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Рентгенометрическая оценка кинематики пояснично-крестцового отдела позвоночника при остеохондрозе с помощью программного средства "Волот"

Рентгенометрическая оценка кинематики пояснично-крестцового отдела позвоночника при остеохондрозе с помощью программного средства "Волот"

Abstract

Цель: оценить эффективность программного средства «Волот» для полуавтоматического измерения рентгенометрических параметров и кинематического анализа поясничного отдела позвоночника. Материал и методы. Оценка кинематики поясничного отдела позвоночника проведена по рентгенограммам в горизонтальном и вертикальном положении у 55 пациентов. Измерение параметров и анализ биомеханики выполнялся в программе «Волот». Результаты. При оценке рентгенометрических показателей установлено значимое снижение высоты вентрального отдела диска и угла замыкательных пластин на L4-L5 (0,16 (-0,57; 1,98) при p=0,023 и 0,25 (-2,37; 3,48) при p=0,035 соответственно) и L5-S1 (0,98 (-0,27; 2,10) при p=0,001 и 1,37 (-0,84; 3,84) при p =0,042). Нарушение кинематики заинтересованных двигательных сегментов выявлено у 42 (76,4 %) пациентов (p<0,001). А в 28 (66,7 %) случаях из 42 (p=0,003) - и на смежных уровнях. Заключение. При остеохондрозе в ІІІ стадии установлено снижение при вертикализации высоты диска и угла клиновидности на заинтересованном уровне. Программа «Волот» позволяет диагностировать нарушения кинематики в 76,4 % случаев. Objective: to study the efficiency of the software «Volot» for semi-automatic measurement of X-ray parameters and kinematic analysis of the lumbar spine. Material and methods. The assessment of the lumbar spine kinematics was performed using X-ray patterns in horizontal and vertical positions for 55 patients. The parameters were measured and biomechanics was analyzed using the program «Volot». Results. The assessment of the radiometric indicators revealed a significant decrease in the height of the ventral area of the disc and the angle of the closure plates by L4–L5 (0.16 (–0.57; 1.98) (p = 0.023) and 0.25 (–2.37; 3.48) (p = 0.035, respectively) and by L5–S1 (0.98 (–0.27; 2.10) (p = 0.001) and 1.37 (–0.84; 3.84) (p = 0.042). The violations of kinematics of the motor segments concerned were detected in 42 (76.4 %) patients (p < 0.001), and in 28 (66.7 %) cases out of 42 (p = 0.003) at the adjacent levels. Conclusion. We found a decrease during the vertical adjustment of the height of the disc and wedge angle at the level concerned in osteochondrosis of III stage. The program «Volot» allows us to diagnose violations of kinematics in 76.4 % of the cases.

Country
Belarus
Keywords

Поясничный остеохондроз, Kinematics, Lumbar osteochondrosis, Spinal motion segment, Позвоночно-двигательный сегмент, Кинематика, Violation of biomechanics, Нарушения биомеханики

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
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