DOI: https://doi.org/10.22141/1608-1706.3.17.2016.75805

Radiologic Planimetry for Consequences of Traumas of Lumbar Spine and Spinal Cord in Practice of SocioMedical Assessment

O.M. Tarasenko, L.V. Myronchuk

Abstract


Examination of the consequences of vertebral and spinal injuries is a topic problem of modern medicine. The consequences of vertebral and spinal injuries are resistant and difficult amenable to rehabilitation. The expert is often subjective in making decisions about these patients, as specific objective indicators are not developed yet. The aim of our study was to determine the performance of radiologic planimentry in trauma of the lumbar spine and spinal cord in patients within disability groups. The work is based on 160 observations, which were divided into four separate groups. The first group consisted of patients undergone surgery in acute vertebral and spinal injury (n = 40); the second group included the patients not operated (n = 40); the third group involved the patients operated in acute period and reoperated later (n = 40); the fourth group consisted of the patients not operated in the acute period and operated after that (n = 40). The radiographic parameters were calculated according to vertebral body, intervertebral disc, intervertebral foramen. According to CT, we calculated the parameters of CT imaging, and cross anteroposterior size of vertebral body, transverse and anteroposterior size of the spinal canal, pedicular vertebra, slanting size of the vertebral body. According to MRI, we calculated the planimetric indicators of MRI imaging: a) intradural space, b) spinal cord, c) area of reserve space and intervertebral holes. The best indicators were identified in the first group of patients, worse ones were revealed in the third group of patients. The worst performance were found in the patients of the second and fourth groups.


Keywords


spinal cord injury; sociomedical assessment; planimetry

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