THE CORRELATION DEPENDENCE OF THE CLINICAL AND MORPHOLOGICAL MANIFESTATIONS AND BIOMECHANICAL PARAMETERS IN PATIENTS WITH DEGENERATIVE SPONDYLOLISTHESIS L4 VERTEBRA

Abstract

The study included 59 operated patients with spondylolisthesis L4 vertebra of I degree. All the patients were held clinical-anamnestic, neurological, radiological, radiopaque and biomechanical studies, MRI, CT, as well as puncture performed provocative tests. Revealed correlation of clinical manifestations of degenerative spondylolisthesis L4 and biomechanical parameters of the shape and orientation of the lumbar spine. The most pronounced clinical and morphological changes detected at the level of spondylolisthesis and adjacent segments in the group with hyperlordosis and excessive tilt angle of the chord forward, which is confirmed by MRI, CT, and carried out a disco-puncture provocative tests. A variety of pathological changes of the lumbar spine at L4 vertebra degenerative spondylolisthesis correlated with the biomechanical parameters violation of the shape and orientation of the spine in the sagittal plane.

Keywords

• дегенеративный спондилолистез
• хирургическое лечение
• биомеханика позвоночника
• degenerative spondylolisthesis
• surgical treatment
• biomechanics
• spinal cord