Intervertebral disc degeneration

1
Intervertebral disc degeneration
2
Intervertebral Discs The intervertebral discs
are the joints of the spinal column. They have a
primarily mechanical role in transmitting loads
through the spine and providing flexibility to
the spinal column (allowing bending, flexion and
torsion). The disc has a complex structure.
3
CASE

• ??????????? 52?? ???????????????????
  ?????????????????????? ????????????????????
  ????????????? ?????????????????????
  ????????????????????Intervertebral disc
  ????????????????cervical ????????????????

4
QUESTION

• 1. ???????????????????????????????????????????????
  ?

??? ??????????????????????????? ???????????????
?????????????????????????????? intervertebral
disc ?????????????? spinal cord
????????????????????? ???????? extend ??
???????????????????????????????
5
(No Transcript)
6
Cervical Disc Herniation

• The most common symptom of a cervical disc
  herniation is neck pain that radiates (spreads)
  down to the arm in various locations. The
  specific location of the arm pain depends on
  which disc is involved. Most of the symptoms of a
  disc herniation are related to pressure on a
  specific nerve root. Rarely, large disc
  herniations can cause pressure on the spinal
  cord. Pressure on the spinal cord can result in a
  problem called cervical myelopathy. It can cause
  among other things spasticity which can present
  as problems walking.

7
2. ???????????????????????????????????????????????

??? ?????????????????????????? ???????????????????
?? cervical Disc ??????????????????? nucleus
pulposus ?????????? (?????????????????????????????
?? 90 ) ?????????? nucleus pulposus??????????
??? mucopolysaccharide
8
(No Transcript)
9
Intervetebral disc degeneration
Loss of water content causes the discs to lose
some of their ability to act as cushions. This
can lead to even more stress on the annulus and
still more tears as the cycle repeats itself. As
the nucleus loses its water content, it
collapses. Without the cushion effect of the
discs, the vertebrae in your spine would not be
able to absorb stresses or provide the movement
needed to bend and twist.
10
(No Transcript)
11
(No Transcript)
12
3. ????????????????????????????????????? ???????
??? ????????????????????????????????
??????????????????????????????????????disc
?????????? disc ??????????????????????????????????
? ?????????????????????? ???????????????foramina
??? 4?????? ??????????????????????????????spinal
nerve root ???????
13
4. ???????????????????????????????????? ??????????
????????????????
??? ??????????????????????????????????????????????
???????????????????? foramina ?????????????
zygapophyseal joint capsules
14
(No Transcript)
15
TREATMENT

• The overall goal of treatment is to
• make you comfortable as quickly as possible
• design a spine-care program to reduce further
  degeneration
• get you back to normal activity in a timely
  manner

16
(No Transcript)
17
??????????????????

• ?????????????????????????????????
  ??????????????????????????????????????????????????
  ???????
• ????????????????????????????????????????
  ???????????????????????????????????
  ????????????????spinal cord ??????????????????????
  ???????
• ?????????????????????????????????????????????

18
????????????????? 15

• ??????????? ????????? 71
  4735079230
• ????????????? ?????????????? 72
  4735080830
• ????????????? ????????? 73
  4735081430
• ???????? ?????????????? 74
  4735082030
• ??????? ????????? 75
  4735083730
• ?????????? ??????????? 240
  4835147330