Assessment of the Possibilities of B-Mode Ultrasonography in the Diagnosis of Cervical Intervertebral Discs Hernia in Adolescents

Rizvan Ya Abdullaiev, Konul N Ibragimova, Ibragimova Tatyana A, Philipp N Gorleku, Roman R Abdullaiev

Abstract


Objective: To improve the efficiency of cervical intervertebral discs hernia by determining the ultrasound biomarkers. Materials and Methods: The study included 38 healthy adolescents with normal intervertebral discs and neurologic status and 21 person with the disc hernia. Ultrasonography (USG) was performed at the level of disks C2-C3, C3-C4, C4-C5, C5-C6, C6-C7, C7-Тh1 in longitudinal and transverse projections. 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: In 9 (42,9±10,8% ) cases, the hernia was localized at the level of C5-C6, in 7 (33,3 ±10,3%) - C4-C5, in 2 (9,5±6,4%) - at the level of C2-C3 and C6-C7 C7, in 1 (4,8±4,7%) – at the level of C3-C4 respectively. In 13 (61,9±10,6%) cases the hernia had paramedian, in 5 (23,8±9,3%) cases – median, in 3 (14,3±7,6) cases – posterolateral localization. The paramedian hernia was significantly more frequently recorded than the posterolateral (P<0,05) and median hernia (p <0.001). Conclusions: In adolescents in the cervical spine, paramedian hernia 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 spinal nerve canal is observed by posterolateral and paramedian hernia, dural space – by median hernia respectively.


Keywords


Cervical Intervertebral Discs Hernia, Spinal Canal, Ultrasound Diagnostics, Adolescents

Full Text:

PDF

References


Czervionke L. Degenerative disc disease. In: Czervionke L, Fenton D. Imaging Painful Spinal Disorders, 1st ed. Philadelphia, PA: Elsevier Saunders; 2011; Chapter 17.

Wong JJ, Côté P, Quesnele JJ, Stern PJ, Mior SA. The course and prognostic factors of symptomatic cervical disc herniation with radiculopathy: a systematic review of the literature. Spine J. 2014; 14(8):1781-9

De Bruin F, ter Horst S, van den Berg R, et al. Signal intensity loss of the intervertebral disc in the cervical spine of young patients on fluid sensitive. Skeletal Radiol. 2016; 45: 375-381.

Teraguchi M, Yoshimura N, Hashizume H, et al. Prevalence and distribution of intervertebral disc degeneration over the entire spine in a population-based cohort: the Wakayama Spine Study. Osteoarthr Cartil. 2014; 22(1): 104-10.

Robert E Windsor (2006). "Frequency of asymptomatic cervical disc protrusions". Cervical Disc Injuries. eMedicine. Retrieved 2008-02-27.].

Deftereos SN, et al. (April–June 2009). "Localisation of cervical spinal cord compression by TMS and MRI". Funct Neurol. 24 (2): 99–105. PMID 19775538.

Miyazaki M, Hong SW, Yoon SH, et al. Reliability of a magnetic resonance imaging-based grading system for cervical intervertebral disc degeneration. J Spinal Disord Tech. Jun 2008;21(4):288-92.

Shim JH, Park CK, Lee JH, Choi JW, Lee DC, Kim DH, et al. A comparison of angled sagittal MRI and conventional MRI in the diagnosis of herniated disc and stenosis in the cervical foramen. Eur Spine J. Mar 18 2009.

Abdullaeiev R. Y., Khvisyuk A. N., Marchenko V. G. Ultrasonic tomography of the vertebral motor segment (book). Ukraine, Kharkov, "New word", 2008, 91p.

Smith J, Finnoff JT. Diagnostic and interventional musculoskeletal ultrasound: Part 1. Fundamentals. Physical Medicine & Rehabilitation. 2009; 1(1): 64-75. 2.

Javanshir K, Amiri M, Mohseni-Bandpei MA, Rezasoltani A, Fernandez-delas-Penas C. Ultrasonography of the cervical muscles: A critical review of the literature. Journal of Manipulative & Physiological Therapeutics. 2010; 33(8): 630-

Spinal Ultrasonography. United Health care Commercial Medical Policy. Proprietary Information of United Health care. Copyright 2016 United HealthCare Services, Inc. Effective 08/01/2016.

Abdullaev R.Ya, Ibragimova KN, Kalashnikov VI and Abdullaev RR. The Role of B-mode Ultrasonography in the Anatomical Evaluation of the

Cervical Region of the Spine in Adolescents. J Spine 2017, 6:4

DOI: 10.4172/2165-7939.1000386

Abdullaeiev R. Y., Khvisyuk A. N., Marchenko V. G. Echography in Neurology and Vertebrology (book). Ukraine, Kharkov, "Fact", 2017, 196p.

. Abdullaev R. Ya., Kalashnikov V. I., Ibragimova K. N., Mammadov I. G.,

Abdullaev R. R. The Role of Two-Dimensional Ultrasonography in the

Diagnosis of Protrusion of Cervical Intervertebral Discs in Adolescents. American Journal of Clinical and Experimental Medicine 2017; 5(5): 176-180.

The Association for Medical Ultrasound Official Statement Page. http://www.aium.org/publications/statements.aspx. Updated October 31, 2015. Accessed February 20, 2017].

Abdullaiev R. Y, Bubnov R. V., Mammadov I. G., Abdullaiev R. R. Ultrasonography of herniated lumbar discs for screening programs in the late childhood and teenage. EPMA Journal 2013, 5 (Suppl 1): A 164. doi: 10.1186/1878-5085-5-S1-A164

Shim JH, Park CK, Lee JH, Choi JW, Lee DC, Kim DH, et al. A comparison of angled sagittal MRI and conventional MRI in the diagnosis of herniated disc and stenosis in the cervical foramen. Eur Spine J. Mar 18 2009

Bartlett RJ, Hill CA, Rigby AS, Chandrasekaran S, Narayanamurthy H. MRI of the cervical spine with neck extension: is it useful? Br J Radiol 2012;85:1044–51.




DOI: http://dx.doi.org/10.24294/jpedd.v2i1.138

Refbacks

  • There are currently no refbacks.


Copyright (c) 2018 Rizvan Ya. Abdullaiev

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.