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Spondiloza je uobičajen naziv za degenerativne promene kičme. Inače, to je u stvari rentgenološki nalaz i predstavlja stvaranje koštanih izdanaka, osteofita koje na RTG snimku možemo jasno uočiti.
Da bi došlo do stvaranja koštanih izdanaka moraju se odigrati veoma složeni procesi degeneracije, pa upravo zato ima mišljenja da se radi o stereotipu dijagnoze koja se odnosi na degenerativni reumatizam. Spondiloza se kao rentgenološki nalaz može naći na bilo kom delu naše kičme i najgrublje rečeno ove su promene uzrokovane starenjem i mikrotraumama, mada sam RTG nalaz ne znači, oboljenje, bolest. Nađeno je recimo kod bola u vratu, da se u gotovo 90% najčešći uzrok tegoba vezuje za degenerativne promene.
Vratni deo kičme i degenerativne promene
Kada pričamo o degenerativnim promenama vratnog dela kičme, pa i o spondilozi, napomenimo samo da se vratna kičma kako anatomski (po svom sklopu, arhitektonici), tako i svojoj dinamici, pokretljivošću, razlikuje od ostalih delova naše kičme. Vratna kičma je najpokretljiviji deo naše kičme, i skup je 35 zglobova koji svojim sadejstvom omogućavaju njenu izuzetnu pokretljivost. Pokretni vratni segment čini 5 zglobova, dva apofizarna, dva unkovertebralna i diskus.
Primarne degenerativne promene obično su i najčešće na processus uncinatusima, gde dolazi do stvaranja pukotina u koje se može umetnuti jos intaktan, degenertivno neizmenjen diskus. Inače, diskus kao tkivo brzo stari, događaju se biohemijske promene koje prate degenerativne promene diskusa, diskus gubi tečnost, menja svoju visinu i na taj način dolazi do stvaranja uslova za promenu dejstva mehaničkih sila koje dovode do mikrotraumatskih poremećaja i destabilizacije dinamičkog vratnog segmenta. Kao reakcija na ove promene, suženje intervertebralnog prostora, na ivicama pršljenskih tela nastaje reaktivni hipertrofični proces sa stvaranjem koštanih izdanaka osteofita. Ovi koštani izdanci mogu biti lokalizovani na zadnjim ili bočnim stranama pršljenova, dok prednji osteofiti obično nastaju kao posledica degenerativnih promena na prednjem longitudinalnom (uzdužnom) ligamentu. Ovakva promena segmenta opterećuje i intervertebralne i unkovertebralne zglobiće, kao i promene na ligamentarnom aparatu koje takođe utiču na nestabilnost segmenta.
#vratnaspondiloza #boluvratu #eflife #lifestyle #equilibriumfizio Spondylosis is a common name for degenerative changes in the spine. By the way, this is in fact an X-ray finding and represents the creation of bone shoots, osteophytes that we can clearly see on the X-ray. In order for bone shoots to form, very complex degeneration processes must take place, which is why there are opinions that this is a stereotype of a diagnosis related to degenerative rheumatism. Spondylosis can be found as an X-ray finding on any part of our spine, and roughly speaking, these changes are caused by aging and microtraumas, although the X-ray finding itself does not mean a disease. It was found, for example, in neck pain, that in almost 90% the most common cause of problems is related to degenerative changes. Cervical spine and degenerative changes When we talk about degenerative changes of the cervical spine, and even spondylosis, let's just mention that the cervical spine differs from other parts of our spine both anatomically (in its structure, architecture) and its dynamics, mobility. The cervical spine is the most mobile part of our spine, and it is a set of 35 joints which, with their cooperation, enable its exceptional mobility. The mobile neck segment consists of 5 joints, two apophyseal, two uncovertebral and disc. Primary degenerative changes are usually and most often on the processus uncinatus, where cracks form in which a more intact, degeneratively unaltered disc can be inserted. Otherwise, the disc as a tissue ages quickly, biochemical changes occur that accompany degenerative changes of the disc, the disc loses fluid, changes its height and thus creates conditions for changing the action of mechanical forces that lead to microtraumatic disorders and destabilization of the dynamic neck segment. As a reaction to these changes, narrowing of the intervertebral space, a reactive hypertrophic process occurs on the edges of the vertebral bodies with the formation of bone shoots of osteophytes. These bony outgrowths can be localized on the posterior or lateral sides of the vertebrae, while anterior osteophytes usually result from degenerative changes in the anterior longitudinal (longitudinal) ligament. This segment change burdens both the intervertebral and uncovertebral joints, as well as changes in the ligament apparatus that also affect segment instability.