Frequency of spinal anomalies in young and middle-aged patients with dorsopathy according to system analysis of roentgenograms

Introduction. Before the discovery of X-rays, the developmental anomalies of the musculoskeletal system were studied by anatomists. The X-ray method contributed to the signifi cant progress in the research and to the improvement of the diagnostics of developmental anomalies in vivo, including in the spine. Goal of research — to assess the frequency of anomalies and their types at all levels of the spine in patients suffering from dorsopathy.

Materials and methods. Roentgenograms of all spinal regions of 399 patients aged 29–49 (169 men and 230 women) who came to see manual therapists and osteopaths about dorsopathy were studied with the use of the system analysis method.

Results. The analysis showed that anomalies in the development of the spine occur in more than 80% of young and middle-aged patients who came to see an osteopath or a manual therapist, i. e. in 8 patients out of 10. Most patients (¹⁄³ of patients) had one developmental anomaly in the whole spine. Two developmental anomalies at different age periods occured on average in every fourth patient. Three spinal developmental anomalies were less common and were diagnosed in ¹⁄6 of patients. Four to six developmental anomalies throughout the spinal column were found in ¹⁄10 of middle-aged patients with dorsopathy. Cervical ribs, sacralization and the open channel of the sacrum were the most frequent anomalies. In patients with sacralization, symmetrical bilateral sacralization was as frequent as asymmetrical sacralization. An enlarged transverse process of L_V was found on the left 3 times more often than on the right in patients with asymmetrical sacralization.

Conclusion. Models of the system analysis of roengenograms of the spine are a reliable source of information for analyzing the frequency and localization of developmental anomalies at all levels of the spine.

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