Evaluation of dynamic MRI data in patients with herniated intervertebral discs after the complex treatment including osteopathic correction

Abstract

Introduction. Pain in the lumbosacral region is one of the most common causes of disability and medical attention acquiring. Magnetic resonance imaging (MRI) of the spine in these patients quite often demonstrates multiple hernias. Despite the success of modern, including complex, methods of treating patients with herniated discs of lumbosacral spine, the problem of objective revealing of the applied therapy effect with modern instrumental examination methods is actual.The goal of research — study was to study the changes in the MRI picture in patients with herniated intervertebral discs during treatment with inclusion of osteopathic correction.Materials and methods. The study involved 15 patients with herniated intervertebral discs of lumbosacral spine. The patients received outpatient conservative treatment with inclusion of osteopathic correction. Participants underwent MRI of the lumbar spine at the beginning of the study and 3 months after treatment. The obtained data were processed by methods of nonparametric statistics.Results. After the complex treatment, such indicators of MRI as the hernia size, the lateral pocket width and the pelvis configuration significantly improved. These parameters are important indicators of pathomorphological changes in the spinal motion segment, affecting the discoradicular conflict. At the same time, there were no obtained convincing data about the therapy effect on the L5 vertebra rotation, on the presence of sequestration and changes in the Tchaikovsky index. Perhaps this is due to the small sample and short follow-up period for patients.Conclusion. After the course of treatment with inclusion of osteopathic correction, the statistically significant changes in MRI images were revealed in patients with herniated intervertebral discs, indicating a positive dynamics in the parameters of the hernia size, the width of the lateral pocket and the configuration of the pelvis.