THE COMPARISON OF THE CLINICAL PICTURE OF RADICULOPATHY WITH THE LEVEL OF DEVELOPMENT OF HERNIA IN THE LUMBAR INTERVERTEBRAL DISK M. V. Olizarovich

Abstract

The aim of this study was to analyze the neurological manifestations in lumbar osteochondrosis considering the CT (MRI) imaging of the lumbosacral spine. Material and methods. The study included a survey of patients and evaluation of clinical data with respect to the results of CT and MRI neuroimaging of the lumbar spine. We conducted personal interviews, studied medical records and protocols of tomographic studies of 60 patients treated in the neurosurgical department of the Gomel Regional Hospital within 2010-2011. Results . Most patients (42-70.0 %) observed expressed or pronounced symptoms of tension. Lasegue symptom was absent in few cases - in 3 (5.0 %) people. Twelve (20,0 %) patients from the group of patients with neurological manifestations of lumbar osteochondrosis strength detected motor deficit. The paresis of the muscles of the big toe prevailed in 6 (10.0 %) people. In the vast majority of cases (48 people - 80.0 %), the decrease in muscle strength of legs was not found. The lesion of foot flexors prevailed over that of extensors (p < 0.05). Conclusion . Most often the pronounced Lasegue symptom was found in prolapse of herniated disks L_V-S_I (23.3 %). Absence of tension symptoms was rare (5.0%). The expressed prevalence of clinical symptomatology depending on the level of the intervertebral disc herniation was revealed most frequently in the paresis of foot flexors (75.0 % of all the cases in of hernia at L_IV-L_V level) (p < 0.05). When analyzing the cases of the paresis of the extensor muscles of the foot and big toe, we did not find any prevalent kind of the herniated disc.