Thoracic spondylosis
Introduction
Introduction to thoracic disease Thoracic spondylosis is a type of syndrome that is caused by various factors to stimulate and affect the thoracic vertebrae, spinal cord, etc. The symptoms are mainly back pain and intercostal neuralgia, but the symptoms are more extensive, including indigestion and bowel movements. Obstacles, sexual dysfunction, etc., because of the low incidence of this disease, easy to be ignored, but we found in clinical, it is often one of the root causes of many difficult diseases such as back pain, diabetes, chronic gastritis. Clinical manifestations are generally chronic low back pain, chest pain, intercostal neuralgia, arm numbness, numbness of shoulder and back, ant feeling, sweating or no sweat, chest tightness, palpitations, dizziness, insomnia, indigestion, standing in severe cases Unstable, difficulty walking, feeling of a belt on the chest and abdomen, abnormal bowel movements, paraplegia and so on. basic knowledge The proportion of illness: 0.001% Susceptible people: no specific people Mode of infection: non-infectious Complications: scoliosis scoliosis
Cause
Cause of thoracic spondylosis
Occupational factors (30%):
Long-term shoulder load, such as loading and unloading; long-term desk work, such as sewing workers, teachers, typists, etc.; long-term bad entertainment habits, such as long-term Internet access, playing cards, watching TV and books and other factors lead to chronic thoracic Strain and thoracic spine; injury, is the most important reason to improve the degenerative changes of thoracic disc, vertebrae and surrounding fibrous soft tissue to produce thoracic spondylosis.
Surgical sequelae (20%):
Most of them have a history of strain or cold, a history of trauma, recurrence after surgery or sequelae after surgery. Some patients also have cervical, thoracic and lumbar spondylosis.
Disease factor (30%):
Spinal congenital developmental malformation; back muscle strain, trauma; vertebral and facet joint hyperplasia, dislocation; thoracic disc herniation; thoracic posterior longitudinal ligament calcification.
Age factor (10%):
Age growth and metabolic dysfunction and decline are the underlying factors of the disease.
Prevention
Thoracic spondylosis prevention
1. Sitting posture should be correct.
2, the sleeping posture should be correct.
3. Strengthen reasonable exercise methods.
Complication
Thoracic spondylosis complications Complications scoliosis scoliosis
1. Abdominal pain is accompanied by severe heartburn and constipation, but there is no acid reflux.
2, when the lower thoracic spine damage, occasionally combined with the nature of renal colic pain, dysuria, as well as loss of libido and male impotence.
3. It is quite similar to the compression syndrome caused by spinal cord tumor or localized adherent spinal arachnoiditis. The main symptoms are typical intercostal neuralgia or banded abdominal pain, lower limb weakness, numbness, and sphincter and sexual dysfunction.
Symptom
Symptoms of thoracic spondylosis Common symptoms Low back pain Chest pain Intercostal neuralgia Shoulder pain
Generally chronic low back pain, chest pain, intercostal neuralgia, arm numbness, numbness of shoulder and back, ant feeling, sweating or no sweat, chest tightness, palpitations, dizziness, insomnia, indigestion, standing instability in severe cases Difficulties in walking, feeling of a belt on the chest and abdomen, abnormal bowel movements, paraplegia and so on.
1. The main manifestations of thoracic spondylosis are chest and back pain and hunchback. Chest pain is heavy when bending.
2. The pain caused by the degeneration of the upper thoracic vertebrae is radiated to the chest.
3, the next thoracic lesion, the pain can be radiated to the abdominal wall, sometimes mistaken for angina.
4, hyperplasia such as stimulation of the sympathetic nerve located next to the spine, can produce autonomic symptoms such as circulatory disorders.
5. The patient has a hunchback in the chest kyphosis due to the narrowing of the intervertebral space.
6. The respiratory amplitude is reduced due to limited rib activity.
7. If the spinal cord is compressed, the lower extremity numbness and vertebral body bundle sign may occur.
Examine
Thoracic spondylosis
an examination:
X-ray examination
Lateral thoracic vertebral slices showed lip-like hyperplasia of the anterior border of the vertebral body. Most of them show a widening of the thoracic intervertebral space narrowing, cartilage plate sclerosis, anterior or lateral margin of the vertebral body. In some cases, the shadows of the Smolen nodules, the curvature of the thoracic spine, and the deepening of the physiological curvature were observed. Occasionally, the posterior margin of the thoracic vertebrae is found to have a lip-like hyperplasia. It is believed that the diagnosis of this disease is of great significance, often suggesting the possibility of disc herniation.
Laboratory inspection
HLA-B27, ESR, ASO, and RF should be investigated to rule out rheumatic or ankylosing spondylitis.
Diagnosis
Diagnosis and diagnosis of thoracic vertebral
diagnosis:
Diagnosis can be made based on medical history, clinical manifestations, and examination. Symptoms of thoracic spondylosis should be differentiated from angina pectoris, angina pectoris: angina pectoris is a clinical syndrome in which coronary artery insufficiency, myocardial sharpness, transient ischemia and hypoxia are the main manifestations of paroxysmal chest pain or chest discomfort. It is characterized by frontal chest paroxysmal and crushing pain, which may be accompanied by other symptoms. The pain is mainly located in the posterior part of the sternum and can be radiated to the anterior and left upper limbs. Labor or emotional agitation often occurs, and each episode lasts for 3 to 5 minutes. It can be taken once a day, or several times a day, after a break or disappearing with a nitrate ester preparation.
