КЛИНИКО-НЕВРОЛОГИЧЕСКИЕ ПРОЯВЛЕНИЯ ОСТЕОХОНДРОЗА ПОЯСНИЧНОГО ОТДЕЛА ПОЗВОНОЧНИКА: СОВРЕМЕННЫЕ ДИАГНОСТИЧЕСКИЕ ПОДХОДЫ И КЛИНИЧЕСКИЕ ФЕНОТИПЫ.
Keywords:
lumbar osteochondrosis, radiculopathy, lumbosciatica, MRI, degenerative spinal disease, neurological deficits.Abstract
Lumbar spine osteochondrosis is one of the most prevalent degenerative disorders of the musculoskeletal system and is characterized by a wide range of clinical and neurological manifestations. The aim of this study was to analyze major clinical and neurological symptoms and their correlations with magnetic resonance imaging findings. A total of 632 patients were evaluated, including assessment of pain intensity, radicular involvement, neurological deficits, and the degree of intervertebral disc degeneration. A strong correlation was identified between the severity of degenerative changes and pain intensity, as well as the frequency and localization of radiculopathies. The article provides tables summarizing clinical phenotypes, associations between disc herniation levels and neurological deficits, and the relationship between symptom severity and Pfirrmann degeneration grades. The results emphasize the importance of comprehensive clinical and neurological assessment in the diagnosis and management of lumbar osteochondrosis.
Downloads
References
1. Ahsan M., et al. Lumbar disc degeneration: clinical correlations. Spine J., 2020.
2. Kim H., et al. Neurological patterns in lumbar radiculopathy. Eur Spine J., 2021.
3. Smith L., et al. Epidemiology of lumbar spine disorders. Lancet Rheumatology, 2021.
4. Rajasekaran S., et al. Degenerative spine disease classification. Global Spine J., 2020.
5. Бадалов А.Ш., Коновалов А.Н. Современные методы диагностики остеохондроза. Вестник неврологии, 2020.
6. Коновалов А.Н., Дулаев А.К. Дегенеративные заболевания позвоночника. М., 2023.
7. Pfirrmann C., et al. Grading of lumbar disc degeneration. Spine, 2018.
8. Oner F., et al. Radiculopathy diagnostics. J. Neurosurg. Spine, 2022.
