title: [Clinical and X-ray diagnosis of initial degenerative changes in the lumbar section of the spine in flight personnel].
abstract: The paper demonstrates the diagnostic validity of X-ray computerized and magnetic/resonance tomographies in detecting early degenerative/dystrophic processes in the lumbar compartment of vertebrae in flying personnel. Examination of 215 aviators with varying degrees of impairment of the vertebrae-pelvis-lower extremity biokinematic system allowed to relate protrusions of the intervertebral disks. Correlation between the neurologic pattern of disease and different forms of protrusions was studied. Pathogenesis of the radiculopathy syndrome was made more clear. Potentials of the X-ray computerized and magnetic/resonance tomographies were given a comparative analysis. As was established, the two methods are not mutually exclusive. MRI is more advantageous in the diagnosis of degenerative/dystrophic changes in soft a tissue structures. On the other hand, the X-ray computerized tomography is preferable for visualization of changes in highly dense tissues. Semiotics of processes articularis arthrosis was studied. Discovered were X-ray detectable morphological signs of arthrosis which had never been discussed in literature. Main strategies of medical treatment of patients with various forms of protrusions are proposed.
authors.forename: A Iu
authors.initials: AIu
authors.lastname: Vasil'ev
authors.forename: N K
authors.initials: NK
authors.lastname: Vit'ko
mesh_terms: D000337:Aerospace Medicine; D003937:Diagnosis, Differential; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000175:diagnosis / Q000000981:diagnostic imaging; D008159:Lumbar Vertebrae; D008279:Magnetic Resonance Imaging; D008297:Male; D013122:Spinal Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed
vernacular_title: Kliniko-luchevaia diagnostika nachal'nykh degenerativnykh izmeneniĭ poiasnichnogo otdela pozvonochnika u letnogo sostava.