Introduction.The number of surgical interventions on the cervical spine due to stenosis is constantly increasing, which justifies the need for careful preoperative preparation, taking into account the complexity of the intervention and the age of the patients.The purpose of the workis to justify the need to include in the algorithm for processing CT data the density of bone tissue of the vertebral bodies and arches to assess its quality when planning osteoplastic decompressive surgery. Laminoplasty in patients with cervical spine stenosis against the background of degenerative-dystrophic changes.Materials and methods.Single-center retrospective study. Qualitative and quantitative characteristics of the spine were studied using radiography and multislice computedtomography (MSCT) in 82 patients with degenerative-dystrophic diseases of the cervical spine with spinal canal stenosis (SCS).Results.The data obtained indicate a tendency to increase the overall density of the cervicalvertebrae from CIII to CV and to decrease it more caudally with a minimum density for CVII without signs of osteoporosis. A similar tendency is characteristic of the trabecular bone. The density of the osteon layer of the cortical plate of the vertebral arch significantly differs from the density of the outer and inner plates. The total density of the compact layer of the cortical plate of the vertebral arch exceeds (785.15 ± 38.4) HU.Discussion.In patients with degenerative-dystrophic changes in the spine, the assessment of the density of various structural formations of the vertebrae according to CT data should be given the greatest importance. First of all, bone density assessment becomes increasingly important with the age of patients. Determining the bone quality is crucial for the success of treatment, but it is also part of the optimal surgical preparation for spinal surgery
Introduction.The number of surgical interventions on the cervical spine due to stenosis is constantly increasing, which justifies the need for careful preoperative preparation, taking into account the complexity of the intervention and the age of the patients.The purpose of the workis to justify the need to include in the algorithm for processing CT data the density of bone tissue of the vertebral bodies and arches to assess its quality when planning osteoplastic decompressive surgery. Laminoplasty in patients with cervical spine stenosis against the background of degenerative-dystrophic changes.Materials and methods.Single-center retrospective study. Qualitative and quantitative characteristics of the spine were studied using radiography and multislice computedtomography (MSCT) in 82 patients with degenerative-dystrophic diseases of the cervical spine with spinal canal stenosis (SCS).Results.The data obtained indicate a tendency to increase the overall density of the cervicalvertebrae from CIII to CV and to decrease it more caudally with a minimum density for CVII without signs of osteoporosis. A similar tendency is characteristic of the trabecular bone. The density of the osteon layer of the cortical plate of the vertebral arch significantly differs from the density of the outer and inner plates. The total density of the compact layer of the cortical plate of the vertebral arch exceeds (785.15 ± 38.4) HU.Discussion.In patients with degenerative-dystrophic changes in the spine, the assessment of the density of various structural formations of the vertebrae according to CT data should be given the greatest importance. First of all, bone density assessment becomes increasingly important with the age of patients. Determining the bone quality is crucial for the success of treatment, but it is also part of the optimal surgical preparation for spinal surgery
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| 1 | Abdulhakimov P.. | ! | Samarkand State Medical University |
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