КОСТНАЯ ПЕРЕМЫЧКА ПЕРВОГО ШЕЙНОГО ПОЗВОНКА

Аннотация

Blood circulation in the vertebrobasilar region can often be impaired, and this is mainly due to the spondylogenic factor. The consequence of such changes can be from a slight decrease in cerebral circulation to ischemic complications in the vascular bed. The patients underwent complex radiation diagnostics of the craniovertebral region of patients with verified Kimmerle’s anomaly (N=62). All study participants underwent multispiral computed tomography (MSCT), Doppler ultrasound and transcranial Doppler (TCD) of the vertebral arteries (VA). Studies of the variantof the development of the first cervical vertebra with the presence of a bony bridge have shown that Kimmerle's anomaly can occur in all age groups. The frequency of detection of Ponticulus posticus was within 16.3% of cases, that is, it occurs in every 5-6 people and is common in all age groups with a prevalence in young and middle age. Most often, bilateral Kimmerle's anomaly was detected, which, according to TCD, affects the blood flow. In the unilateral variant, the anomaly was noted only on the left side. It was found that the main structural change in the cerebral vascular bed. according to ultrasound diagnostics, is a change in the straightness of the vertebral arteries in the transverse processes of the cervical spine, including the atlas. It should also be borne in mind that due to the complexity and mobility of the stnicture. patients with dysfunction of the craniovertebral zone receive therapy from doctors of various profiles, which requires a comprehensive diagnosis of this problem.