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Spondylitis

 

Spondylitis

Spondylitis - an inflammatory disease of the spine. Such inflammatory diseases of the spine (spondylitis) can occur after any common infectious disease.

Spondylitis are primary and secondary origin. The clinical picture spondylitis can occur acutely and chronically. In the clinical spondylitis, there are significant differences due to the localization of inflammation in the spine and the prevalence of bone destruction.

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When spondylitis vertebral bodies will be changed by their bone density in the flesh before complete destruction.

 

Types of spondylitis

The most frequent infectious disease of the spine (spondylitis), occurring in most cases, chronically, Tuberculosis is the most rare and most severe - the current acute osteomyelitis. Those changes, which develop in tuberculous spondylitis in the weeks, months and years, played with acute osteomyelitis of the spine in just a few days.

Between these two extreme forms of inflammatory diseases of the spine spondylitis lie after infectious diseases such as typhoid, syphilis, gonorrhea, actinomycosis, brucellosis, etc.

The mobility of the spine spondylitis any etiology is dramatically impaired reflex paravertebral muscle tension, blocking the movement of the spine in all directions (concentric restriction of mobility). None of diseases of the spine is not as widespread and sharp reflex painful limitation of movement, as spondylitis.

 

Acute osteomyelitis of the spine

Acute osteomyelitis of the spine - this is a serious disease, which is recognized with difficulty, the more that patients often die within a few days after the onset of "cryptogenic" sepsis. At least half of all identifiable disease with acute osteomyelitis of the spine affects young people. Most often, acute osteomyelitis lesion located in the lumbar spine, rarely in the neck.

In acute osteomyelitis of the spine lesion of the vertebral bodies, and sometimes arcs can occur as a metastasis in abrasions, sore throat, tooth decay, after removal of the prostate or kidney function after operations on the bladder or intestines.

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Radiography (X-ray) of the spine in line and the lateral projection is held in the diagnosis of vertebral spondylitis.

Local infection was observed during lumbar blockade border trunk, lumbar puncture, anesthesia and operation on the intervertebral discs.

 

Syphilitic spondylitis

Syphilitic spondylitis occurs usually in the form of gummy periostitis or osteomyelitis, and rarely - specific periostitis. Syphilitic spondylitis can be congenital (very rare) and acquired. When syphilitic spondylitis primarily affects the cervical vertebrae.

The collapse of gum in the vertebral body may cause abnormal compression of the spinal cord and its roots. Restricting the mobility of the spine with syphilitic spondylitis, found in the study, very similar to tuberculous spondylitis.

 

Typhoidal spondylitis

Typhoidal spondylitis is a consequence of typhoid septicemia. Foci of typhoid infection remain silent and sometimes cured without clinical manifestations. When typhoid spondylitis usually affects the two adjacent vertebrae with a ranged between intervertebral disks.

When typhoid spondylitis often localized lesion in the lumbar spine, especially in the lumbar-thoracic and lumbosacral. The destruction of the intervertebral disc and vertebral synostosis with typhoid spondylitis occur quickly with the formation of an abscess or without him.

The mobility of the spine with typhoid spondylitis is limited in the lumbar and thoracic. Fixed lordosis during typhoid spondylitis caused the extensor muscle reflex gipertonusom back.

 

Brucellosis spondylitis

Brucellosis spondylitis is usually observed in individuals having contact with cattle (the shepherds, veterinary surgeons). Infection with brucellosis spondylitis can occur when using uncooked milk of infected cows.

Brucella spondylitis symptoms appear within 8-12 weeks after onset. Brucellosis spondylitis occurs with undulating fever, chills, malaise, headache, etc.

Brucellosis spondylitis strikes over a large distance spinal vertebral bodies, paravertebral soft tissue, sacroiliac joints, small joints and discs. Due to severe pain in brucellosis spondylitis, barely off again under the influence of rest and medical treatment, the spine becomes rigid almost its entire length.

To inflammatory diseases of the spine are also allergic spondylitis (chronic progressive spondylitis, ankylosing spondylitis, rheumatoid spondylitis).

 

Treatment of spondylitis

Treatment for spondylitis depends on its type. In case of osteomyelitis of the vertebral body resorting to surgery. Surgical treatment of vertebral osteomyelitis is the task of removing infected bone mass with a purulent discharge, all the cavities.

In the case of tuberculous spondylitis treatment in conservative. Applied coursework doses of specific anti-TB drugs with concomitant physiotherapy, therapeutic massage, and wearing corsets.

In some cases formed bone defects of vertebrae may require their remodeling (vertebroplasty) or compensate for bone cement, stabilizing the spine and implant systems.

All operations of vertebroplasty and stabilize the vertebrae are made only after the rehabilitation of all centers of vertebral spondylitis.

 

If you have any questions about the diagnosis or treatment of spondylitis spine, you can specify them with a neurosurgeon or neurologist call by calling the clinic on the phone: (499) 130–08–09

 
 

 

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