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August 27-28, 2018 | London, UK
International Conference on
Healthcare and Health Management
Cardiology and Cardiac Surgery
Joint Event
&
Journal of Public Health Policy and Planning | Volume: 2
The role of two-dimensional Ultrasonography in the diagnosis of Degenerative disease of cervical
intervertebral discs in adolescents
Rizvan Abdullaev
Kharkiv National Medical University, Ukraine
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. In26 (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, ina groupwitha changeof thenucleus 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 indexwas 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, median-
paramedian 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.
Speaker Biography
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.
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