actabiomedicaActa Biomedica ScientificaActa Biomedica Scientifica2541-94202587-9596Scientific Centre for Family Health and Human Reproduction Problems10.29413/ABS.2019-4.6.6actabiomedica-2195Research ArticleНЕВРОЛОГИЯ И НЕЙРОХИРУРГИЯNEUROLOGY AND NEUROSURGERYЛучевые и функциональные методы исследования в диагностике сегментарной нестабильности при остеохондрозе шейного отдела позвоночника и шейно-плечевого синдромаRadiological and Functional Research Methods in the Diagnosis of Segmental Instability in Cervical Osteochondrosis and of Cervicobrachial Syndromehttps://orcid.org/0000-0002-4387-5048КошкареваЗ. В.KoshkarevaZ. V.

Кошкарёва Зинаида Васильевна - кандидат медицинских наук, ведущий научный сотрудник научно-клинического отдела нейрохирургии.

664003, Иркутск, ул. Борцов Революции, 1

Zinaida V. Koshkareva - Cand. Sc. (Med.), Leading Research Officer at the Research Clinical Department of Neurosurgery.

Bortsov Revolyutsii str. 1, Irkutsk 664003

https://orcid.org/0000-0002-9008-6383СороковиковВ. А.SorokovikovV. A.

Сороковиков Владимир Алексеевич - доктор медицинских наук, профессор, директор, ИНЦХТ; заведующий кафедрой травматологии, ортопедии и нейрохирургии ИГМАПО.

664003, Иркутск, ул. Борцов Революции, 1; 664049, Иркутск, Юбилейный, 100

Vladimir A Sorokovikov - Dr. Sc. (Med.), Professor, Director, ISCST; Head of the Department ofTraumatology, Orthopedy and Neurosurgery, ISMAPE.

Bortsov Revolyutsii str. 1, Irkutsk 664003; Yubileyniy 100, Irkutsk 664049

https://orcid.org/0000-0002-4032-8575ЖивотенкоА. П.ZhivotenkoA. P.

Животенко Александр Петрович - младший научный сотрудник научно-клинического отдела нейрохирургии.

664003, Иркутск, ул. Борцов Революции, 1

Aleksandr P. Zhivotenko - Research Officer at the Research Clinical Department of Neurosurgery.

Bortsov Revolyutsii str. 1, Irkutsk 664003

sivotenko1976@mail.ruhttps://orcid.org/0000-0003-1077-7369СкляренкоО. В.SklyarenkoO. V.

Скляренко Оксана Васильевна - кандидат медицинских наук, старший научный сотрудник научно-клинического отдела нейрохирургии.

664003, Иркутск, ул. Борцов Революции, 1

Oksana V. Sklyarenko - Cand. Sc. (Med.), Senior Research Officer at the Research Clinical Department of Neurosurgery.

Bortsov Revolyutsii str. 1, Irkutsk 664003

oxanasklyarenko@mail.ruhttps://orcid.org/0000-0001-7957-9243ДамдиновБ. Б.DamdinovB. B.

Дамдинов Баир Батыевич - врач-нейрохирург отделения нейрохирургии.

664003, Иркутск, ул. Борцов Революции, 1

Bair B. Damdinov - Neurosurgeon of Neurosurgical Unit.

Bortsov Revolyutsii str. 1, Irkutsk 664003

https://orcid.org/0000-0001-7188-514XКириенкоА. Н.KiriyenkoА. N.

Кириенко Анна Николаевна - заведующая рентгенологическим отделением.

664033, Иркутск, ул. Лермонтова, 283в

Anna N. Kiriyenko - Head of the X-ray Department.

Lermontov str. 283в, Irkutsk 664033

ФГБНУ Иркутский научный центр хирургии и травматологииIrkutsk Scientific Centre of Surgery and TraumatologyФГБНУ Иркутский научный центр хирургии и травматологии; Иркутская государственная медицинская академия последипломного образования - филиал ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава РоссииIrkutsk Scientific Centre of Surgery and Traumatology; Irkutsk State Medical Academy of Postgraduate Education - Branch Campus of the Russian Medical Academy of Continuing Professional Education664033, Иркутск, ул. Лермонтова, 283вHospital of Irkutsk Scientific Centre SB RAS201917122019464046Copyright © Кошкарева З.В., Сороковиков В.А., Животенко А.П., Скляренко О.В., Дамдинов Б.Б., Кириенко А.Н., 20192019Кошкарева З.В., Сороковиков В.А., Животенко А.П., Скляренко О.В., Дамдинов Б.Б., Кириенко А.Н.Koshkareva Z.V., Sorokovikov V.A., Zhivotenko A.P., Sklyarenko O.V., Damdinov B.B., Kiriyenko А.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.actabiomedica.ru/jour/article/view/2195

This paper presents the analysis of diagnostic policy of 72 patients with cervical osteochondrosis and cervicobrachial syndrome. All patients were examined according to a single program, which included a specially designed questionnaire containing address data, diagnosis, history of life and illness, patient complaints, with a mandatory examination by a neurologist for the presence of compression of neural structures of the cervical spine with a detailed description of the local status and clinical and neurological syndromes. Patients underwent general spondylography of the cervical spine in the anteroposterior and lateral projections. For the diagnosis of segmental instability, functional spondylography was performed in the position of maximum flexion and extension and functional spondylography with burdening, which is based on mathematical modeling of the distribution of the vector force load system in the cervical spine under conditions of inclination of the head at an angle of 45° (flexion) and 15° (extension) with the weight on the head weighing up to 500 grams (putting a special device on the head). A mathematical formula for calculating the index of instability of the vertebral motor segment in the cervical spine is proposed. Sagittal balance of the cervical spine was studied with the correlative dependence of its indicators with the intensity of the pain syndrome according to standard spondylography and magnetic resonance imaging. Identified marker indicator of electroneuromyographic studies of the upper extremities - F-wave. Based on the obtained fundamental knowledge, an algorithm for diagnosing osteochondrosis of the cervical spine and cervicobrachial syndrome has been developed and scientifically substantiated.

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The authors declare that there are no conflicts of interest present.