The role of two-dimensional Ultrasonography in the diagnosis of Degenerative disease of cervical intervertebral discs in adolescents
Joint Event on Healthcare and Health Management & Cardiology and Cardiac Surgery
August 27-28, 2018 | London, UK
Kharkiv National Medical University, Ukraine
Scientific Tracks Abstracts : J Public Health Policy Plann
Objective: To improve the efficiency of cervical intervertebral
discs protrusion by determining the ultrasound biomarkers.
Materials and methods: The study included 72 healthy
adolescents with normal intervertebral discs, 96 person with
the degenerative changes in nucleus pulpous and 69 person
with the disc protrusions. In axial section was performed
the sagittal intervertebral disc and spinal canal sizes, the
anterior dural space size, the width of spinal nerve canals.
Results: The protrusion of the cervical discs in 11 (15,9±4,4%) cases was noted in children aged 13-14 years, in 21 (30,5±5,5%) - at 15-16 years and in 37 (53,6±6,0%) – at 17-18 years (p <0,01 and p<0,001 respectively). In 24 (34,8±5,7% ) cases, the protrusion was localized at the level of (34,8±5,7% ), in 16 (23,2±5,1%) - C4-C5, in 11 (15,9±4,4%) - at the level C6-C7, in 9 (13,0±4,0%) - at the level of C3-C4 respectively. In 26 (37,7±5,8%) cases the protrusion had paramedian, in 18 (26,1±5,3%) cases – median-paramedian, in 16 (23,2±5,1%) cases – median, in 6 (8,7±3,4) cases - circular, in 3 (4,3±2,4) cases – posterolateral localization. In healthy children without degenerative changes of the intervertebral discs, the average sagittal disc size is 15,4±0,98mm, in a group with a change of the nucleus pulpous – 16,1±1,07 mm, in a group with disc protrusion – 16,3±1,12mm, respectively. The parameters of average sagittal spinal size was 15,9±0,97mm, 15,2±1,04 mm, 14,1±0,87mm, respectively. The IVD/SC index was 0,97±0,05, 1,06±0,06, 1,16±0,07, respectively. The ADS was 3,7±0,45mm, 3,2±0,38mm, 2,1±0,26 mm, and ADS/SC – 0,23±0,026, 0,21±0,019, 0,15±0,017 respectively.
Conclusions: In adolescents in the cervical spine, medianparamedian and paramedian protrusions are most commonly found, which are most often localized at the level of both C5-C6 and C4-C5. The greatest narrowing and deformation of the anterior dural space is observed by median and median-paramedian protrusions, and the spinal nerve canal-by posterolateral and paramedian protrusions.
Rizvan Abdullaev is currently working in the Kharkiv National Medical University Ukraine. He has published numerous research papers and articles in reputed journals and has various other achievements in the related studies. He has extended his valuable service towards the scientific community with his extensive research work.
E-mail: [email protected]