Some Aspects of the Pathogenesis and Diagnosis of Osteochondrosis of the Cervical Spine (Literature Review)

The aim of this research was to study the most important problems in diagnosing a socially significant problem - osteochondrosis of the cervical spine. According to some authors, in the structure of disability and disability associated with pathology of the spine, diseases of the cervical spine occu...

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Autores principales:	C. V. Sklyarenko, V. A. Sorokovikov, Z. V. Koshkareva, A. P. Zhivotenko, B. B. Damdinov
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2019
Materias:	osteochondrosis cervical spine clinical picture nociceptive pain neuropathic pain radiculopathy diagnosis radiation methods of research electroneuromyography magnetic resonance imaging computed tomography Science Q
Acceso en línea:	https://doaj.org/article/44405033b3e64b21a34286bf89ef068a
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spelling	oai:doaj.org-article:44405033b3e64b21a34286bf89ef068a2021-11-23T06:14:43ZSome Aspects of the Pathogenesis and Diagnosis of Osteochondrosis of the Cervical Spine (Literature Review)2541-94202587-959610.29413/ABS.2019-4.6.7https://doaj.org/article/44405033b3e64b21a34286bf89ef068a2019-12-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/2196https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596The aim of this research was to study the most important problems in diagnosing a socially significant problem - osteochondrosis of the cervical spine. According to some authors, in the structure of disability and disability associated with pathology of the spine, diseases of the cervical spine occupy one of the leading positions.The paper analyzes data from 41 sources of literature on the pathogenesis and diagnosis of osteochondrosis of the cervical spine. Due to the complexity and ambiguity of the approaches to the diagnosis of osteochondrosis of the cervical spine, this paper analyzes the most important research methods in the diagnosis of this pathology. Attention is focused on the main pathogenetic prerequisites for the occurrence of pain.According to literature data, the main attention in the diagnosis of osteochondrosis of the cervical spine is given to the basic methods: clinical and neurological examination, where the severity of the disorders is determined using scales that include not only an assessment of the intensity of the pain syndrome, but also the determination of a number of neurological disorders. The authors propose the use of a DN4 questionnaire, LANSS scales, neurological impairment scales (N1S); radiation research methods, such as survey spondylography of the cervical spine in direct and lateral projections, functional spondylography of the cervical spine in the position of maximum flexion and extension, multispiral computed tomography, magnetic resonance imaging data, and neurophysiological studies. Radiation research methods can determine pathological changes in the bone tissue itself. Magnetic resonance imaging indices make it possible to assess the degree of pathological changes in the soft tissue anatomical structures of the spinal canal and intervertebral discs. According to the literature, much attention is paid to functional research methods, in particular, electroneuromyography, which allows to assess the level and degree of damage to nerve fiber, the dynamics of the pathological process. Attention is paid to the allocation of marker indicators. All methods are significant, evidence-based, objective and modern and do not exclude the possibility of using data from other research methods.The analysis of the presented literature once again convinces clinicians of the ambiguity and heterogeneity of approaches to the issues of pathogenesis and diagnosis of the cervical spine, which requires further improvement of the proposed methods for clarifying and objectifying the pathological process. An important andjustified is a pathogeneti-cally grounded approach to their study.C. V. SklyarenkoV. A. SorokovikovZ. V. KoshkarevaA. P. ZhivotenkoB. B. DamdinovScientific Сentre for Family Health and Human Reproduction Problemsarticleosteochondrosiscervical spineclinical picturenociceptive painneuropathic painradiculopathydiagnosisradiation methods of researchelectroneuromyographymagnetic resonance imagingcomputed tomographyScienceQRUActa Biomedica Scientifica, Vol 4, Iss 6, Pp 47-53 (2019)
institution	DOAJ
collection	DOAJ
language	RU
topic	osteochondrosis cervical spine clinical picture nociceptive pain neuropathic pain radiculopathy diagnosis radiation methods of research electroneuromyography magnetic resonance imaging computed tomography Science Q
spellingShingle	osteochondrosis cervical spine clinical picture nociceptive pain neuropathic pain radiculopathy diagnosis radiation methods of research electroneuromyography magnetic resonance imaging computed tomography Science Q C. V. Sklyarenko V. A. Sorokovikov Z. V. Koshkareva A. P. Zhivotenko B. B. Damdinov Some Aspects of the Pathogenesis and Diagnosis of Osteochondrosis of the Cervical Spine (Literature Review)
description	The aim of this research was to study the most important problems in diagnosing a socially significant problem - osteochondrosis of the cervical spine. According to some authors, in the structure of disability and disability associated with pathology of the spine, diseases of the cervical spine occupy one of the leading positions.The paper analyzes data from 41 sources of literature on the pathogenesis and diagnosis of osteochondrosis of the cervical spine. Due to the complexity and ambiguity of the approaches to the diagnosis of osteochondrosis of the cervical spine, this paper analyzes the most important research methods in the diagnosis of this pathology. Attention is focused on the main pathogenetic prerequisites for the occurrence of pain.According to literature data, the main attention in the diagnosis of osteochondrosis of the cervical spine is given to the basic methods: clinical and neurological examination, where the severity of the disorders is determined using scales that include not only an assessment of the intensity of the pain syndrome, but also the determination of a number of neurological disorders. The authors propose the use of a DN4 questionnaire, LANSS scales, neurological impairment scales (N1S); radiation research methods, such as survey spondylography of the cervical spine in direct and lateral projections, functional spondylography of the cervical spine in the position of maximum flexion and extension, multispiral computed tomography, magnetic resonance imaging data, and neurophysiological studies. Radiation research methods can determine pathological changes in the bone tissue itself. Magnetic resonance imaging indices make it possible to assess the degree of pathological changes in the soft tissue anatomical structures of the spinal canal and intervertebral discs. According to the literature, much attention is paid to functional research methods, in particular, electroneuromyography, which allows to assess the level and degree of damage to nerve fiber, the dynamics of the pathological process. Attention is paid to the allocation of marker indicators. All methods are significant, evidence-based, objective and modern and do not exclude the possibility of using data from other research methods.The analysis of the presented literature once again convinces clinicians of the ambiguity and heterogeneity of approaches to the issues of pathogenesis and diagnosis of the cervical spine, which requires further improvement of the proposed methods for clarifying and objectifying the pathological process. An important andjustified is a pathogeneti-cally grounded approach to their study.
format	article
author	C. V. Sklyarenko V. A. Sorokovikov Z. V. Koshkareva A. P. Zhivotenko B. B. Damdinov
author_facet	C. V. Sklyarenko V. A. Sorokovikov Z. V. Koshkareva A. P. Zhivotenko B. B. Damdinov
author_sort	C. V. Sklyarenko
title	Some Aspects of the Pathogenesis and Diagnosis of Osteochondrosis of the Cervical Spine (Literature Review)
title_short	Some Aspects of the Pathogenesis and Diagnosis of Osteochondrosis of the Cervical Spine (Literature Review)
title_full	Some Aspects of the Pathogenesis and Diagnosis of Osteochondrosis of the Cervical Spine (Literature Review)
title_fullStr	Some Aspects of the Pathogenesis and Diagnosis of Osteochondrosis of the Cervical Spine (Literature Review)
title_full_unstemmed	Some Aspects of the Pathogenesis and Diagnosis of Osteochondrosis of the Cervical Spine (Literature Review)
title_sort	some aspects of the pathogenesis and diagnosis of osteochondrosis of the cervical spine (literature review)
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2019
url	https://doaj.org/article/44405033b3e64b21a34286bf89ef068a
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Some Aspects of the Pathogenesis and Diagnosis of Osteochondrosis of the Cervical Spine (Literature Review)

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