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Vol. 15, Art. 30 (pp. 352-365)    |    2014       

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The comparative analysis of hemodynamics on vertebral arteries at the trauma and degenerate diseases of cervical department of the backbone of the method of color duplex scanning

1Zakhmatova T.V., 2Shchedrenok V.V., 2Moguchaya O.V.,
1,2Sebelev K.I., 2Krasnoshlyk P.V.

Northwestern State Medical University named after II Mechnikov
Russian Research Neurosurgical Institute Professor. AL Polenov

Brief summary

Research objective – carrying out the comparative analysis of local and systematic hemodynamics on vertebral arteries a method of color duplex scanning at a vertebral and spinal trauma and degenerative and dystrophic diseases of a backbone at cervical level. Complex clinical and beam inspection executed to 322 patients (142 victims with a trauma and 180 patients with degenerative diseases). At color duplex scanning at the majority as with a trauma (88%), and with diseases (73.3%) observed violation of vascular geometry in the form of deformations of a course of a vertebral artery. When determining extent of compensation of a blood flow on the way offered by us the subcompensated blood flow at diseases revealed in 5.6% of cases, at a trauma – at 18.3% of victims. Decompensating of blood flow found only at a trauma in 7.7% of cases. Ultrasonic signs of an extravasal compression of a vertebral artery observed at a trauma in 11.3% of cases at victims with dislocations and fracture-dislocations of vertebras, in 8.5% of cases the local compression resulted in system deficiency of a blood flow. Unlike a trauma at degenerative diseases the systematic hemodynamic importance local the vertebral of influences is revealed in isolated cases (3.9%) and was a consequence not only changes of vascular geometry. The received results of color duplex scanning need to be considered when determining tactics of treatment of the patient.


Key words

trauma of cervical department of a backbone, degenerative cervical diseases, vertebral artery, color duplex sonography, extravascular compression.

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