I-traction spurs, eyaziwa nangokuthi i-osteophyte ye-traction noma i-osteophyte engekho emanzini i-bone spurs ifomu eduze ne-plate end-vertebral, ngokusho kwewebhusayithi, i-Radiopedia. I-Radiopedia ithi lezi zakhiwo zingabonwa nge-x-ray cishe ngamamitha amabili kuya kwangu-3 kude ne-endplate.
Lapho izilonda ze-traction zizincane, zivame ukuhlotshaniswa nezifo eziguga, ikakhulukazi isifo se-disenerative kanye / noma i-spondylosis.
Bangase bakhombise ukungaqiniseki komgogodla, uRadioopedia uthi. Kuhle, futhi. al. ku-athikili yabo ethi, "Clinical Instability of the Lumbar Spine: Ukuxilonga Nokungenelela," eshicilelwe kuyi-Vol. 18 ye- Orthopedic Practice ibala i-traction spurs njengenye yezimpawu kwi-x-ray engase ikhombise ukungahlali esimisweni sokusekelwa ( iqukethe ikholomu yakho yomgogodla nemigqa yayo) yomgogodla wakho. I-FYI, kunama-subsystems amathathu kuwo wonke, futhi asebenzisana ndawonye ukuze azinze umgogodla wakho.
I-Radiopedia ibuye ithi izikhukhula ezincane ezingekho emkhakheni ngokuvamile ziwumphumela wokuhlanganiswa phakathi kokungewona okwemkhawulo noma okuyi-spginal noma okungewona okwemvelo okuvela emkhakheni wokuzungezile we- vertebral.
Lolu hlobo lwe-traction spur lungabonisa ukuthi izinqubo zokuvuvukala ziyasebenza.
Yisiphi Isenzo Esishaya Sifundisa Ngokuphathelene Nokuguqulwa Kwemvula Ne-Spondylosis
I-osteophyte yokuthambekela empeleni ayiyona into engavamile ezinhlotsheni ezimbili ezithuthuka kwi-plate end ye-vertebral.
Ukuhlukahluka okuvame kakhulu yi-osteophyte ye-claw. Kokubili ama-osteophyte ama-claw ne-traction anezinhlobo ezifanayo zezicubu futhi asebenza ngenqubo efanayo yokuguqula.
Ukuze uqonde kangcono izinguquko eziguquguqukayo ku-lumbar spine, Kasai, et. i-al., ibuyekeze cishe ama-x-ray angu-3000 wesiguli. Zonke iziguli ezifundweni zazingaphezu kweminyaka engama-60 ubudala.
Abacwaningi baqaphelisisa phambili (okubizwa ngokuthi i-anterior) yezindikimba ze-vertebral. Ukutadisha kwabo kwanyatheliswa ngo-2009 ku- BMC Musculoskeletal Disorders ku-athikili ethi, "Ukuqondiswa kokwakhiwa kwama-osteophyte angama-vertebral anterior lumbar."
Abacwaningi bathola ama-spurs angu-14,250 ama-spurs futhi bawahlukanisa ngamaqembu ahlukene angu-6 ngokusekelwe kunkhombandlela lapho ama-osteophyte enwetshiwe khona (ngokuphathelene ne-intervertebral dis disc.) Nansi ukuhlukana kwamaqembu:
- Iqembu A alikho ama-osteophyte.
- Iqembu B, ama-spurs adluliselwe ku-disc eliseduzane. Kusukela ohlangothini olubukeka lubukeka bukeka sengathi bukhomba i-disc intervertebral.
- EQembu C, i-osteophyte ephezulu / engezansi ikhonjiswe komunye nomunye kangangokuthi yakha ibhuloho yethambo eliphelele eliseduze ne-intervertebral dis disc.
- EGenjini D, i-upper / low e-osteophyte ibhangqa. Ngamanye amazwi, okuphezulu kukhonjisiwe futhi okuphansi kuncike phansi.
- E-Group E, ama-osteophyte agijimela ngokungafani nemigqa ephezulu nephansi ye-plate / vertebral end plate.
- Futhi ku-Group F kwakungesinye isigaba esihlukile. Abacwaningi babiza ama-osteophyte kuleli qembu "elingenakuhlanganiswa."
Ama-osteophyte abonakala kakhulu kunawo wonke ayesemgodini we-lumbar eL1-2 no-L2-3. Ukwakhiwa okuqondile (okungukuthi, okuhambelana namaqembu njengoba kuchazwe ngenhla) okuvamise ukuhlangana kulezi zixhumanisi kwakuyiqembu le-B B - i-osteophyte ekhomba i-diski eliseduzane, nephezulu ekhomba phansi nokukhomba okuphansi. Kodwa ama-osteophyte aphansi ngaphansi komgogodla (L3-4, L4-5, no-L5-S1) beyizinhlobo ze-Group D, ne-spurs ekhomba kude ne-disc yabo esiseduze phansi.)
Ngenkathi ukuqondiswa kwe-osteophyte kanye nohlobo kungase kube umehluko kuphela udokotela wakho angayenza, lolu hlobo locwaningo lusiza umphakathi wezokwelapha ukucacisa ukuthi amathambo aphikisana kanjani emgodleni, futhi afunde kabanzi mayelana nenqubo yokukhubazeka.
Ngokuyinhloko, ukunyuka okunamandla noma ukuguquguquka phakathi kwemizimba ye-vertebral yokuhlanganiswa komgogodla kubeka ukucindezeleka kwinqubo ye-ossification eyenzeka epulini yokugcina ye-vertebral, okuholela ekushintsheni kwethambo. Kulokhu, ifomu le-osteophyte. Ezinye izimbangela ze-traction spurs zihlanganisa ukususwa kwe-ligament longitudinal yangaphakathi kanye / noma i-annulus fibrosus yediski. (I-annulus fibrosus iyisibopho esibucayi esingaphandle kwe-disc intervertebral.)
> Imithombo:
> Holland, M. I-non-marginal osteophyte. Radiopaedia.org iwebhusayithi.
> Kasai, Y., Kawakita, E., Sakakibara, T., Akeda, K., Uchida, A. Isiqondiso sokwakhiwa kwama-osteophyte angama-vertebral anterior. Ukuhlukunyezwa kwe-BMC Musculoskeletal. 2009.
> Siphephile >, S., PT, i-DPT, i-OCS, i-MTC, i-Smith, i-S., i-PT, i-PhD., > I-Silf >, S., i-PT Ph.D. Ukukhubazeka Kwemitholampilo Ye-Lumbar Spine: Ukuxilongwa Nokungenelela. I-Orthopedic Practice Vol. 18.