Spondylosis

1. Spondylosis Dr.Shamekh M. El-Shamy

2. Spondylosis

7. I- Cervical Spondylosis • Definition: It is a gradual progressive diffuse degeneration of inter-vertebral discs, affecting the most mobile lower cervical vertebrae

8. PREDISPOSING FACTORS: 1- Old age. 2- Diabetes mellitus. 3- Excessive mobility of the spine as in labourers

9. Pathology

11. Pathology -

12. 1- Lateral prolapse 2- Posterior prolapse 3- Postero-lateral prolapse

13. Manifestations

14. b) Posterior root compression: -

16. 2)Manifestations of cord compression(Posterior prolapse): (Myelopathy)

17. 3)Manifestations of root and root compression: (Myloradiculopathy)

18. Vertebro-basilar insufficiency (VBI) • It is usually due to compression of upper cervical osteophytes on the vertebral artery.

19. Investigations • 1) Plain X-ray:

20. C.T. scan and M.R.I, • Myelography • Bone Scan,

21. Treatment I- Medical: II- Physiotherapy:

22. III- Surgical: .

23. II- Lumbar disc prolapse

24. 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.

25. Manifestations 1- Pain: -

26. 2. Muscle weakness: -

27. -Scoliosis; -Tenderness -

28. Investigations 1. Plain x-ray: - 2. Myelography: -

29. 3. Computerized axial tomography (CT): -

30. 4. Electro-physiological studies: 5. CSF:

31. Prognosis

32. Treatment • Drugs: • 2. Surgery (10 % of cases): -

33. 3. Injections:

34. 4. Physiotherapy:

35. Thank You