430 likes | 1.12k Views
Spondylosis. Dr.Shamekh M. El- Shamy. Spondylosis. I- Cervical Spondylosis. Definition: It is a gradual progressive diffuse degeneration of inter-vertebral discs, affecting the most mobile lower cervical verteb rae. PREDISPOSING FACTORS: 1- Old age. 2- Diabetes mellitus.
E N D
Spondylosis Dr.Shamekh M. El-Shamy
I- Cervical Spondylosis • Definition: It is a gradual progressive diffuse degeneration of inter-vertebral discs, affecting the most mobile lower cervical vertebrae
PREDISPOSING FACTORS: 1- Old age. 2- Diabetes mellitus. 3- Excessive mobility of the spine as in labourers
1- Lateral prolapse 2- Posterior prolapse 3- Postero-lateral prolapse
2)Manifestations of cord compression(Posterior prolapse): (Myelopathy)
3)Manifestations of root and root compression: (Myloradiculopathy)
Vertebro-basilar insufficiency (VBI) • It is usually due to compression of upper cervical osteophytes on the vertebral artery.
Investigations • 1) Plain X-ray:
C.T. scan and M.R.I, • Myelography • Bone Scan,
Treatment I- Medical: II- Physiotherapy:
Clinical picture: - Age: Any age. - Sex: 75 – 80 % in males. - Sites:Common sites are L4-5 and L5-S1, which compresses the spinal nerve below i.e. In L4-5 disc prolapse, the prolapsed disc compresses L5 nerve roots.
Manifestations 1- Pain: -
-Scoliosis; -Tenderness -
Investigations 1. Plain x-ray: - 2. Myelography: -
Treatment • Drugs: • 2. Surgery (10 % of cases): -