Radiological Diagnostic Technique Selection in Early Cervical Lateral Stenosis

Intervertebral Canals and Intracanal Ligaments as New Terms in Terminologia anatomica

“…However, opposite theses are put forward, indicating that the ligamentous structures of the intervertebral foramen may play a role in protecting the nerve roots from external traction [27]. Radiating ligaments in the cervical foramina can transfer pulling forces on the nerve roots to the vertebral transverse process, articular facet capsule, vertebral uncinate facet capsule and pedicle, among other structures; such a dispersion of the load on the nerve roots would play a protective role [1,28]. The following transverse approaches to the cervical vertebrae through the anterior neck are recommended: to C3-C4-1 cm below the hyoid bone; to C4-C5-at the level of the upper edge of the thyroid cartilage; to C5-C6-1 cm above the cricoid cartilage; and to C6-C7-1 cm above the sternoclavicular joint.…”

“…Currently, genetic factors influencing the degenerative processes of the spine are being actively studied. There is the opinion that environmental (mechanical and behavioral) factors associated with occupation (physical activity, stress at work) are the main factors in the pathology of the intervertebral disc [28]. Over the years, the classical concept of intervertebral disc aging and wear has been transformed into a complex model of disease with multiple causes based on molecular and genetic changes.…”

Modern Methods of Radiology Diagnostics as a Basis for Timely Detection and Successful Treatment of the Spinal Canal Degenerative Stenosis in the Cervical Spine

“…и др., в ходе своего исследования выделя-ют преимущества МРТ в выявлении патологии межпозвонковых дисков, ранних изменений морфологии мягкотканных структур: межпо-звонковых дисков, спинного мозга, его оболочек и корешков, передней и задней продольных связок, суставов. Отмечается возможность про-слеживания процесса дегенерации и потери жидкости фиброзного кольца, пульпозного ядра и замыкательных пластин [4,5]. Зарубежные исследователи и практикующие хирурги также убеждены в высокой значимости и важности предоперационного обследования пациентов с применением МР-томографии, позволяющей определить патологические изменения в позво-ночном канале, степень выраженности ком-прессии спинного мозга и количество вовлечен-ных уровней [6,7,8].…”