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Relationship between the blood flow in a spinal nerve root and its functional state in patients with lumbar disk hernia

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Abstract

Capillary blood flow in the spinal roots was studied in 52 patients with lumbar osteochondrosis during discectomy for lumbar disk herniation, before and after decompression. It was determined that the value of the capillary blood flow in the nerve root influenced markedly the severity of the pain syndrome, the threshold of sensitivity to pain in the dermatome involved, and the strength of the indicator group of muscles. It was shown that the level of intact reserves of the spinal nerve root microcirculation influenced the degree of functional restoration after the discectomy.

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References

  1. Borenstein, D.G., Epidemiology, Etiology, Diagnostic Evaluation, and Treatment of Low Back Pain, Curr. Opin. Rheumatol., 1997, vol. 9, no. 2, p. 144.

    Article  PubMed  CAS  Google Scholar 

  2. Savenko, V.P. and Idrichan, S.M., The Clinical Picture and Surgical Treatment of Recurrent Lumbosacral Radiculitis, in Aktual’nye Voprosy Voennoi Neirokhirurgii (Topical Issues of Military Neurosurgery), St. Petersburg, 1997.

  3. Kovalenko, P.A., Zav’yalov, M.S., and Kovalenok, A.P., On the Problem of Diagnosis and Treatment of Low Back Pains, in Vozmozhnosti i perspektivy agressivnoi, invazivnoi terapii i plasticheskoi rekonstruktivnoi khirurgii (Possibilities and Prospects of Aggressive Invasive Therapy and Plastic Reconstructive Surgery) Moscow: Burdenko GVKG, 1999, p. 173.

    Google Scholar 

  4. Butina, L.V. and Shirshova, E.V., Experience of Conservative Treatment of the Pain Syndrome in Lumbar Disk Hernia, Sb. tezisov Sibirskoi mezhregional’noi nauchnoprakticheskoi konferentsii (Abstr. Siberian Interregional Sciientific and Practical Conference), Novosibirsk, 2002, p. 87.

  5. Yakushin, M.A. and Gilinskaya, N.Yu., Differentiated Approach to the Diagnosis and Treatment of Osteochondrosis Compression Syndromes, Ross. Med. Zh., 2002, vol. 10, no. 21, p 961.

    Google Scholar 

  6. Duus, P., Topical Diagnosis in Neurology, Stuttgart: Thieme, 1989.

    Google Scholar 

  7. Yoshizawa, H., Kobayashi, S., and Kubota, K., Effect of Compression on Intraradicular Blood Flow in Dogs, Spine, 1989, vol. 14, no. 11, p. 1220.

    Article  PubMed  CAS  Google Scholar 

  8. Yoshizawa, H., Kobayashi, S., and Hachiya, Y., Blood Supply of Nerve Roots and Dorsal Root Ganglia, Orthop. Clin. North. Am., 1991, vol. 22, no. 2, p. 195.

    PubMed  CAS  Google Scholar 

  9. Olmarker, K., Holm, S., Rosenqvist, A.L., and Rydevik, B., Experimental Nerve Root Compression. A Model of Acute, Graded Compression of the Porcine Cauda Equina and an Analysis of Neural and Vascular Anatomy, Spine, 1991, vol. 16, no. 1, p. 61.

    Article  PubMed  CAS  Google Scholar 

  10. Rydevik, B.L., The Effect of Compression on the Physiology of Nerve Roots, J. Manipulative Physiol. Ther., 1992, vol. 15, no. 1, p. 419.

    Google Scholar 

  11. Takahashi, K., Olmarker, K., Holm, S., et al., Double-Level Cauda Equina Compression: An Expreimental Study with Continuous Monitoring of Intraneural Blood Flow in the Porcine Cauda Equina, Orthop. Res., 1993, vol. 11, no. 1, p. 104.

    Article  CAS  Google Scholar 

  12. Baker, A.R., Collins, T.A., Porter, R.W., and Kidd, C., Laser Doppler Study of Porcine Cauda Equina Blood Flow. The Effect of Electrical Stimulation of the Rootlets during Single and Double Site, Low Pressure Compression of the Cauda Equina, Spine, 1995, vol. 20, no. 6, p. 660.

    Article  PubMed  CAS  Google Scholar 

  13. Sugawara, O., Atsuta, Y., Iwahara, T., et al., The Effects of Mechanical Compression and Hypoxia on Nerve Root and Dorsal Root Ganglia. An Analysis of Ectopic Firing Using an in Vitro Model, Spine, 1996, vol. 21, no. 18, p. 2089.

    Article  PubMed  CAS  Google Scholar 

  14. Iwamoto, H., Matsuda, H., Noriage, A., and Yamano, Y., Lumbar Spinal Canal Stenosis Examined Electrophysiologically in a Rat Model of Chronic Cauda Equina Compression, Spine, 1997, vol. 22, no. 22, p 2636.

    Article  PubMed  CAS  Google Scholar 

  15. Yabuki, S., Kikuchi, S., Olmarker, K., and Myers R.R., Acute Effects of Nucleus Pulposus on Blood Flow and Endoneural Fluid Pressure in Rat Dorsal Root Ganglia, Spine, 1998, vol. 23, no. 23, p 2517.

    Article  PubMed  CAS  Google Scholar 

  16. Yabuki, S., Igarashi, T., and Kikuchi, S., Application of Nucleus Pulposus to the Nerve Root Simultaneously Reduces Blood Flow in Dorsal Root Ganglion and Corresponding Hind Paw in the Rat, Spine, 2000, vol. 25, no. 12, p 1471.

    Article  PubMed  CAS  Google Scholar 

  17. Kobayashi, S., Yoshizawa, H., and Nakai, S., Experimental Study on the Dynamics of Lumbosacral Nerve Root Circulation, Spine, 2000, vol. 25, no. 3, p 298.

    Article  PubMed  CAS  Google Scholar 

  18. Takenobu, Y., Katsube, N., Marsala, M., and Kondo, K., Model Neuropathic Intermittent Claudication in the Rat: Methodology and Application, J. Neurosci. Meth., 2001, vol. 104, no. 2, p. 191.

    Article  CAS  Google Scholar 

  19. Matsui, H., Kitagawa, H., Kawaguchi, Y., and Tsuji, H., Physiologic Changes of Nerve Root during Posterior Lumbar Discectomy, Spine, 1995, vol. 20, no. 6, p. 654.

    Article  PubMed  CAS  Google Scholar 

  20. Shevtsov, V.I., Shchurova, E.N., and Khudyaev, A.T., The Role of Intraoperative Monitoring of Microcirculation in the Dural Sac and Spinal Root in Surgical Treatment of Patients with Lumbar Disk Hernia, Neirokhirurgia, 2001, no. 3, p 26.

  21. Hida, S., Niato, M., and Kubo, M., Intraoperative Measurements of Nerve Root Blood Flow during Discectomy for Lumbar Disk Herniation, Spine, 2003, vol. 28, no. 1, p 85.

    Article  PubMed  Google Scholar 

  22. Kendall, H., Spence, J., and Murphy, M., Review of Pain Measurement Tools, Ann. Emerg. Med., 1996, vol. 27, no. 4, p. 427.

    Article  Google Scholar 

  23. Pavlenko, S.S. and Kukushkina, T.B., Study of the Use of Xefocam in Patients with the Vertebrogenic Lumbar Syndrome, Bol’ Ee Lechen., 1999, no. 10, p. 19.

  24. Shchurov, V.A., RF Patent 2 029 536, MKI6 A61 H 1/00, Certificate no. 5 042 260/14, Byull. Izobret., 1995, no 6.

  25. Bersnev, V.P., Davydov, E.A., and Kondakov, E.N., Khirurgiya pozvonochnika, spinnogo mozga i perifericheskikh nervov (Vertebral Column, Spinal Cord, and Peripheral Nerve Surgery), St. Petersburg: Spetsial’naya Literatura, 1998.

    Google Scholar 

  26. Livshits, A.V., Khirurgiya spinnogo mozga (Spinal Cord Surgery), Moscow: Meditsina, 1990.

    Google Scholar 

  27. Simonetti, L. and Agati, R., Why Does Disk-Root Conflict Generate Pain?, Rev. Neuroradiol., 1998, vol. 11, no. 3, p. 403.

    Google Scholar 

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Authors and Affiliations

  1. Ilizarov Research Center for Restorative Traumatology and Orthopedics, Kurgan, 640014, Russia

    E. N. Shchurova & A. T. Khudyaev

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  1. E. N. Shchurova
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  2. A. T. Khudyaev
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Original Russian Text © E.N. Shchurova, A.T. Khudyaev, 2007, published in Fiziologiya Cheloveka, 2007, Vol. 33, No. 1, pp. 80–86.

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Shchurova, E.N., Khudyaev, A.T. Relationship between the blood flow in a spinal nerve root and its functional state in patients with lumbar disk hernia. Hum Physiol 33, 69–74 (2007). https://doi.org/10.1134/S0362119707010100

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  • DOI: https://doi.org/10.1134/S0362119707010100

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