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%.
ACADEMIC RESEARCH IN MODERN SCIENCE
International scientific-online conference
33
Literatures:
1.
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.
2.
Tang N.K., Lereya S.T., Boulton H., Miller M.A., Wolke D., Cappuccio F.P.
3.
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.
4.
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.
5.
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.
6.
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.
7.
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.
8.
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.