Author/Editor | Kuhta, Matevž | |
Title | Bolečina v vratni hrbtenici | |
Type | članek | |
Source | 71906049 | |
Publication year | 2012 | |
Volume | str. 75-86 | |
Language | slv | |
Abstract | Degenerative spremembe vratne hrbtenice po pogostosti le nekoliko zaostajajo za degenerativnimi obolenji ledvene hrbtenice. Bolečina je posledica degenerativnih sprememb medvretenčnega diskusa, ki ostajajo večinoma asimptomatske. Kadar se težave pojavijo, jih lahko razdelimo na aksialno bolečino, radikulopatijo in mielopatijo. Medtem, ko je patološki proces pri radikulopatiji in mielopatiji bolje poznan, vzrok aksialne bolečine ni popolnoma pojasnjen. Najverjetneje je posledica degenerativnih sprememb medvretenčnega diskusa ali fasetnih sklepov. Glede na naravni potek bolezni aksialno bolečino skoraj izključno zdravimo konzervativno. Zdravljenje radikulopatije je večinoma uspešno konzervativno, vendar nekateri bolniki potrebujejo kirurški poseg. Naravni potek mielopatije je napredujoč, zato je pri bolnikih v poteku bolezni lahko potreben kirurški poseg.The prevalence of degenerative cervical conditions is only slightly less than that of low back pain. It is the consequence of cervical disc disease, that is, for the most part, asymptomatic. When symptoms do arise, they can be divided into axial pain, cervical radiculopathy and cervical spondylotic myelopathy. While pathopysiology of radiculopaty and myelopathy is better understood, the source of neck pain is not completely understood, but seems to be related to cervical disc disease or facet joint arthrosis. Natural history of these conditions suggest that axial pain is best treated conservatively. Treatment of radiculopathy is usually conservative, but some patients may be andidates for surgery. Myelopathy is typically progressive, therefore patients are candidates for surgery. | |
Descriptors | Neck Pain Vrat, bolečina Cervical Vertebrae Vratna vretenca Diagnosis Therapy Diagnostika Zdravljenje Anatomy and Histology Physiopathology Anatomija in histologija Patofiziologija |