sc. (Med.), Professor, Head of Department. Republican Clinical Medical Center of the Administration of the President of the Republic of Belarus
Belarus
D. Sc. (Med.), Professor, Head of Department. Republican Clinical Medical Center of the Administration of the President of the Republic of Belarus
T. N. Lukyanenko
Belarusian Medical Academy of Postgraduate Education
Belarus
Ph. D. (Med.), Assistant Professor
Belarus
Ph. D. (Med.), Assistant Professor
V. V. Zharnova
Yanka Kupala State University of Grodno
Belarus
Ph. D. (Med.), Assistant Professor
Belarus
Ph. D. (Med.), Assistant Professor
References
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Review
For citations:
Mikhailov A.N., Abelskaya I.S., Malevich E.E., Lukyanenko T.N., Zharnova V.V. X-RAY EXPERT CRITERIA CHARACTERIZING DEGENERATIVE-DISTROPHIC CHANGES IN CERVICAL OSTEOCHONDROSIS. Proceedings of the National Academy of Sciences of Belarus, Medical series. 2017;(3):37-44. (In Russ.)
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