EVALUATION OF THE CONSEQUENCES OF VERTEBRAL AND SPINAL CORD INJURIES OF THE LUMBAR SPINE WITH THE OF RADIOLOGICAL METHODS IN THE PRACTICE OF MEDICAL AND SOCIAL EXPERTISE

Abstract

The aim of our work was to investigate to assess the consequences of spine and spinal cord injuries with the radiological methods of radial imaging and MRI, taking into account their sensitivity in the long-term period. The total number of observations in the work was 134 cases, which were divided into three separate groups. The group I included patients with disability, who underwent spondyllography of the lumbar spine with functional tests (n=64). In group II to patients with disability were additionally used computer tomography (n = 40). The group III consisted of patients with disability who were additionally examined by magnetic resonance imaging (n = 30). The average age of the patients was 48±3.6 years. There were 114 (85%) men, 20 (15%) women. All patients were divided into age groups according to WHO recommendations: 25-44 years – young age (34 patients), 44-60 – middle age (95 patients), 60-75 years – old age (5 patients). Various previous surgical interventions were performed in 100 patients (75%). By means of a functional X-ray analysis counted average values of the index of height and width of an intervertebral foramins at the level of the injured vertebra. Spiral computer tomography allowed to detect additional damage that was not established with conventional X-ray – secondary displacement of the chips in the direction of the spinal canal. On magnetic resonance tomograms estimated: extent of bone post-traumatic deformation, secondary changes of the vertebral channel, degree of a neurocompression syndrome. As a result, it was found that in patients of group III (patients with disability) who were examined integral with methods of radial imaging and MRI, morphological changes correlated with clinical manifestations were most accurately evaluated. Taking into account the obtained data, we consider it necessary to calculate accurate planimetric indicators that will allow us to objectively make an expert decision regarding the existing morphological post-traumatic changes.