Vertebral bone hyperplasia

Introduction to spinal bone hyperplasia Vertebral hyperosteogeny is a common disease in middle-aged and elderly people. It is a frequently-occurring disease. The name of this disease is not unified at home and abroad. The main foreign countries are osteoarthrosis, osteoarthritis, proliferative osteoarthritis, and degenerative osteoarthritis. The main names of medical science in China include osteoarthrosis, degeneration of intervertebral disc, proliferative arthritis, degenerative diseases of bones and joints, etc. The medicine of the motherland belongs to the scope of hysteria. basic knowledge The proportion of illness: 0.003% Susceptible population: common diseases in middle-aged and elderly Mode of infection: non-infectious Complications: bone hyperplasia

Cause of vertebral hyperosteogeny

Age factor (30%):

Age-related is the strongest risk factor for osteoarthritis. According to autopsy data, about 5% of people's joints have degenerative changes since the age of 20, and at the age of 40, almost 90% of the weight-bearing joints have more or less changes in bone hyperplasia. Professor Zhang Naijun and others conducted an epidemiological survey of knee osteoarthritis in 2063 adults in the suburbs of Beijing: knee pain in the age group of 16 to 30 years old, 31 to 40 years old, 41 to 50 years old, 51 to 60 years old, and older than 60 years old. Among them, the positive rates of osteophytes were 10.6%, 14.8%, 29.1%, 5 1.8%, and 78.5%, respectively, and the positive rate increased with age.

Racial genetic factors (25%):

The incidence of British people is the highest and that of West Africa is the lowest. Caucasians have a higher incidence than blacks. Women with osteoarthritis with Heber den nodules, their mothers and sisters are 2 to 3 of the general population. Times. And the detection rate of HLA-A1 and HLA-B8 in patients with osteoarthritis increased.

Physical factors (20%):

Weight gain causes the degenerated joints that have been worn out to be heavily heavier, and of course it is more likely to be destroyed. Therefore, bone hyperplasia occurs mostly in the hip, knee, calcaneus, lumbar vertebrae and other parts with heavy weight. In addition, due to joint pain, the patient unconsciously restricts the activity and increases the weight, and the mutual influence increases the joint disease.

Prevention of spinal bone hyperplasia

When you work, you should get up every half hour, turn your head and neck, and move for a while. Air conditioners can't be blown around the neck. You can prepare a jacket in the office, paying attention to the warmth of the neck and shoulders. In addition, pay attention to the sleeping position, to lie flat best. Lying on your side or squatting, pressing your arm under your head will increase the burden on the cervical spine. The pillow should be narrower and can rest under the neck, preferably with a fist height. When sleeping, the head is slightly reclined to ensure a slight curvature of the cervical spine.

1. Do not sleep while sleeping. Pillows should not be too high, too hard or too flat.

2, to avoid and reduce acute injuries, such as to avoid lifting heavy objects, do not emergency brakes.

3, cold, damp, avoid midnight, take a bath in the early morning or be hit by the wind. Wind chills cause local blood vessels to contract and blood flow to decrease. It hinders the metabolism and waste removal of the tissue, and moisture hinders the evaporation of the skin.

Vertebral hyperosteogeny complications Complications

Bone hyperplasia is a chronic, progressive joint lesion involving the proximal and distal interphalangeal joints of the hand, the spine and the hips, knees, ankles, etc., characterized by joint deformation, joint pain, degeneration and limited mobility. If the adjacent nerve root is compressed, it can cause the corresponding symptoms, local pain, stiffness, post-root neuralgia, numbness and so on. Such as compression of the sciatic nerve can cause sciatica, severe limb pain, burning, pain, string pain, radiation to the entire lower extremity.

Symptoms of Vertebral Hyperplasia Common Symptoms Lumbar Spine Pain Thoracic Spine Pain Root Joint Pain of the Cervical Joints Spurs Form Spinal Destruction Spinal Degeneration Tibial False Joint Formation Forced Prone Position Lumbar Long Spurs Lower Limbs Powerless

Once: The volume of bone hyperplasia is small, and only tiny bony prominences are visible on the upper and lower edges of the vertebral body, but it is not obvious. Once the bone hyperplasia began in middle-aged people, generally no obvious discomfort.

Second degree: the volume of bone hyperplasia increases, the bony prominence of the upper and lower edges of the vertebral body increases, and the partially proliferated bone grows horizontally. Since the bone morphology in the horizontal direction is like the lips of a person, people call it "lip-like hyperplasia". Patients with second-degree bone hyperplasia often have clinical symptoms such as low back pain. If bone hyperplasia involves the spinal cord or nerve roots, the patient may have neurological symptoms.

Third degree: The vertebral bone continues to develop on the basis of "lip-like hyperplasia", which becomes larger, longer, and sharper, and is "bird-like". The "bird's beak" bone hyperplasia at the edge of adjacent vertebral bodies has a tendency to fuse with each other, but has not yet been touched. The hyperplastic bone is obviously enlarged and increased. Third-degree bone hyperplasia is common in elderly patients, and generally has a long history of low back pain, and healed for a long time.

Four degrees: The bone hyperplasia of adjacent vertebral bodies continues to develop on the basis of "lip-like hyperplasia" and "bird-like" hyperplasia, contact fusion, connecting the osteogenesis bridge, so that adjacent vertebral bodies are connected as a whole. At this time, the patient felt that the waist was inconvenient and the waist and leg pain was obvious.

Examination of spinal bone hyperplasia

X-ray film is not only a routine test for this disease, but some scholars also believe that it is the gold standard for tracking changes in the condition.

Level 1: Only tiny bone spurs.

Level 2: Affirmation of bone spurs, accompanied by some vertebral anterior sclerosis.

Grade 3: obvious bone spurs and laminar sclerosis with mild intervertebral space stenosis.

Grade 4: large bone spurs, with obvious laminar sclerosis and significant intervertebral space stenosis.

The higher the level, the more severe the patient's spinal bone hyperplasia.

Diagnosis and differentiation of spinal bone hyperplasia

diagnosis

Joint activity, especially when weight-bearing, increases pain and reduces or relieves after rest. Sometimes finger joint pain occurs when holding or opening the bottle, which may be caused by the bone joint of the hand. The hip pain after walking, and the reduction after rest may be caused by the hip joint. The main manifestation of knee osteoarthritis is knee pain when going up and down the stairs. Walking a certain distance and causing pain and claudication, may be due to lumbar vertebrae hyperplasia leading to lumbar spinal stenosis.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.