Авторы

  • Qunduz Sadullоyeva
    Bukhara State Medical Institute named after Abu Ali ibn Sino

DOI:

https://doi.org/10.71337/inlibrary.uz.arims.49940

Аннотация

One of the most common manifestations of osteochondrosis of the lumbar spine is a herniated intervertebral disc. Lumbar radiculopathy can be aggravated by a number of complications that can lead to surgery. To study the complications that may develop lumbar radiculopathy, which will ensure improved patient care, both conservative and repeated surgical.


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ACADEMIC RESEARCH IN MODERN SCIENCE

International scientific-online conference

32

MRТ (CT) DATA IN THE DIAGNOSIS OF COMPLICATIONS OF

LUMBAR RADICULOPATHY

Sadullоyeva Qunduz Abdullo qizi

Bukhara State Medical Institute named after Abu Ali ibn Sino

https://doi.org/10.5281/zenodo.13827310

TEZIS
Introduction:

One of the most common manifestations of osteochondrosis

of the lumbar spine is a herniated intervertebral disc. Lumbar radiculopathy can
be aggravated by a number of complications that can lead to surgery. To study
the complications that may develop lumbar radiculopathy, which will ensure
improved patient care, both conservative and repeated surgical.

The purpose of the study:

to analyze the results of tomography (MRI and

CT) in complications of lumbar radiculopathy.

Materials and methods

The analysis of MRI and CT data was carried out in 21 patients with a clinical
picture

with complications due to decompression of the lumbar spinal roots who

were treated in the neurological department at the clinic of the Bukhara State
Medical Institute named after Abu Ali ibn Sina during 2023-2024. In this group,
21 tomographic examinations were performed for diagnosis in the period of
complications, of which 12 (57.1%) MRI and 9 (42.9%) CT scans of the lumbar
spine.

Results:

In the study group, some patients were diagnosed with a

combination of several types of pathology. At the same time, the following
pathology was visualized: a true recurrence of an IVD hernia (9 people – 42.8%);
the appearance of an IVD hernia on the other side (3 people – 14.2%); the
formation of an IVD hernia at a new level (7 people – 33.3%); edema of the disc
tissue with protrusion into the canal (2 people – 9.7%); The data obtained
indicate the presence of a large number of variants of pathological changes in
the spinal canal, which causes complaints and changes in orthopedic and
neurological status in the early and late recovery period.

Conclusions:

Most often, tomography in the early or late recovery period

visualized a true recurrence of a herniated IVD (42.8%) and the formation of a
herniated disc at a new level (33.3%). Inflammatory complications (discitis)
were rare and amounted to 4.9%.


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ACADEMIC RESEARCH IN MODERN SCIENCE

International scientific-online conference

33

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Библиографические ссылки

Kamper S.J., Apeldoorn A.T., Chiarotto A., Smeets R.J., Ostelo R.W., Guzman J., van Tulder M.W. Multidisciplinary biopsychosocial rehabilitation for chronic low back pain: Cochrane systematic review and metaanalysis. BMJ. 2015;350:h444. https://doi.org/10.1136/bmj.h444.

Tang N.K., Lereya S.T., Boulton H., Miller M.A., Wolke D., Cappuccio F.P.

Nonpharmacological treatments of insomnia for long-term painful conditions: a systematic review and meta-analysis of patient-reported outcomes in randomized controlled trials. Sleep. 2015;38(11):1751–1764. https://doi.org/10.5665/sleep.5158. Clinical Guidelines. Low Back Pain and Sciatica in Over 16s: Assessment and Management. London: National Institute for Health and Care Excellence (UK); 2016. Available at: www.nice.org.uk/guidance/ng59.

Chou R., Deyo R., Friedly J., Skelly A., Hashimoto R., Weimer M. et al. Nonpharmacologic therapies for low back pain: a systematic review for an American College of Physicians Clinical Practice Guideline. Ann Intern Med. 2017;166(7):493–505. https://doi.org/10.7326/M16-2459.

Parfenov V.A., Parfenova E.V. Issues of therapy of chronic nonspecific lumbalgia. Medical advice фенов В.А. 2020;(8):46–52. https://doi.org/10.21518/2079-701X-2020-8-46-52.

Vakhnina N.V., Kalinicheva E.Y. Understanding and treatment of pain in the lower back: principles of effective and safe anesthesia. Effective pharmacotherapy. 2018;11:10–15.

Knoerl R., Lavoie Smith E.M., Weisberg J. Chronic Pain and Cognitive Behavioral Therapy: An Integrative Review. West J Nurs Res. 2016;38(5):596–628. https://doi.org/10.1177/0193945915615869.

Akhmetov B.H., Maksimov Yu.N., Khaibullina D.,H., Gubeev B.E. Lower back pain: nuances of diagnosis. Practical medicine. 2014;(2):17–20. Режим доступа: https://www.elibrary.ru/item.asp?id=21400002.