Diseases of the spine

Destruction of intervertebral disks (discoz, dicity) develop, as a rule, in the lumbar spine, caused by degenerative-dystrophic processes, which are based on the decrease of water content and changes of biochemical composition of tissue disk. The result is lost elasticity disk, reduced its shock-absorbing ability. Then at physical work, trauma, hormonal disorders may develop bulging disc in the lumen of the spinal canal, and in violation of the integrity of the annulus formed by the herniated disc. There are violations of statics and dynamics, pain, discomfort, changes in motor-reflex sphere. To reduce pain patients are forced position. Notes straightening normal lumbar lordosis, then developing scoliosis, wasting of muscles, reducing their tone. The precise diagnosis of liquorodynamics samples, x-ray studies, isotope diagnostics. Conservative treatment - bed, thermal and phisiobalneotherapy procedures, different types of stretching, painkillers, blockade, and other Surgical treatment - laminectomy (see) with the subsequent removal of fallen parts of the disk and the nucleus pulposus (diskectomy). Bed contents after surgery about 3 weeks.
Echinococcosis of the spine is rare, but the destruction of the vertebrae and spinal cord compression can be caused if Echinococcus cyst localized in any of the adjacent organs. Operative treatment (see Echinococcosis).

The spine is the most common bone localizations Echinococcus. Flows slowly, without any symptoms until there neurological symptoms associated with pressure on the spinal cord or his roots. Possible pathological fracture of a vertebra and without prior manifestations of the disease. The diagnosis is based on a characteristic x-ray film, the reaction of Casoni not always positive. Treatment only prompt (see Echinococcosis).
Tuberculosis of the spine - see Spondylitis.

Acquired deformations of spine schematically divided into curvature in anteroposterior and lateral direction. The first group of deformations include kyphotic curvature (see Kyphosis), in particular curvature resulting from osteochondropathy vertebral body (illness Calvet) and if osteochondropathy of epifizov vertebral disease Leiermann-May). In the basis of the disease is avascular osteonecrosis, developing, believed to be the result of neuro-vascular disorders (see Osteochondropathy).
Lateral curvature P. - see Scoliosis.
Tuberculosis P. - see Spondylitis.
Osteomyelitis of the spine occurs more frequently as a metastatic lesion in the presence of osteomyelitis of the pelvis, bones. Shackle and the vertebral processes are affected more often than body. With the defeat of the vertebral body comes the destruction of him that can lead to deformation., and the emergence of functional disorders of the spinal cord and its roots.
Treatment consists of the combined impacts (antibiotics, vitamins, high-calorie meals) and special measures aimed at immobilization and unloading of the spine: the situation in bed with a Board, gypsum beds, easy stretching glassonby loop or axillary straps (for the upper division P.), pelvic girdle (lumbar P.). In the Acute stage is sometimes necessary to open the abscess. In the chronic phase, it may become necessary to sequestrectomy. If the center is located in the body of the vertebra, access to it is carried out mostly by costtrandate (see), however, some surgeons prefer to lumbar vertebrae to come up front vnebrachnyi access. Some patients have further assign wear a hard corset.
Among the diseases of the spine largest group comprises spondylosis deformans (see), ankylosing spondylitis (see) and intervertebral osteochondrosis.