Servikal, Torakal ve Lomber Vertebralarda Osteofitik-Dejeneratif Değişiklikler

Ara 25

Osteofitler normal kemik yapısının anormal büyümesini temsil eder. Temel olarak, osteofitler spinal dejenerasyonun (yaşlanma) radyolojik bir işaretidir; bu da, Röntgen veya MRI taramalarında karşımıza çıktığı anlamına gelir ve ileri yaşta normal bir bulgudur. 60 yaşın üstünde omurgadaki osteofirler oldukça yaygındır.

Osteofit Nedir?

Osteofitler (Kemik dikeni), genel omurga yaşlanma döngüsünün katkıda bulunduğu omurilik eklemlerinin dejenerasyonundan kaynaklanabilir. Osteofitik-dejeneratif değişikliklerin daha yaygın görüldüğü alanlardan biri de faset eklemleridir. Omurilik fasetleri genelde kemiği kaplayan bir katmanla korunur, bir kapsül ve kayganlaştırıcı sinovyal sıvı ile kaplıdır. Yaşlandıkça, bu koruyucu önlemler bozulur ve kemikler birbirine temas ederek eklemi tahriş edebilir. Bunun sonucunda da osteofitik yeni kemik oluşumları görülebilir.

Osteofitik-Dejeneratif Değişiklikler Hangi Sorunlara Yol açabilir? 

Osteofitler, sinir kökleri çıkışında gelişirse sorun olabilir. Alanı daraltır (foramen stenozu) ve sinir üzerine bası yapabilirler.

Osteofitlerin en yaygın belirtisi sırt veya boyun ağrısıdır. Eklem iltihaplanır ve sırt kasları hassaslaşır.

Genel belirtiler şunlardır:

  • Yanma veya karıncalanma (eller veya ayaklarda)
  • Kişi ayakta dururken veya yürürken boynunda donuk ağrı ya da bel ağrısı
  • Vücudun bir bölümünde koordinasyon kaybı
  • Kas spazmları veya krampları
  • Kas Güçsüzlüğü
  • Uyuşma
  • Kalça ve kalçalarda ağrı yayılması (etkilenen kemik sırtta veya alt sırtta(Lomber) ise)
  • Ağrı omuzlara veya ellere yayılabilir. (eğer etkilenen kemik boynundaysa)

Okunma 68294 defa Son Düzenlenme Pazar, 19 Şubat 2017 17:30
Uz.Dr.M.Hakan PIÇAK

İstanbul Tıp Fakültesi 2004-2010

İstanbul Eğitim Araştırma Hastanesi Radyoloji İhtisası 2011-2015

Tatvan Devlet Hastanesi 2015-2017

İzmir Ekol Hastanesi 2017

İzmir Çiğli Bölge Eğitim Hastanesi 2018 - halen

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