Research Article
Volume 13 Issue 12 - 2021
Possibilities of Ultrasound in Visualization of Cervical Disc Protrusion Detected by MRI in Adolescents and Young Adults

Ruslan R Abdullaiev, Igor A Voronzhev, Rizvan Yagubovich Abdullaiev* and Larisa A Sysun

Kharkov Medical Academy of Postgraduate Education, Ukraine
*Corresponding Author: Rizvan Yagubovich Abdullaiev, Department of Ultrasound Diagnostics of Kharkov Medical Academy of Postgraduate Education, Ukraine.
Received: November 10, 2021; Published: November 26, 2021


Objective: The aim of this study was to evaluate the possibilities of ultrasound in diagnosing of the cervical disc protrusion in adolescents detected by MRI and to determine what factors may affect the quality of disc imaging using ultrasound.

Materials and Methods: A retrospective analysis of the results of ultrasonography was carried out in 67 patients with protrusion of the cervical intervertebral discs diagnosed by MRI. The age of the patients ranged from 17 to 21 years, including 28 girls and 39 boys. All patients had clinical signs of degenerative disc disease and complained of cervicogenic pain.

Ultrasonography of the cervical spine held on the levels from C2-C3 to C7-Th1 in sagittal and axial projections. The results given as mean (standard deviation) and p < 0.05 were considered significant.

Results: The coincidence of the results of MRI and ultrasound took place in 64 (95,5 ± 2,5%) cases of cervical discs protrusion. In 4 (6,0 ± 2,9%) cases the protrusion was localized at the level of C2-C3, in 9 (13,4 ± 4,2%) - at the level of C3-C4, in 16 (23,9 ± 5,2%) - C4-C5, in 25 (37,3 ± 5,9%) - C5-C6, in 10 (14,9 ± 4,4%) - at the level C6-C7, in 3 (4,5 ± 2,5%) - at the level C7 -Th1, respectively.

Central localization of cervical disc protrusion was noted in 32 (47.8 ± 6.1%) cases, paramedial - in 23 (34.3 ± 5.8%) and foraminal - in 12 (17.9 ± 4.7%) cases. US revealed medial protrusion in 34 (50.7 ± 6.1%) cases, paramedical - in 19 (28.4 ± 5.5%) cases, and foraminal - in 11 (16.4 ± 4.5%) cases.

Conclusion: Ultrasonography can be an alternative method for diagnosing cervical disc protrusion. When imaging the anterior dural space at the level of the cervical discs, ultrasonography has an advantage over MRI. Visualization of C7-Th1 with USG in athletes is limited due to the development of muscle mass in the neck.

Keywords: Spine; Ultrasound; MRI; Disc Degeneration; Cervical Discs Protrusion


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Citation: Rizvan Yagubovich Abdullaiev., et al. “Possibilities of Ultrasound in Visualization of Cervical Disc Protrusion Detected by MRI in Adolescents and Young Adults”. EC Neurology 13.12 (2021): 55-62.

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