International Medical Journal, Vol. 22., Iss. 1, 2016, P. 100−104.
THE CAPABILITIES OF RADIODIAGNOSIS IN CERVICAL OSTEOCHONDROSIS IN ADOLESCENTS
City Children's Hospital No. 12, Kharkiv, Ukraine
The paper presents the pathogenetic mechanisms of degenerative disc disease of the cervical spine in adolescence. A comparative assessment of X−rays, magnetic resonance imaging and ultrasound imaging in visualization of the structures, intervertebral disk protrusion and herniation of various localization, spinal canal stenosis was done. It was found that decrease in the height of X−ray disc hernia was observed in all and protrusion in 23 (65.7 %) cases, central spinal canal stenosis in 7 (43.8 %) and in 17 (48.6 %) cases, respectively. MRI changes within the disk were detected in 24 (68.6 %) and hernia in 15 (93.4 %) cases, respectively. Stenosis SC was diagnosed by MRI in 15 (93.4 %) cases of hernia and in 31 (88.6 %) of protrusion. Ultrasonography detected the changes within the disk in the form of increased echogenicity, heterogeneity of the disc in all cases. The incidence of stenosis of the central SC revealed by US coincided with the results of MRI. Protrusion of IVD was median in 16 (45.7 %) cases, paramedian in 12 (34.3 %) circular in 4 (11.4 %), and posterolateral in 3 (8.6 %) cases. Hernia of IVD was median in 7 (43.8 %) cases, paramedian in 6 (37.5 %), circular in 2 (12.5 %), and posterolateral in 1 (6.2 %) case.
Key words: cervical osteochondrosis, adolescents, intervertebral discs, radiodiagnosis.