COMPLEX X-RAY DIAGNOSTICS OF THE VERTEBRO-NEUROLOGICAL SYNDROMES IN PATIENTS WITH DYSTROPHIC DISEASES OF THE LUMBAR SPINE

Author:

Smirnov Valery,Savvova Maria,Smirnov Viktor

Abstract

Traditional X-ray methods identify general signs of a dystrophic process in 82.2% of cases but they do not provide suffi cient information about the nature of a pathological process, lesion prevalence and localization, a level and a degree of compression of neurological and vascular elements of the vertebral canal. Specifi city of X-ray imaging in the identifi cation of a dystrophic process nature is just 47.8%. X-ray imaging and T1-,T2-weighted MRI are enough for examining patients with discogenic changes of the vertebral segments; their combined results are highly effective (99.4%). Spiral CT and MRI are complementary methods for the examination of patients with dystrophic diseases of the lumbar spine; when used together their eff ectiveness reaches 95.4%. The comparative assessment of sensitivity, specifi city and accuracy of modern methods of X-ray diagnostics, development of an algorithm of the examination of patients with dystrophic diseases of the lumbar spine were performed on the basis of the study results.

Publisher

Professional Medical Association of Osteopathy and Manual Medicine Specialists "Association of Osteopaths"

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