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SM ISO690:2012 COCIUG, Adrian. Concurenţa imagistică a RMN cu histologia în diagnosticul leziunilor degenerative ale discului intervertebral lombar. In: Sănătate Publică, Economie şi Management în Medicină , 2013, nr. 4(49), pp. 57-61. ISSN 1729-8687. |
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Sănătate Publică, Economie şi Management în Medicină | ||||||
Numărul 4(49) / 2013 / ISSN 1729-8687 /ISSNe 2587-3873 | ||||||
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Pag. 57-61 | ||||||
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The lumbar intervertebral disc degeneration is the most important cause of low back pain. The purpose of the paper was to highlight the herniated lumbar disc and degenerative change in patients with clinical acussations by MRI that pleads for the diagnosis and staging them in relation to Modic classifi cation and correlative histological examination of the material according to the postoperative lumbar disc degeneration degree, performed in 173 patients admitted in Vertebrology department of PMSI SCTO January 2008 – December 2009, of which 87 patients were operated for osteochondrosis with herniated lumbar compression and spondylolisthesis. The fi rst type of change evidenced by MRI, histopathological, it was demonstrated the recent forms of the intervertebral disc degeneration, identifi ed in 10 (11.49%) operated patients. The type II changes by MRI, similar histopathological correspond with two-phase – the medium forms of the intervertebral disc degeneration, detected in 32 (36.78%) operated patients. The type III changes by MRI, histopathological, correspond with the type three, the advanced forms of the intervertebral disc degeneration, discovered in 45 cases (51.72%): myxoid degeneration and intradiscal calcifi cation, discal cartilage hialinization with intradiscal calcifi cation areas and the presence of young cells, fi broblasts and chondroblasts, cartilage tissue with areas of fi brosis and chronic infl ammatory infi ltrate. |
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Cuvinte-cheie egenerative-dystrophic changes, lumbar intervertebral disc, magnetic resonance investigation, дегенеративно-дистрофические изменения, межпозвоночный диск, магнитная резонансная томография |
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