Spondylosis

1
Spondylosis

• Dr.Shamekh M. El-Shamy

2
Spondylosis
3
(No Transcript)
4
(No Transcript)
5
(No Transcript)
6
(No Transcript)
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
10
(No Transcript)
11
Pathology

• -

12
1- Lateral prolapse
2- Posterior prolapse
3- Postero-lateral prolapse
13
Manifestations
14

• b) Posterior root compression
• -

15
(No Transcript)
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