LOCATIONS AND LENGTHS OF OSTEOPHYTES IN THE CERVICAL VERTEBRAE. LOCALIZACIONES Y LONGITUD DE LOS OSTEOFITOS EN LAS VÉRTEBRAS CERVICALES
DOI:
https://doi.org/10.31051/1852.8023.v3.n1.13908Keywords:
osteofito, espondilosis cervical, disfagia, braquialgia, vértigo, osteophyte, cervical spondylosis, dysphagia, brachialgia, vertigoAbstract
Muchos pacientes sufren de disfagia, vértigo, dolor en el brazo, entumecimiento o debilidad. Estos problemas pueden ser debidos a la aparición de osteofitos en las vértebras cervicales. El propósito de esta investigación ha sido estudiar las localizaciones y tamaño de los osteofitos en las vértebras cervicales. Se han usado 200 columnas cervicales (139 varones y 61 mujeres) de vértebras secas C3-C7, de un promedio de edad de 71 años (36-98 años). Se han encontrado osteofitos en 184 columnas (92 %), la mayoría en C5, C6, C4, C7 y C3 (83, 77, 74, 65 y 64%, respectivamente). La media del tamaño de los osteofitos en C3 (4.44 ±1.31 mm) ha sido mayor que los de C4-C7. La mayor cantidad de osteofitos se encontraron en los cuerpos vertebrales, carilla articular y foramen transverso (49,35 y 16%) respectivamente. La mayor longitud de los osteofitos en el cuerpo de las vértebras se encontraron en la vértebra fue 4.28 ±1.65 mmen C6, en la cara articular fue 5.07 ±1.57 mmen C5 y en el transverso foramen fue 2.49 ±1.57 mmen C6. La longitud de los osteofitos del lado anterior superior y de la cara inferior del cuerpo ha sido más larga que la de los lados posterior y lateral. La longitud de los osteofitos muestra una correlación significativa y directa con la edad. Conclusión: Los osteofitos que han aparecido en el cuerpo de las vértebras, la cara y el foramen transverso pueden incidir en las estructuras cercanas. Este estudio puede ayudar a explicar algunos problemas clínicos como la disfagia, insuficiencia vertebrobasilar y braquialgia.
Many patients suffer from dysphagia, vertigo, arm pain, numbness or weakness. These problems may arise from osteophytes in the cervical vertebrae. The purpose was to study the distribution and lengths of osteophyte in the cervical vertebrae. We used 200 cervical columns (139 male and 61 female) of dry C3-C7 vertebrae. Osteophytes were found in 184 columns (92%), mostly at C5, C6, C4, C7 and C3 (83, 77, 74, 65 and 64% respectively) . The average length of osteophytes of C3 (4.44 ± 1.31 mm) was longer than those of C4-C7. The quantity of osteophytes mostly was found at vertebral bodies, articular facets and transverse foramen (49, 35 and 16%) respectively. The greatest osteophyte length of vertebral bodies was at C6 (4.28 ± 1.65 mm.), that of articular facet was at C5 (5.07 ± 1.57 mm.) and that of foramen transversarium was at C6 (2.49 ± 1.57 mm.). The osteophyte length of anterior area of superior and inferior surface of body was longer than posterior and lateral area. The osteophyte length was significantly correlated with age. Conclusion: The osteophytes that occurred at vertebral bodies, facet and transverse foramen may impinge on nearby structures. This study may help in explaining some clinical problems such as dysphagia, vertebrobasilar insufficiency and brachialgia.
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