Abstract Background and aims Disorders of spinal blood circulation in degenerative-dystrophic diseases of the spine (DDDS) deserve greater attention from neurologists. Methods A total of 1,093 patients with DDDS and identified vascular pathology of the spinal cord were examined. An original (author’s) classification of these disorders was developed. Results I. Initial reflex manifestations of spinal blood circulation insufficiency (SBCI): 1. caused by reflex vasospasm of one or or two spinal vascular territories in the distal terminal branches of these vessels; 2. spinal spinal vascular disorders in critical zones of spinal blood supply. II. Single Single, episodic attacks of transient SBCI. III. Acute ischemic or hemorrhagic stroke caused by an intervertebral disc herniation or protrusion. IV. Chronic spinal blood circulation insufficiency: 1. progressively advancing form: a) stage of recurrent transient SBCI; b) stage of development of persistent irreversible spinal neurological disorders 2. slowly progressive chronic SBCI (with or without persistent neurotrophic changes in the musculoskeletal system); 3. reactive cerebrospinal fluid–venous disorders caused by an intervertebral disc herniation or protrusion V. Spinal blood circulation disorders associated with improper manual therapy of the spine Conclusions Studying the clinical manifestations of spinal blood circulation disorders in degenerative-dystrophic diseases of the spine makes it possible to purposefully select the optimal treatment strategy for this pathology Conflict of interest
Olha Yuryk (Fri,) studied this question.