Kutsemuka kweputika, iyo inozivikanwa seti traction osteophytes kana kuti isina-marginal osteophytes inoputika pfupa iyo inowanikwa pedyo nechokupedzisira cheplate yakagadzirwa, maererano newebsite, Radiopedia. Radiopedia inoti izvi zvakagadzirwa zvinogona kuonekwa pa x-raira anenge 2 kusvika ku3 mamita kubva kure.
Kana zvipembenene zvinotapira zviduku, zvinowanzobatanidzwa nehutachiona hwehutachiona, kunyanya kuderedza chirwere chetachiona uye / kana spondylosis.
Dzinogona kuratidzira kugona kwemutsipa, Radiopedia inoti. Zvakanaka, uye. al. munyaya yavo ine musoro, "Clinical Instability yeLumbar Spine: Kuziva uye Kupindira," yakabudiswa muBhuku 18 reOrpedpedic Practice rinoratidza traction spurs seimwe yezviratidzo pa x-ray iyo inogona kuratidzika kusagadzikana mune ssystem system (iyo inoumbwa nemutsara wako wespinha nemigumisiro yayo) yomukomana wako. FYI, pane 3 subsystems mune zvose, uye dzinobatanidza pamwe kuti dzigadzikane musana wako.
Radiopedia inotaurawo kuti hurukuro dzisingasviki pamagumo dzinowanzoguma nekuda kwekukanganiswa pakati pezvisizvo zvisingasviki uye zvichida kumativi kana kuti zvisingarevi zvishoma kubva kune imwe nzvimbo yakatarisana yakagadzika .
Izvi zvinoratidza kuti kuputira zvinowanzoshanda.
Inzira ipi Inotsvedza Inotidzidzisei Pamusoro peSpinal Degeneration uye Spondylosis
Kushanda kwemafupa esteophytes chaizvoizvo haisiwo mashoma emhando mbiri dzinoitika pavharo rekupedzisira yeplate.
Izvo zvinowanzosiyana zvakasiyana-siyana ndeyeo claw osteophyte. Zvose zvinokonzera uye kushungurudza maesteophyte zvine maitiro ezvimwechete uye zvinouya nechinomwe chechigadzirisa.
Kuti unzwisise zviri nani kushanduka kwekuchinja kune mutsara, Kasai, et. al., yakarongedza anenge 3000 murwere x-rays. Vose varwere vari muchidzidzo vaiva nemakore anopfuura makumi matanhatu.
Vatsvakurudzi vakanyatsocherechedza nechepamberi (inonzi anterior) yemitumbi yemhuka. Kudzidza kwavo kwakabudiswa muna 2009 muBCC Musculoskeletal Disorders munyaya yakanzi, "Mazano ekuumbwa kwe anterior lumbar vertebral osteophytes."
Vatsvakurudzi vakawana mapeji 14,250 ematokisi ematokisi uye vakazviisa mumapoka matanhatu akasiyana-siyana zvichienderana nenzira iyo maosteophytes akawedzerwa (maererano nechemberi intervertebral disc.) Heino kuparara kwemapoka:
- Boka A rakanga risina maosteophytes.
- Boka B, zvinopararira zvakatambanudzirwa kune dhi rekutsva. Kubva kune rumwe rutivi rukaona rwuri rwakaita sevari kuratidzira intervertebral disc.
- Muchikwata C, chikamu chepamusoro / chepamusoro chemaosteophyte chakatarisana kune mumwe kune mumwe zvokuti zvakagadzira chakazara chakakwana chebhandi rebhafu pamwe chete neruzhinji rwavo rwakaparadzaniswa.
- Muchikwata cheD, chepamusoro / chepamusoro chikwata chemaosteophyte chakatarisana kubva kune mumwe. Mune mamwe mazwi, iyo yepamusoro yakarongedza uye imwe yepasi yakarondedzerwa.
- Muchikwata E, maosteophytes akamhanya akadaro akafanana nemitsetse yepamusoro neyopasi ye disc / vertebral end plate.
- Uye muChikamu F chakanga chiri chikamu chemhando yakasiyana. Vatsvakurudzi vakadana maosteophytes muboka iri "risingaitiki."
Maonai anowanzoonekwa maesteophyte aive mumugwagwa weLumbar muL1-2 uye L2-3. Izvo zvakasikwa (kureva,, maererano nemapoka sezvinotsanangurwa pamusoro) kazhinji kazhinji paakawana pazvibatanidza izvi maiva neboka B - mahedheni e-osteophyte anongotarisa kune dhoni iri pedyo, nechokumusoro chinotarisa pasi uye nechezasi kutarisa. Asi maosteophyte akadzika pasi pasi mumusana (L3-4, L4-5, uye L5-S1) aiva emhando dzakasiyana dzeGulu D, pamwe nemashizha anotarisa kure nedhiyo raive pedyo pasi.)
Nepo hutano hwehutachiona uye urongwa hunogona kungopesana chete nechiremba wako angagadzira, rudzi urwu rwekutsvakurudza runobatsira chirongwa chezvehutano kurondedzera kuti mapfupa anoputika sei mumharapa, uye kudzidza zvakawanda pamusoro pekugadzirisa kwekuita.
Chaizvoizvo, kuwedzera kwekufamba kana kushanduka pakati pezvisikwa zvemuviri wemusana wepelinha zvinokonzera kushushikana kwehutachiona hunoitika padheka rekupedzisira, izvo zvinoita kuti pfupa richinje. Kubva pane izvi, mafiropiti anoita. Zvimwe zvinokonzera kutsvaga tsvina zvinosanganisira ossification ye anterior longitudinal ligament uye / kana annulus fibrosus ye disc. (The annulus fibrosus ndiyo yakaoma kunze kwechifukidzo che intervertebral disc.)
> Sources:
> Holland, M. Kwete-marginal osteophyte. Radiopaedia.org website.
> Kasai, Y., Kawakita, E., Sakakibara, T., Akeda, K., Uchida, A. Nhungamiro yekuumbwa kweanterior lumbar vertebral osteophytes. BMC Musculoskeletal Matambudziko. 2009.
> Zvinyorwa >, S., PT, DPT, OCS, MTC, Smith, S., PT, PhD., > Sirifi >, S., PT Ph.D. Clinical Instability yeLumbar Spine: Kuziva uye Kupindira. Practice Orthopedic Vol. 18.