Modern methods of radiology diagnostics as a basis for timely Detection and successful treatment of the spinal canal degenerative stenosis in the cervical spine

Meskhi K.T., Vorona B.N., Zelyanin A.S.

Purpose. To analyze the role of modern methods of radiology diagnostics, visualization and monitoring along with their usage in preoperative preparation, surgical treatment and postoperative period of patients with spinal canal stenosis of the cervical spine. Materials and methods. Surgical treatment of 25 patients with spinal stenosis of the cervical spine of various lengths has been performed. All the patients underwent X-ray and MRI examinations at the stage of preoperative examination, as well as MRI control and CT examinations in the postoperative period. Surgical treatment was performed through a mini-invasive anterolateral cervical parapharyngeal access with the installation of an interbody PEEK zero profile cage with locking mechanism, filled with osteoconductive paste based on hydroxyapatite and β-tricalcium phosphate. At all stages of the operational manual, X-ray control has been carried out using an electron-image tube. Results. As a result of comprehensive preoperative examination, planning of surgical treatment and usage of modern imaging techniques during the surgery, 22 patients have received an excellent early postoperative result with a discharge to outpatient follow-up care on the 3rd-4th day after the surgical treatment. In the early postoperative period 3 patients had the symptomatology of secondary edema of the root, which was eliminated by medicated treatment. These patients were discharged from the hospital on the 9-10th day after the op-eration. At subsequent follow-up studies after 6 and 12 months 17 (68.0%) of 25 patients showed no signs of degenerative-dystrophic changes in adjacent spinal levels and no inters-titial fusion or implant dislocation were registered. Dynamic monitoring of patients is being continued. Conclusion. The usage of modern methods of radiology diagnostics at all the treat-ment stages (preoperative examination, planning of surgical manual, surgical intervention, observation in the postoperative period) of patients with stenosis of the spinal canal of the cervical spine allows to obtain excellent and good results in the vast majority of observations and is the key to success in the treatment of this category of patients.
I.M. Sechenov First Moscow State Medical University (Sechenov University). Moscow, Russia.







Keywords:stenosis of the spinal canal, cervical spine, minimally invasive spinal fusion, discectomy, MRI, CT, spondylography.


Corresponding author:Meskhi K.T., e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript /p>


For citation: Meskhi K.T., Vorona B.N., Zelyanin A.S. Modern methods of radiology di-agnostics as a basis for timely detection and successful treatment of the spinal canal dege-nerative stenosis in the cervical spine. REJR 2017; 7(4):30-38. DOI:10.21569/2222-7415-2017-7-4-30-38.

Received: 23.10.2017 Accepted: 13.11.2017