КЛИНИКО-НЕВРОЛОГИЧЕСКИЕ НАРУШЕНИЯ У БОЛЬНЫХ РЕФЛЕКТОРНЫМИ И КОМПРЕССИОННЫМИ СПОНДИЛОГЕННЫМИ СИНДРОМАМИ ПРИ ПОЯСНИЧНОМ ОСТЕОХОНДРОЗЕ

Abstract

An analysis of the clinical and neurological fi ndings showed that the main diff erence between refl ex
 spondylogenic syndromes and compression syndromes was the presence of prolapse symptoms in the
 form of signifi cant prevalence of the loss of tendon and periosteal refl exes as well as sensory and motor
 disorders of the segmental type. Moreover, autonomic-trophic disturbances with lateralization toward the
 pain syndrome in the form of sympathetic and angiospastic disturbances were defi nitely more frequent (p
 < 0.05) in refl ex spondylogenic pain syndromes, while in compressive ones, neurodystrophic disturbances
 prevailed. Lumbar spine pathology was signifi cantly more common in men. The leading risk factors were
 weight lifting and uncoordinated movement (36% and 11.5%, respectively). Clinical manifestations of
 compression radicular syndromes were defi nitely more frequent (p < 0.05) in the lumbar spine. At the same
 time, compression syndromes featured greater severity of clinical manifestations in the form of the
 predominance of pain, muscle-tonic and statodynamic, autonomic and trophic disorders. The level of
 radicular compression syndrome corresponds to the level of the pathomorphological substrate. The
 presence of the pathomorphological substrate may remain clinically insignifi cant for a long time and
 manifest itself only under certain conditions (venous stasis, edema, aseptic infl ammation).