The compression-and-ischemic syndrome as a factor of decreasing the functioning reliability of segmental motor centers in patients with the consequences of spine-and spinal cord injury

The relationships of the values of local volumetric capillary blood flow in the perimedullary tissues of the spinal cord injured and EMG-characteristics of the sensomotor deficit in the system of lower limb innervation in patients with spine-and-spinal cord injury have been analyzed. The work is based on the results of the complex clinical-and-neurophysiological examination of 10 male patients at the age of 17-46 years with closed compression fractures of the thoracic, thoracolumbar and lumbar spine. It has been demonstrated that the intraoperative measurements of the volumetric blood flow of the perimedullary network in the site of spinal cord compression are proportional to the integral EMG-characteristics of sensomotor deficit, developed as a result of the spine-and-spinal cord trauma. The data obtained further emphasize the significance of the ischemic component in the pathophysiology of motor and sensory disorders in patients with spine-and-spinal cord injuries