Прогнозирование исходов течения хронической пояснично-крестцовой радикулопатии в стадии обострения

The purpose of the study was to identify the most significant prognostic factors that influence the course and outcomes of chronic lumbosacral radiculopathies. Materials and methods. The study included 100 people with lumbosacral radiculopathies caused by herniated disc. Patients were randomized into two groups: the main group (n=45) included patients with lumbosacral radiculopathy in combination with the spinal canal stenosis and/or lateral openings, and the control group (n=55) included lumbosacral radiculopathy, arising against the background of pathology of the intervertebral disc at the level of one vertebral-motor segment. The study was conducted on 5-7, 10-14 and 30 days. All patients underwent neuro-orthopaedic examination, neuroimaging study, and quantitative sensory testing. The results were statistically processed using Microsoft Excel and the software product STATISTICA for Windows 6.1(Microsoft). Results. The prognostic factors of the course and outcomes of lumbosacral radiculopathies caused by hernias of the intervertebral discs were studied. Analyzing the obtained data, a strong correlation effect was found on the results of the Oswestry questionnaire and the results of PainDETECT (rs=0.74; p<0.001). Average feedback was found between the Oswestry questionnaire and the Schober test (rs= –0.41; p<0.001); 2KHz neurometry (rs= –0.38; p=0.006); 5Hz neurometry (rs= –0.37; p=0.008); neurometry 250Hz (rs= –0.36; p=0.009); lateroflexia (rs= –0.30; p=0.003). A medium-strength relationship was obtained only with allodynia — if it is present, deterioration in the quality of life is noted according to the Oswestry 2.1 questionnaire. Findings. The main clinical neuroimaging factors affecting the outcome of RCC due to hernias of the intervertebral disc are concomitant stenosis of the spinal canal and lateralopenings, spondylolisthesis and spondylarthrosis. The study of the severity of neuropathic pain using the PainDETECT questionnaire, the study of the Schober test, the rotational-lateroflection range of motion in the affected PDS, the study of temperature, tactile and pain sensitivity, allodynic disorders and the assessment of IMS in the study were the most significant clinical prognostic factors affecting the course and outcome RCC.