X-RAY SIGNS

X-RAY SIGNS OF SPINAL COLUMN DISTROPHIC CHANGES WITHIN NORMAL AND DECREASED BONE MINERAL DENSITY

Volkov A.A., Belosel’sky N.N.,  Pribytkov Yu.N.

Yaroslavl State Medical University.

Yaroslavl, Russia.

Materials and methods. The study included 127 women aged from 40 years and older, which suffered from the typical pain syndrome. They were admitted to the neurological and therapeutic hospitals because of the diseases that were not associated with reduced mineral density. The standard radiography of thoracic and lumbosacral spinal column in two projections were estimated.

 

Results. The size and shape of the intervertebral space in the thoracic and lumbar spine varied: in the upper thoracic segments it had a lenticular shape, in the lower thoracic - a substantially rectangular shape, in the lumbar part of the spine - the rear tapered shape, moreover, these features didn’t change with age. In the context of osteopenia and osteoporosis the height of the intervertebral spaces in the posterior part of Th8-Th11, the middle section of L2-L5 was greater than the ones in the groups with greater mineral density and wasn’t associated with the patient's age. It was noticed that with age the severity of X-ray symptoms of intervertebral discs degenerative changes decreased, while the degenerative changes of the anterior longitudinal ligament was significantly higher in the older age groups; if the mineral density was less than 100 mg / mm3, this feature was growing up.

 

Conclusions. The results of this work reliably establishe the relationship between the X-ray manifestations of degenerative changes of the spine and decreased bone mineral density, prove absence of age-related accumulation of X-ray symptoms of osteochondrosis.

 

Keywords: degenerative-dystrophic changes of the spine, low back pain, spondylosis, Forestier disease, X-ray morphometry.

 

Corresponding author: Volkov A.A., Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

For citation: Volkov A.A., Belosel’sky N.N., Pribytkov Yu.N. X-ray signs of spinal column distrophic changes within normal and decreased bone mineral density. REJR. 2016; 6 (1): 55-64. doi: 10.18411/a-2016-006