DIFFERENTIATED ANALYSIS OF ANTERIOR, CENTRAL AND POSTERIOR MEDULLARY SYNDROMES IN CERVICAL RADICULOMYELOPATHY
DOI:
https://doi.org/10.37547/Keywords:
cervical spondylotic radiculomyelopathy, myelopathy, medullary syndromes, mJOA, Nurick, VAS, NDI.Abstract
Cervical spondylotic radiculomyelopathy (CSR) is one of the most common forms of degenerative spinal disorders, leading to compression of the spinal cord and nerve roots. The aim of this study was to investigate the clinical and neurological manifestations of various types of medullary syndromes and to identify patterns in their development depending on morphological and neurophysiological factors. A comprehensive analysis of 77 patients with various forms of radiculomyelopathy was conducted. Significant differences in clinical manifestations were identified for anterior medullary, centromedullary, and posterior medullary syndromes.
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1.Гуща А.О., Древаль М.Д., Юсупова А.Р., Арестов С.О., Петросян Д.В. Шейная спондилогенная миелопатия: 10-летний опыт лечения // Анналы клинической и экспериментальной неврологии. – 2021. – Т. 15, №2. – С. 21–28.
2.Бывальцев В.А., Калинин А.А., Алиев М.А., Шепелев В.В., Юсупов Б.Р., Аглаков Б.М. Разработка дифференцированной хирургической тактики при лечении пациентов с многоуровневыми дегенеративными заболеваниями шейного отдела позвоночника // Инновационная медицина Кубани. – 2019. – №4 (16). – С. 47–54.
3.Селиверстова Е.Г., Синкин М.В., Кордонский А.Ю. и др. Электромиографические методы в дифференциальной диагностике и обосновании нейрохирургического лечения радикулопатий, вызванных заболеваниями позвоночника // Вопросы нейрохирургии им. Н.Н. Бурденко. – 2022. – Т. 86, №2. – С. 109–118.
4.Усманова Д.Д., Музаффаров Ж.М. Принципы диагностики и дифференцированного лечения неврологических проявлений при радикулопатиях шейного отдела позвоночника // Nevrologiya. – 2019. – №4. – С. 93.
5.Юлдашев Р.М., Курбанов У.К. Результаты хирургического лечения больных с шейной радикулопатией и миелопатией // Медицинский журнал Узбекистана. – 2021. – №2. – С. 49–52.
6.Lindsay Tetreault, Sukhvinder Kalsi-Ryan, Fehlings M.G. Degenerative Cervical Myelopathy: A Practical Approach to Diagnosis // Global Spine Journal. – 2022. – Vol. 12(8). – P. 1881–1893.
7.Mehmet Zileli, Sumit Sinha, Rui Reinas, et al. Cervical Spondylotic Myelopathy: Natural Course and the Value of Diagnostic Techniques – WFNS Spine Committee Recommendations // Neurospine. – 2019. – Vol. 16(3). – P. 386–402.
8. Zhilin Jiang, Benjamin Davies, Carl Zipser, et al. The value of Clinical signs in the diagnosis of Degenerative Cervical Myelopathy – A Systematic review and Meta-analysis // Global Spine Journal. – 2023. – P. 1–26.
9. Boody B.S., Vaccaro A.R. Ossification of the posterior longitudinal ligament in the cervical spine: a review // Int Orthop. – 2019. – Vol. 43(4). – P. 797–805.
10. Eguchi Y., Enomoto K., Sato T., et al. Simultaneous MR neurography and apparent T2 mapping of cervical nerve roots before microendoscopic surgery to treat radiculopathy // J Clin Neurosci. – 2020. – Vol. 74. – P. 213–219.
11.Feifei Zhou, Shuyang Li, Yilong Zhang, et al. Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire (JOACMEQ) in mainland China: reliability and validity // Health Qual Life Outcomes. – 2020. – Vol. 18:349.
12.Celmir de Oliveira Vilaça, Marco Orsini, Marco Araujo Leite. Cervical spondylotic myelopathy: what the neurologist should know // Neurol Int. – 2016. – Vol. 8(4). – P. 69–73.
13. Zou T., Wang P.C., Chen H., Feng X.M., Sun H.H. Minimally invasive posterior cervical foraminotomy versus anterior cervical discectomy and fusion for cervical radiculopathy: a meta-analysis // Neurosurg Rev. – 2022. – Vol. 45(6). – P. 3609–3618.
14. Hirai S., Kato S., Nakajima K., et al. Anatomical study of cervical intervertebral foramen in patients with cervical spondylotic radiculopathy // J Orthop Sci. – 2021. – Vol. 26(1). – P. 86–91.
15. Diebo B.G., Kovoor M., Shah N.V., et al. Metabolic Bone Disorders Are Predictors for Adverse Outcomes in Patients Undergoing Cervical Surgery // Clin Spine Surg. – 2023. – Vol. 36(3). – P. 120–126.
16. Watanabe A., Eguchi Y., Sakai T., et al. Pathophysiology of cervical spondylotic myelopathy: focus on vascular and neural compromise // J Clin Neurosci. – 2022. – Vol. 97. – P. 145–152.
17. Fehlings M.G., Tetreault L., Skelly A.C., et al. Guidelines for the management of degenerative cervical myelopathy and radiculopathy // Spine J. – 2017. – Vol. 17(3). – P. S1–S64
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