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Changes in Bone Density in Patients with Osteochondrosis of the Cervical Spine

https://doi.org/10.29413/ABS.2019-4.6.4

Abstract

Osteoporosis and osteochondrosis have common clinical manifestations: poor posture, reduced flexibility and mobility of the spine, joint pain, fatigue, weakness; both diseases appear most often in old age. Having a lot in common in symptoms, osteoporosis and osteochondrosis differ in etiology, treatment and prognosis.

The development of osteoporosis is based on impaired bone remodeling, but it has been established that this process is also important in the pathogenesis of osteochondrosis. The results of previous studies indicate that there is a relationship between the functional state of the neuromotor apparatus and the violation of the structure of bone tissue in the spinal canal stenosis of the lumbar spine. There is data on the study of the nerve conduction and bone mineral density in patients with osteochondrosis of the cervical spine in a small sample.

To study the functional state of peripheral nerves and the presence of disorders of bone tissue structure in 2018, 25 patients of the neurosurgical department of Irkutsk Scientific Centre of Surgery and Traumatology were observed with the diagnosis "Dorsopathy, Osteochondrosis of the cervical spine" (М50.1) and 25 volunteers of the control group, representative of the main sex and age. As a result of the examination, all patients of the main group showed sufficiently deep afferent-efferent dysfunctions of the segment apparatus of the cervical spine, while in the control group changes in ENMG indicators showing initial changes in the function of the neuromotor apparatus were observed in 20 % of the examined. The change in bone density was observed in most of the main group examined (72 %), in the control group the decrease in bone density was less frequent (54 %, of which 29 % registered osteopenia). The results of the examination indicate the existence of a relationship between osteochondrosis and osteoporosis - the more symptoms of sensory-motor dysfunction of the root increase in osteochondrosis of the cervical spine, the more often the change in bone density - osteoporosis or osteopenia - is diagnosed.

About the Authors

T. K. Verkhozina
Irkutsk Scientific Centre of Surgery and Traumatology; Irkutsk State Medical Academy of Postgraduate Education - Branch of the Russian Medical Academy of Continuing Professional Education of the Ministry of Health of Russia
Russian Federation

Tatiana K. Verkhozina - Cand. Sc. (Med.), Head of the Department of Functional Diagnostics and Treatment, Irkutsk Scientific Centre of Surgery and Traumatology; Associate Professor at the Department of Reflexotherapy and Cosmetology, ISMAPE.

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



E. G. Ippolitova
Irkutsk Scientific Centre of Surgery and Traumatology
Russian Federation

Elena G. Ippolitova - Research Officer at the Clinical Research Department of Neurosurgery.

Bortsov Revolyutsii str., 1, Irkutsk 664003



E. S. Tsyslyak
Irkutsk Scientific Centre of Surgery and Traumatology
Russian Federation

ElenaS. Tsyslyak- Research Officer at the Clinical Research Department of Neurosurgery.

Bortsov Revolyutsii str., 1, Irkutsk 664003



O. V. Sklyarenko
Irkutsk Scientific Centre of Surgery and Traumatology
Russian Federation

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

Bortsov Revolyutsii str., 1, Irkutsk 664003



Z. V. Koshkareva
Irkutsk Scientific Centre of Surgery and Traumatology
Russian Federation

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

Bortsov Revolyutsii str., 1, Irkutsk 664003



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For citations:


Verkhozina T.K., Ippolitova E.G., Tsyslyak E.S., Sklyarenko O.V., Koshkareva Z.V. Changes in Bone Density in Patients with Osteochondrosis of the Cervical Spine. Acta Biomedica Scientifica. 2019;4(6):26-31. (In Russ.) https://doi.org/10.29413/ABS.2019-4.6.4

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