International Journal of Medical Imaging

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Modern Methods of Radiological Diagnostics at the Primary Syndrome of the Low Back Pain

Received: 30 March 2014    Accepted: 22 April 2014    Published: 10 May 2014
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Abstract

Radiological, ultrasonic methods of research and magnetic resonance tomography help estimate changes of internal structures of a lumbar department of a backbone at primary syndrome of the low back pain and compare importance of these methods. Materials and methods: 100 patients have been included in research from chronic and 100 patients with sharp vertebral low back pain (LBP) and group of comparison (100 persons). All patients have passed clinically - tool examination: radiography, MRI and ultrasound of a lumbar department of a backbone. 76 patients were carried out МРТ. Ultrasound of a lumbar department of a backbone was appointed before treatment (in 3 weeks). Results: The surveyed patients according to ultrasound had changes of internal backbone structures most often as disk protrusion. The greatest quantity of protrusions was diagnosed in patients with chronic LBP that were asymptomatic. Sharp LBP was most often caused by a nervous radical compression with hernia. In a group of practically healthy persons the percent of diagnosed disk protrusions was small. A positive clinical change by the end of treatment in patients with sharp and chronic LBP was combined with the reduction of quantity and protrusion sizes. Restoration of epidural and paravertebral blood flow was a good prognostic criterion of treatment efficiency. Research has shown high importance of ultrasound of a lumbar department of a backbone that can act as a screening method of diagnostics of primary syndrome of low back pain at an out-patient - polyclinic stage. The received about 90 % concurrence with МРТ data testifies to comparability of results and expediency of wider introduction of ultrasound of a backbone in practice of public health service.

DOI 10.11648/j.ijmi.20140203.15
Published in International Journal of Medical Imaging (Volume 2, Issue 3, May 2014)
Page(s) 69-76
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Pain in a Back, Ultrasound (US) of a Backbone, МRI, Radiography

References
[1] О.В. Аблязов, Э.А. Шокиров, К.Т. Худойбердиев и соавт., «Оценка роли магнитно-резонансной томографии в диагностике локализации грыж межпозвонковых дисков при поясничном остеохондрозе», Неврологический вестник, 2003, вып.3-4, pp.79-80.
[2] В.В. Алексеев, «Диагностика и лечение болей в пояснице», CONSILIUM medicum, 2002, 2, pp.96- 102.
[3] А.Ю. Кинзерский, «Трансабдоминальная ультрасонография в диагностике поясничного межпозвонкового остеохондроза», Визуализация в клинике, 1995, 7, pp. 5-9.
[4] А.Ю. Кинзерский, «Допплерография эпидуральных венозных сплетений в дифференциации причин компрессии корешков спинного мозга при межпозвонковом остеохондрозе», Визуализация в клинике, 1999, pp.44-46.
[5] А.Ю. Кинзерский, Д.В. Медведев, А.Л. Бурулев, «Ультрасонография позвоночника», Челябинск, 2001, p.164.
[6] А.Ю. Кинзерский, А.Л. Бурулев, «Роль ультразвукового метода исследования в диагностике остеохондроза поясничного отдела позвоночника. Современные технологии в ультразвуковой диагностике», 2002, p.55.
[7] К.О.Кузьминов, «Ультразвуковая оценка состояния эпидурального пространства у больных с дискогенной болезнью поясничного отдела позвоночника», Мануальная терапия, 1999, 2, pp.12-15.
[8] Г.И Назаренко., А.М. Черкашов, А.В. Араблинский и соавт., «Современная комплексная диагностика дегенеративно-дистрофических изменений межпозвонковых дисков», Медицинская визуализация, 2002, 2, pp.38-43.
[9] В.А. Насонова, Ш. Эрдес, «О всемирной декаде костно-суставных заболеваний 2000-2010», Научно-практическая ревматология, 2000, 4, pp.14- 16.
[10] Ю.О. Новиков, «Боль в спине: клиника, дифференциальная диагностика, лечение», Вертеброневрология, 2001, 1-2, pp. 16-19.
[11] Ю.А. Олюнин, «Острые и хронические боли в области позвоночника», Русский медицинский журнал, 2004, 12(6), pp.386-391.
[12] Е.Ф. Подчуфарова, «Боль в пояснично-крестцовой области: диагностика, лечение», Русский медицинский журнал, 2004, 10, pp.1201-1208.
[13] Н.А. Шостак, «Диагностика и лечение болей в нижней части спины», Научно-практическая ревматология, 2001, 4, pp. 55-61.
[14] M. C.Battie, T. Hansson, S. Bigos et all., «B-scan ultrasonic measurement of the lumbar spinal canal as a predictor of industrial back pain complaints and extended work loss [see comments]», J. Occup. Med., 1993, 12, pp.1250-1255.
[15] P. F. Beattie, and S.P. Meyers, «Magnetic resonance imaging in low back pain: general principles and clinical issues», Phys. Ther., 1998, 7, pp. 738-753.
[16] R.A. Deyo, «Diagnostic Evaluation of LBP. Reaching a Specific Diagnosis is Often Impossible», Arch. Intern. Med., 2002, 162, pp. 1444-1447
[17] F. Ebner, E. Tolly, and W. Kopp, «Sonographic demonstration of lumbar disc herniation», J. Ultrasound Med., 1986, 4, pp.193-196.
[18] O. Hoffmann, M. Weih, von T. Munster et al., «Blood flow velocities in the vertebral veins of healthy: duplex sonographic study», J. Neuroimaging, 1999, Oct. 9 (4), pp.198-200.
[19] K. Kamei, K. Hanai, and N. Metsui, “Ultrasonic level diagnosis of lumbar disc herniation. Spine», 1990,11, pp.1170-1174.
[20] K. Kullmer, J.D. Rompe, A. Lowe et all., «Ultrasound image of the lumbar spine and lumbosacral transition. Ultrasound anatomy and possibilities for ultrasonically-controlled facet joint infiltration», Z. Orthop. the Grenzgeb., 1997, 4, pp.310-314.
[21] U. Lebkowska, and W.J. Lebkowski, «Visualization of the model of human lumbosacral spine in ultrasound examination», Ann. Med. Univ. Bialyst. Pol., 1993, 1, pp.100-106.
[22] C. Maureen Jensen, Michael N. Brant-Zawadzki, Nancy Obuchowski et al., «Magnetic Resonance Imaging of the Lumbal Spine in People without Back Pain», N. Engl. J. Med., 1994, 331, pp.1525-1526.
[23] A. Saifuddin, I. Braithwaite, J. White et al., «The value of lum-bar spine magnetic resonance imaging in the demonstration of annular tears», Spine, 1998, 3, pp. 453-457.
[24] M.E. Suarez-Almazor, E. Belseck, A.S. Russell et al., «Use of lumbar radiographs for the early diagnosis of low back pain. Proposed guidelines would increase utilization», Arch. Fam. Med., 2000, 9, pp.10015-1021.
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  • Orenburg Medical Academy, Orenburg, Russia

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    Tatyana Tchernysheva. (2014). Modern Methods of Radiological Diagnostics at the Primary Syndrome of the Low Back Pain. International Journal of Medical Imaging, 2(3), 69-76. https://doi.org/10.11648/j.ijmi.20140203.15

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    ACS Style

    Tatyana Tchernysheva. Modern Methods of Radiological Diagnostics at the Primary Syndrome of the Low Back Pain. Int. J. Med. Imaging 2014, 2(3), 69-76. doi: 10.11648/j.ijmi.20140203.15

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    AMA Style

    Tatyana Tchernysheva. Modern Methods of Radiological Diagnostics at the Primary Syndrome of the Low Back Pain. Int J Med Imaging. 2014;2(3):69-76. doi: 10.11648/j.ijmi.20140203.15

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  • @article{10.11648/j.ijmi.20140203.15,
      author = {Tatyana Tchernysheva},
      title = {Modern Methods of Radiological Diagnostics at the Primary Syndrome of the Low Back Pain},
      journal = {International Journal of Medical Imaging},
      volume = {2},
      number = {3},
      pages = {69-76},
      doi = {10.11648/j.ijmi.20140203.15},
      url = {https://doi.org/10.11648/j.ijmi.20140203.15},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ijmi.20140203.15},
      abstract = {Radiological, ultrasonic methods of research and magnetic resonance tomography help estimate changes of internal structures of a lumbar department of a backbone at primary syndrome of the low back pain and compare importance of these methods. Materials and methods: 100 patients have been included in research from chronic and 100 patients with sharp vertebral low back pain (LBP) and group of comparison (100 persons). All patients have passed clinically - tool examination: radiography, MRI and ultrasound of a lumbar department of a backbone. 76 patients were carried out МРТ. Ultrasound of a lumbar department of a backbone was appointed before treatment (in 3 weeks). Results: The surveyed patients according to ultrasound had changes of internal backbone structures most often as disk protrusion. The greatest quantity of protrusions was diagnosed in patients with chronic LBP that were asymptomatic. Sharp LBP was most often caused by a nervous radical compression with hernia. In a group of practically healthy persons the percent of diagnosed disk protrusions was small. A positive clinical change by the end of treatment in patients with sharp and chronic LBP was combined with the reduction of quantity and protrusion sizes. Restoration of epidural and paravertebral blood flow was a good prognostic criterion of treatment efficiency. Research has shown high importance of ultrasound of a lumbar department of a backbone that can act as a screening method of diagnostics of primary syndrome of low back pain at an out-patient - polyclinic stage. The received about 90 % concurrence with МРТ data testifies to comparability of results and expediency of wider introduction of ultrasound of a backbone in practice of public health service.},
     year = {2014}
    }
    

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    T1  - Modern Methods of Radiological Diagnostics at the Primary Syndrome of the Low Back Pain
    AU  - Tatyana Tchernysheva
    Y1  - 2014/05/10
    PY  - 2014
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    DO  - 10.11648/j.ijmi.20140203.15
    T2  - International Journal of Medical Imaging
    JF  - International Journal of Medical Imaging
    JO  - International Journal of Medical Imaging
    SP  - 69
    EP  - 76
    PB  - Science Publishing Group
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    AB  - Radiological, ultrasonic methods of research and magnetic resonance tomography help estimate changes of internal structures of a lumbar department of a backbone at primary syndrome of the low back pain and compare importance of these methods. Materials and methods: 100 patients have been included in research from chronic and 100 patients with sharp vertebral low back pain (LBP) and group of comparison (100 persons). All patients have passed clinically - tool examination: radiography, MRI and ultrasound of a lumbar department of a backbone. 76 patients were carried out МРТ. Ultrasound of a lumbar department of a backbone was appointed before treatment (in 3 weeks). Results: The surveyed patients according to ultrasound had changes of internal backbone structures most often as disk protrusion. The greatest quantity of protrusions was diagnosed in patients with chronic LBP that were asymptomatic. Sharp LBP was most often caused by a nervous radical compression with hernia. In a group of practically healthy persons the percent of diagnosed disk protrusions was small. A positive clinical change by the end of treatment in patients with sharp and chronic LBP was combined with the reduction of quantity and protrusion sizes. Restoration of epidural and paravertebral blood flow was a good prognostic criterion of treatment efficiency. Research has shown high importance of ultrasound of a lumbar department of a backbone that can act as a screening method of diagnostics of primary syndrome of low back pain at an out-patient - polyclinic stage. The received about 90 % concurrence with МРТ data testifies to comparability of results and expediency of wider introduction of ultrasound of a backbone in practice of public health service.
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