Innovations in Differential Diagnosis of Dystrophic-Degenerative Diseases of Vertebral Column

Nino Ninua, Ivane Verulashvili, Manana Gordeziani, 
Ia Rukchadze

Department of Neurology, Tbilisi State Medical University, Georgia

Data of paraclinical research (convential roentgenography, CT, MRI, CT + myelography) of 98 patients with the dystrophic-degenerative diseases of vertebral column's lumbar region revealed the main reasons of back pain syndrome: the herniation of intervertebral discs (52 patients), spinal stenosis + osteofits (25 patients), spinal stenosis + ligamental hyperthrophy and annulus fibrosus (21 patients). Neuroimaging complex investigation is out of discussion when spinal cord's and vertebral column's different regions are damaged simultaneously by morphologically different pathology, because in such cases the decision has to be made between conservative treatment or surgery.

Keywords:  low back pain, dystrophic-degenerative diseases, intervertebral disc herniation