Articolul precedent |
Articolul urmator |
362 7 |
Ultima descărcare din IBN: 2023-12-10 18:09 |
SM ISO690:2012 SEU, Victoria. Managementul clinico-imagistic a radiculopatiei lombare. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 301. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | |||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | |||||
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Introduction. Lumbar spine radiography does not show a herniated disc, but suggests its presence by indirect signs; they are reunited in the classical Barr triad which includes: scoliosis, flattening of physiological lordosis, narrowing of the intervertebral space. Magnetic resonance imaging (MRI) is the "gold standard" for visualizing pathological changes in soft tissues such as nerve structures, ligaments, discs, spinal canal, joints, muscles. Material and methods. The study included a group of 102 patients with clinical manifestations of lumbar radiculopathy and who underwent MRI examination group I (51 patients) and radiological examination group II (51 patients) of the lumbar spine. Results. Disc herniations with or without disc sequestration 51 (100%), lumbar vertebral canal stenosis 12 (23.5%), disruption of cerebrospinal fluid flow 4 (7.8%), edematous changes Modic type 16 (31.4%) ), vertebral hemangiomas 14 (27.5%), spondylodiscitis 3 (5.9%) and marginal osteophytes associated with radix conflict 5 (9.8%) (p> 0.0001) were viewed exclusively on MRI investigation, while subchondral sclerosis 48 (94.1%) and calcification of the intervertebral discs 3 (5.9%) were diagnosed only on radiographic examination of the spine. Some pathologies such as marginal osteophytes without signs of root conflict 51 (100%) for group I and 48 (94.1%) for group II, narrowing of the intervertebral space 49 (96.1%) for group I and 48 (94.1% ) for group II, Schmorl hernias 48 (94.1%) for group I and 31 (60.8%) for group II or static disorders 38 (74.5%) for group I and 46 (90.2%) for group II (p> 0.0001) were visualized both in the MRI investigation and in the radiography of the spine. Conclusion. Although the rate of diagnosis and aspects of lumbar radiculopathy described by MRI and radiological examination were different, MRI examination allows detailed assessment of the pathological process. |
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Cuvinte-cheie lumbar radiculopathy, magnetic resonance imaging, radiological examination, radiculopatie lombară, imagistică prin rezonanță magnetică, Examen radiologic |
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