Features of the influence of degenerative changes of the cervical spine in the V1 segment of the spinal artery on the character of extravasal compression

Abstract

BACKGROUND. The peculiarity of the cervical spine (CS) is a complex movable musculoskeletal, ligamentous-articular apparatus that carries a significant static and dynamic load. X-ray research methods could not based on the definition of degenerative changes in bones and joints, explain compression-reflex and myotonic syndromes in the pathology of the CS.

OBJECTIVE. To reveal the clinical, instrumental, and hemodynamic features of the course of vertebral artery compression syndrome (VACS) and their role in determining diagnostic and therapeutic tactics.

MATERIALS AND METHODS. The features of diagnosis and treatment tactics of 1,118 patients with degenerative lesions of the CS and VACS were analyzed. X-ray examination made it possible to solve common tasks of diagnosis. During the analysis of X-ray examination in segment V1 showed degeneration of dystrophic changes.

RESULTS AND DISCUSSION. Analyzing the expressiveness of VACS in compression scores, we obtained the following results for the identified variants of dystrophic changes of VACS in the projection of the V1 segment: variant I – 14.7±1.84; variant II – 15.3±1.72; variant III-A – 17.1±1.78; variant III-B – 16.2±1.67; variant IV-A – 16.8±1.69; variant IV-B – 15.9±1.48. The analysis of degenerative-dystrophic changes of the CS at the level of the maximum positional compression showed that the expressiveness of the extravasal positional compression in the V1 segment did not differ significantly in variants I, II, III.

CONCLUSIONS. 1. Degenerative changes in CS occur long before the appearance of the clinical manifestation of VACS. 2. The expressiveness of the degenerative damage of the musculoskeletal system of the CS according to the X-ray examination does not correspond to the clinical course of VACS. 3. Character of radiological functional instability in CS is not reflected in the complex clinical symptoms of VACS. 4. A multimodal approach to analgesia guarantees full control over all links of the pain process.

Keywords: spine artery, compression syndrome, positional dependence

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Published
2022-12-28
How to Cite
Dybkalyuk, S., Chernyak, V., Gertsen, G., Protsyk, A., Nesukai, V., Zorgach, V., Karpenko, K., & Bilonozhkin, G. (2022). Features of the influence of degenerative changes of the cervical spine in the V1 segment of the spinal artery on the character of extravasal compression. Infusion & Chemotherapy, (4), 46-51. https://doi.org/10.32902/2663-0338-2022-4-46-51
Section
ORIGINAL STUDIES

Author Biographies

S.V. Dybkalyuk, National University of Healthcare of Ukraine named after P.L. Shupyk, Kyiv, Ukraine

Dybkalyuk Sergiy Vitaliyovych
Associate professor of the department of orthopedics and traumatology 1
MD.
9, Dorohozhytska st., Kyiv, 04112, Ukraine.

V.A. Chernyak, Kyiv National University named after Taras Shevchenko, Kyiv, Ukraine

Chernyak Viktor Anatoliyovych
Director of the clinic of the Kyiv national university named after Taras Shevchenko.
MD, professor.
64/13, Volodymyrska st., Kyiv, 01601, Ukraine.
phone/fax: +380 44 521 32 56.
E-mail: victorchernyak.ohta@gmail.com

G.I. Gertsen, National University of Healthcare of Ukraine named after P.L. Shupyk, Kyiv, Ukraine

Gertsen Genrikh Ivanovych
Head of the department of orthopedics and traumatology 1
MD, professor.
9, Dorohozhytska st., Kyiv, 04112, Ukraine.

A.I. Protsyk, National University of Healthcare of Ukraine named after P.L. Shupyk, Kyiv, Ukraine

Protsyk Anatoliy Ivanovych
Associate professor of the department of orthopedics and traumatology 1
PhD.
9, Dorohozhytska st., Kyiv, 04112, Ukraine.

V.G. Nesukai, MNE “Kyiv City Clinical Hospital № 8”, Kyiv, Ukraine

Nesukai Valentyn Gennadiyovych
Head of the neurological department № 1,
doctor-neurologist.
PhD.
8, Yu. Kondratiuka st., Kyiv, 04201, Ukraine.

V.Yu. Zorgach, Military Medical Directorate of the Security Service of Ukraine, Kyiv, Ukraine

Zorgach Vitalii Yuriiovych
Chief specialist in ultrasound diagnostics of the military medical directorate of the Security Service of Ukraine, doctor of ultrasound diagnostics of the Central hospital of the Security Service of Ukraine.
PhD.
11, Lypska st., Kyiv, 01021, Ukraine.

K.K. Karpenko, National Military Medical Clinical Center “Main Military Clinical Hospital”, Kyiv, Ukraine

Karpenko Kostiantyn Kostiantynovych
Senior resident, “Main military clinical hospital”.
18, Hospitalna st., Kyiv, 01133, Ukraine.

G.G. Bilonozhkin, National University of Healthcare of Ukraine named after P.L. Shupyk, Kyiv, Ukraine

Bilonozhkin Gennadiy Gennadiyovych
Associate professor of the department of orthopedics and traumatology 1
PhD.
9, Dorohozhytska st., Kyiv, 04112, Ukraine.