PS 03-15] A STUDY ON THE PREVALENCE OF PATHOLOGIES OF THE CERVICAL SPINE IN PATIENTS WITH ESSENTIAL HYPERTENSION

Abstract

Objective: Installation of the prevalence of osteochondrosis in the development of essential hypertension. Design and method: The diagnosis of hypertension was made based on the criteria recommended by the European (2003) and Russian (2004) societies of cardiology. The presence and severity dorsopathy on the background of osteochondrosis according to generally accepted clinical and radiological criteria. From the study were excluded patients with severe and malignant hypertension, severe cardiac insufficiency, myocardial infarction or stroke in the last 3 months. Results were examined 121 patients with essential hypertension. Results: It was found that in 81 (66.9 per cent) patients with essential hypertension, we observed changes in the spine. The authors analyzed the most frequent clinical and radiological symptoms of cervical degenerative disc disease with this combination of pathological processes. In the study of the cervical spine most commonly detected signs of uncovertebral arthrosis 9.09%(11 people), and also abnormal mobility in one or more intervertebral segments -6.6%(8 people), straightening of the lordosis, scoliosis, uneven decrease in height of intervertebral discs - 19 (15.7 percent), spondiloartrozis - 27,2% (33 people). Disc protrusion C6-C7–14 people (11.5 per cent). In most patients, is dominated by the degree of cervical osteoarthritis by Zekera. Conclusions: In the examined group of patients with essential hypertension in middle-aged and elderly people the frequency of concomitant dorsopathies (osteoarthritis) of the cervical spine was 66.9%, this figure indicates the possible relationship of these pathologies, and may help in the treatment of people with hypertension not amenable to medical therapy.