Incidência de osteófitos na coluna vertebral / Osteophyte incidence on vertebral column

Ao longo do processo de evolução o homem adquiriu a postura ereta. Devido à ação da gravidade surgiram algumas complicações decorrentes dessa postura; entre elas o aparecimento de osteófitos. O objetivo do presente estudo foi verificar a incidência de osteófitos em exames laudados da coluna vertebral e qual a região da coluna mais acometida. Para isso foram utilizados 1089 laudos de 636 indivíduos, sendo 55,5% mulheres e 44,5% homens, atendidos em um intervalo de 6 meses, de janeiro a junho de 2006 em uma Clínica de Radiologia particular do Alto Tietê. Os resultados encontrados foram que dos laudos,26,9% foram considerados anormais. Das três regiões da coluna vertebral, foram encontrados osteófitos respectivamente para mulheres e homens: 15,4% e 5,7% região cervical; 13,6% e 12,4% região torácica e 17,9% e 13,7% região lombar. O grau de osteófito mais encontrado foiosteófito marginal para as regiões cervical e lombar e labiação marginal predominou na região torácica. Concluiu-se que a incidência de osteófitos do total de laudos analisados foi 26,9% ea região da coluna mais acometida foi a lombar. Além disso, as mulheres apresentaram mais casos de osteófitos que homens.

With the evolution of mankind appeared the erect posture. Due to gravity actioncomplications appeared because of this posture, like the osteophytes. The aim of this study was to investigate osteophyte incidence on vertebral column and the most affected column region. For this were used 1089 reports of 636 patients: 55.5% women and 44.5% men, attended between january and june of 2006 in a privet Clinic on Alto do Tietê, region of São Paulo. Resultsrevealed that 26.9% of reports had alterations. Region’s analysis revealed osteophytes in men and women, respectively: 15.4% and 5.7% on cervical region; 13.6% and 12.4% on thoracic region and 17.9% and 13.7% on lumbar region. The most common kind of osteophyte was marginal osteophyte on cervical and lumbar regions and marginal labium was predominant on thoracic region. The incidence of osteophytes on vertebral column was 26.9% and lumbar region was the most affected. Besides, women have more osteophytes cases than men.

Lumbar disc degeneration in Thai elderly: a population-based study.

OBJECTIVE: Determine the prevalence and related factors of lumbar disc degeneration in the Thai elderly. MATERIAL AND METHOD: A population-based study was done at Rom Klao community, Bangkok. Seven hundred and ninety-two cases (306 males, and 486 females) out of 1166 elderly people aged > or =50 (mean age of 61.07 +/- 7.8 years) were assessed. The lateral spinal radiographs were interpreted as spondylosis grade 0-3 according to the degree of severity. RESULTS: Males had more prevalence of grade 2-3 spondylosis than females (58.8% vs. 52.9%), but females had higher prevalence of spinal listhesis (14.4% vs. 8.8%). Age was a strong predicting factor for disc degeneration (OR = 1.088, 95% CI = 1.065-1.111, p = 0.000). Females had more risk to develop spinal listhesis (OR = 1.84, 95% CI = 1.11-3.05, p = 0.020) and low back pain (OR = 1.82, 95% CI = 1.29-2.56, p = 0.001). BMI was a predicting factor for spondylosis (OR = 1.066, 95% CI = 1.02-1.10, p = 0.000). About 27% of the cases reported moderate-severe low back pain and had lower Barthel ADL index (p = 0.018). CONCLUSION: Lumbar disc degeneration and low back pain were highly prevalent among the Thai elderly. Therefore, they need proper health care for disability prevention.

Ausencia de espondiloartropatías en los índigenas pimas en la época colonial / Absence of Spondyloarthropathies in Pima indians in the colonial times

Objetivo. Hochberg menciona la alta prevalencia de espondilitis anquilosante en los pimas. Se decidió buscar espondiloartropatías (Esp A) antes del mestizaje o en los inicios del mismo. Material y Métodos. Se revisaron todos los documentos y descripciones de los pimas al contacto español, en la colonia y después de la Independencia. Resultados. Las descripciones más importantes fueron seis, de 1708 a 1795, en contacto con los pimas de seis a treinta años y ninguno describe datos de EA ni incapacidades. Discusión. La veracidad de los documentos puede cuestionarse pero al único médico no describe ninguna cura local para problemas que sugieran Esp A y otras descripciones hablan de la gran salud de éstos indígenas. La ausencia al trabajo era severamente castigada por lo que las incapacidades hubieran sido evidentes. El presente trabajo sugiere la ausencia de Esp A en los indígenas pimas en la época colonial y abre el camino para estudios antropológicos e inmunogenéticos

The biological factors in the etiopathogenesis and management of cervical spondylosis.

Two hundred cases of cervical spondylosis were studied for 1 to 4 average (2 1/2) years. No co-relation could be established between the clinical features and the radiological findings in these cases. It was found that parasites play an important role in the multifactorial etiology of this condition and their eradication by deworming drugs gives better results than the traditional therapies. Many new hypotheses are proposed to explain the same.