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№3' 2019

RADIATION DIAGNOSIS

International Medical Journal, Vol. 25., Iss. 3, 2019, P. 93−96.


DOI (https://doi.org/10.37436/2308-5274-2019-3-18)

DIAGNOSTIC RADIOLOGY METHODS OF DEGENERATIVE CHANGES IN LUMBAR INTERVERTEBRAL DISCS IN YOUNG PEOPLE


Ilhar Halyb ohly Mammadov

Kharkiv Medical Academy of Postgraduate Education, Ukraine

In recent years, the number of scientific studies investigating the prevalence of low back pain among schoolchildren has been significantly increased. Degenerative disease of the discs is often accompanied by a low back pain with irradiation into the legs in representatives of different age groups, in particular, in older children. The main factors of its development are genetic predisposition, trauma, obesity, lack of exercise. Most of the components of the vertebral motor segment have the nerve endings and reflex influences, accompanied by inflammation, microcirculatory disorders, and their combination contributes to an appearance of back pain. Diagnosis of degenerative disc disease includes the study of the patient's medical history, analysis of clinical symptoms, use of functional tests and various types of imaging to clarify the degree of macrostructural changes in disks, among which the main place is taken by the magnetic resonance imaging. The development of degenerative changes in intervertebral discs as early as childhood, which requires a further study using non−invasive, accessible and informative methods, especially ultrasound ones. The results of ultrasonography of lumbar intervertebral discs were analyzed in 36 adolescents aged 16−18 years, diagnosed for the protrusion when the MRI was applied. Paramedian protrusion was found to be significantly more frequent than posterolateral, median, and circular ones. Due to its non−invasiveness, low price and information value, the ultrasound can be the most popular method not only as a screening one but also for the expert evaluation of lumbar intervertebral disc protrusion in schoolchildren.

Key words: diagnostic radiology, lumbar intervertebral discs, adolescents.


REFERENCES


1. Czervionke L. F. Imaging Painful Spine Disorders / L. F. Czervionke.− Saunders, 2011.− 672 p.

2. Al−Rawahi M. Mechanical function of vertebral body osteo−phytes, as revealed by experiments on cadaveric spines / M. Al−Rawahi, J. Luo, P. Pollintine // Spine.− 2011.− № 36.− R. 770−777.

3. Correlation between T2 relaxation time and intervertebral disk degeneration / H. Takashima, T. Takebayashi, M. Yoshimoto [et al.] // Skeletal Radiology.− 2012.− Vol. 41, Iss. 2.− P. 163−167.

4. Baliga S. Low back pain: Current surgical approaches / S. Baliga, K. Treon, N. J. Craig // Asian. Spine J.− 2015.− Vol. 9.4.− P. 645−657.− doi: 10.4184/asj.2015.9.4.645

5. Kordi R. Low back pain in children and adolescents: an algorithmic clinical approach / R. Kordi, M. Rostami // Iran. J. Pediatr.− 2011.− Vol. 21.− P. 259−270.

6. Calvo−Munoz I. Prevalence of low back pain in children and adolescents: a meta−analysis / I. Calvo−Munoz, A. Gomez−Conesa, J. Sanchez−Meca // BMC Pediatr.− 2013.− Vol. 13, 14.− doi: 10.1186/1471−2431−13−14

7. Turk Z. Prevalence of nonspecific low back pain in schoolchildren in north−eastern Slovenia / Z. Turk, R. Vauhnik, D. Micetić−Turk // Coll Antropol.− 2011.− Vol. 35.− P. 1031−1035.

8. A cross−sectional survey of nonspecific low back pain among 2083 schoolchildren in China / W. Yao, X. Mai, C. Luo [et al.] // Spine.− 2011.− Vol. 36.− P. 1885−1890.− doi: 10.1097/BRS.0b013e3181faadea

9. Adams M. A. Intervertebral disc degeneration: evidence for two distinct phenotypes / M. A. Adams, P. Dolan // J. Anat.− 2012.− Vol. 221 (6).− P. 497−506.

10. Innervation of anulus tears: an experimental animal study / A. B. Fagan, G. Sarvestani, R. J. Moore [et al.] // Spine.− 2010.− Vol. 35.− P. 1200−1205.

11. Prevalence and distribution of intervertebral disc degeneration over the entire spine in a population−based cohort: the Wakayama Spine Study / M. Teraguchi, N. Yoshimura, H. Hashizume [et al.] // Osteoarthritis Cartilage.− 2014.− Vol. 22 (1).− P. 104−110.− doi: 10.1016/j.joca.2013.10.019

12. Signal intensity loss of the intervertebral discs in the cervical spine of young patients on fluid sensitive sequences / F. de Bruin, S. ter Horst, R. van den Berg [et al.] // Skeletal Radiol.− 2016.− Vol. 45.− P. 375−381.

13. Ruiz−Espana S. Semiautomatic computer−aided classification of degenerative lumbar spine disease in magnetic resonance imaging / S. Ruiz−Espana, E. Arana, D. Moratal // Comput. Biol. Med.− 2015.− Vol. 62.− P. 196−205.− doi: 10.1016/j.compbiomed.2015.04.028. Epub 2015 Apr 25

14. Marinelli N. L. T2 Relaxation Times Correlated with Stage of Lumbar Intervertebral Disk Degeneration and Patient Age / N. L. Marinelli, V. M. Haughton, P. A. Anderson // Am. J. of Neuroradiology August.− 2010.− Vol. 31 (7).− P. 1278−1282.

15. Morphological changes in degenerative disc diseaseon magnetic resonance imaging: comparison between young and elderly / O. B. Panta, S. Songmen, S. Maharjan [et al.] // J. Nepal. Health Res. Counc.− 2016.− Vol. 13.− P. 209−213.

16. Novel diagnostic and prognostic methods for disc degeneration and low back pain / D. Samartzis, A. Borthakur, M. B. A. Belfer [et al.] // Spine J.− 2015.− Vol. 1, 15 (9).− P. 1919−1932.− doi: 10.1016/j.spinee.2014.09.010

17. Meiliana A. Intervertebral Disc Degeneration and Low Back Pain: Molecular Mechanisms and Stem Cell Therapy / A. Meiliana, N. M. Dewi, A. Wijaya.− 2018.− № 41.− R. 73−81.

18. Posterior lumbar apophyseal ring fractures in adolescents: a report of four cases / C. H. Yen, S. K. Chan, Y. F. Ho [et al.] // J. Orthop. Surg. (Hong Kong).− 2009.− Vol. 17.− P. 85−89.

19. Abdullaev R. Ya. Ul'trasonografiya kak sovremennyi metod diagnostiki porazhenii plechevogo sustava u bol'nykh s revmatoidnym artritom / R. Ya. Abdullaev, T. A. Dudnik // Promeneva dіagnostika, promeneva terapіya.− 2014.− № 1−2.− S. 99−100.

20. Dekl. patent na korisnu model' Ukraїni 103037 "Sposіb dіagnostiki vidu protruzії mіzhkhrebtsevikh diskіv shiinogo vіddіlu u dіtei starshogo vіku" / R. Ya. Abdullaєv, R. R. Abdullaєv, K. N. Іbragіmova. Opubl. 25.11.2015.

21. Jarvik J. G. Moderate versus mediocre: The reliability of spine MR data interpretations / J. G. Jarvik, R. A. Deyo // Radiology.− 2009.− № 250 (1).− R. 15−17.

22. Lumbar spine: Agreement in the interpretation of 1.5T MR images by using the Nordic Modic consensus group classification form / E. Arana, A. Royuela, F. M. Kovacs [et al.] // Radiology.− 2010.− № 254.− R. 809−817.

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