I-traction spurs, eyaziwa nangokuthi i-osteophyte ye-traction okanye i-osteophyte engekho ngaphantsi kwee-osteophyte i-bone spurs ifom kufuphi ne-vertebral end plate, ngokuya kwiwebhusayithi, i-Radiopedia. I-Radiopedia ithi ezi zifundo zingabonwa kwi x-ray malunga nee-2-3 millimeters kude ne-endplate.
Xa i-traction spurs iyingcinci, ithambekele ekudibanisweni nesifo esiyingozi, ngakumbi isifo se-discenerative kunye / okanye i-spondylosis.
Bangabonisa ukungazinzi komgudu, uRadioopedia uthi. , Kwaye. al. kwinqaku labo elinesihloko esithi, "Ukukhubazeka kwezonyango ze-Lumbar Spine: Ukuxilonga kunye nokuLungisa," eshicilelwe kwiphepha le-Vol 18 ye- Orthopedic Practice iluhlu lwee- Orthopedic Practice njengenye yeempawu kwi-x-ray engabonakalisa ukungazinzi kwinkqubo yeseshishini (inkxaso iqulethwe ngumqolo wakho womgca kunye nemigqa yayo) yomgudu wakho. I-FYI, kukho i-subsystems 3 kuzo zonke, kwaye zidibana kunye ukuzinzisa umlenze wakho.
I-Radiopedia nayo ithi iindawo ezininzi ezingekho ngaphantsi kwezona zinto zihlala zibangelwa ukuxuba phakathi kokungekho emgceni kunye nokuba yi-spginal or non-boundal spur kwi- endplate engumakhelwane .
Olu hlobo lokuthungatha luyakubonisa ukuba iinkqubo zokuvuvukala zisemsebenzini.
Yiyiphi iNgcambu eLahlayo esiyifundisayo malunga Nokwenziwa kwe-Spinal Degeneration kunye ne-Spondylosis
I-osteophyte yokutsalana iminyani engaphantsi kweentlobo ezimbini eziphuhliswa kwi-platete ye-vertebral end.
Uhlobo oluqhelekileyo luyi-osteophyte ye-claw. Bobabini i-osteophyte i-claw kunye ne-traction ye-traction inehlobo olufanayo lweethambo kwaye ivela ngolu hlobo olufanayo lwe-degenerative process.
Ukuqonda kangcono utshintsho olwenziwe kakubi kwi-lumbar spine, eKasai, et. al., ihlaziywe malunga ne-3000 isigulane x-ray. Zonke izigulane ekufundweni zazingaphezu kweminyaka engama-60 ubudala.
Abaphandi baqwalasela ngenyameko ngaphambili (ekuthiwa yi-inside) yamagqabha e-vertebral. Ukufunda kwabo kwanyatheliswa ngo-2009 kwi- BMC Musculoskeletal Disorders kwinqaku elinesihloko esithi, "Ukhokelo lokwakheka kwe-osteophytes ye-vertebral yangaphambili."
Abaphandi bafumanisa izibini eziyi-14,250 zeetrase ze-traction kwaye zihlukaniswe zibe ngamaqela ahlukeneyo angama-6 ngokusekelwe kumkhombandlela apho ii-osteophytes zandisiwe (ngokubhekiselele kwi-disc intervertebral disc). Nantsi ukuphazamiseka kwamaqela:
- Iqela A lalingenayo i-osteophytes.
- Iqela B, i-spurs eyongezelwe kwi-disc elisondeleyo. Ukusuka kwicala lokujonga libukeka ngathi likhangeleka kwi-disvertebral disc.
- Kwiqela C, i-osteophyte ephezulu / engaphantsi kwee-osteophyte ibhekiselele komnye nomnye kangangokuba yakha i-bridge ye-bone epheleleyo kunye ne-disc intervertebral yayo.
- Kwinqanaba D, i-osteophyte ephezulu / ephantsi ye-osteophyte yatshiyana. Ngamanye amazwi, inqaku eliphezulu libhekise phambili kwaye elinye eliphantsi libhekise phambili.
- Kwiqela le-E, i-osteophyte igijime phantse kwimigca ephezulu kunye nezantsi ye-disc / vertebral end plate.
- Kwaye kwiQela F yayinxalenye yoluhlu oluthile. Abaphandi bathiwa ngama-osteophyte kweli qela "lingenakwenzeka."
Ama-osteophyte amaninzi awakubonwayo ayefumaneka kwi-lumbar spine eL1-2 kunye neL2-3. Ulwakhiwo oluthile (okt, oluhambelana namacandelo njengoko kuchazwe ngasentla) ngokuqhelekileyo kudibana nala maqumrhu kwakuyiqela le-B - i-osteophyte ekubhekiselele kwidiski elisondeleyo, kunye neyona ephezulu ekhomba kunye nezantsi. Kodwa i-osteophyte ephantsi ngaphantsi komgudu (L3-4, L4-5, kunye ne-L5-S1) yayiyinxalenye yeendidi ze-Group D, kunye nezihlunu ezikhomba kude kwi-disc yazo esondeleyo (oko kukuthi umgca ophezulu ukhankanywe kunye nomgca ophantsi phantsi.)
Nangona ulawulo lwe-osteophyte kunye nohlobo lungaba luhlu logqirha onokuyenza, olu hlobo lophando lunceda uluntu lwezempilo lucacisa indlela i-bone ehluma ngayo kwintsipho, kwaye ufunde kabanzi malunga nenkqubo yokuguga.
Ngokwenene, ukunyuka kwenyameko okanye ukuguquguquka phakathi kwamalungu omzimba womlenze womgogodla ugxininisa kwinkqubo yokunyusa okwenzeka kwiplani yokugqibela ye-vertebral, leyo nto ibangela ukutshintsha kwethambo. Kule ndlela, ifom ye-osteophyte. Ezinye izimbangela ze-traction spurs ziquka ukususwa kwe-longitudinal ligament kunye / okanye i-annulus fibrosus yediski. (I-annulus fibrosus iyisimbozo esichukumisayo somgca we-intervertebral disc).
> Imithombo:
> Holland, M. I-osteophyte engezantsi. Radiopaedia.org iwebhusayithi.
> Kasai, Y., Kawakita, E., Sakakibara, T., Akeda, K., Uchida, A. Isikhokelo sokwakhiwa kwe-osteophyte ye-vertebral yangaphambili. Iingxaki ze-BMC zeMisculoskeletal. 2009.
> Yinyani >, S., PT, DPT, OCS, MTC, Smith, S., PT, PhD., > I-Silf>> , S., i-PT Ph.D. Ukukhubazeka kwezonyango zeLumbar Spine: Ukuxilonga kunye noNgeniso. I-Orthopedic Practice Vol. 18.