Osteocondrosi vertebrale

Per osteocondrosi  si intende un processo degenerativo che coinvolge primariamente il disco intersomatico e  successivamente le vertebre con alterazione distrofica  della limitante somatica e osteofitosi somato-marginale. Con la diagnostica per immagini possiamo riconoscere gran parte di tali alterazioni si guisa né l’evoluzione.

La radiologia convenzionale (figura 1) permette di valutare il restringimento dello spazio intersomatico, che deve essere di almeno 2 mm rispetto all’altezza del disco intervertebrale adiacente, visualizzabile nella proiezione LL i quantificato a livello della parte centrale dei piatti vertebrali, la sclerosi ossea subcondrale i irregolarità delle limitanti somatiche, l’ampliamento osteofitario delle superfici somatiche  espressione generalmente di vie equilibrio strategie con su pregresse condizione di instabilità e/o sovraccarico compartimentale.  Rappresentazione strategia di tale reazione osteofitaria avviene su un piano parallelo alle limitanti somatiche. L’alterazione osteofitaria  longitudinale risulta altresì espressione di parziale calcificazione del legamento longitudinale anteriore. In alcuni casi sono evidenti, nella proiezione latero-laterale, calcificazioni o raccolte gassose all’interno dello spazio intervertebrale espressione di degenerazione del disco.

La Risonanza Magnetica (RM) consente di valutare le varie fasi di degenerazione del l’unità disco vertebrale.

Inizialmente sono evidenti segni di alterata intensità di segnale del disco intersomatico espressione di perdita della normale idratazione del disco, che generalmente si accompagna ad una dilatazione del rispettivo l’anulus fibroso: a questa può sovrapporsi la fuoriuscita del nucleo polposo all’esterno dell’anulus (ernia discale), agomento che verrà  trattato in altro  paragrafo.

Successivamente  si possono delineare sulle contrapposte limitanti somatiche alterazioni dell’intensità di segnale a carico di corrispondenti strati basali subcondrali, in una prima fase a carattere infiammatorio  ed espressione di sofferenza da aumentato carico compressivo.  La risonanza magnetica   mostra elevato sensibilità nella caratterizzazione di queste alterazioni degenerative, in fase infiammatoria, che appaiono ipointense nelle sequenze T1 pesate ed iperintense nelle sequenze T2 pesate e  con soppressione del grasso (figura 2).   Tale riconoscimento riveste un ruolo diagnostico significativo in quanto consente di definire  quali compartimenti articolari del rachide risentano di  errati carichi biomeccanici  al fine di ottenere il miglior   inquadramento posturale.

 Nelle  successive fasi di stabilizzazione, con la scomparsa dei processi infiammatori,  la risonanza magnetica evidenzia l’alterazione distrofica  e morfologica dei piatti vertebrali, che appare   iperintensa sia nelle sequenze T1 che nelle sequenze T2,  scarsamente identificabile nelle sequenze con soppressione del grasso (figura 3), dovuta  alla  conversione in tessuto adiposo del midollo osseo.

Esiste  un terzo  tipo di alterazione distrofica del limitanti somatiche, meno frequente, espressione   di stabilizzazione dei  processi degenerativi,  caratterizzata da formazione di tessuto sclerotico in sede subcondrale,   che appare in RM  ipointensa sia nelle sequenze T1, sia nelle sequenze T2 pesate.

50 Comments

  1. This is very interesting, You are a very skilled blogger.
    I have joined your feed and look forward to seeking more
    of your wonderful post. Also, I’ve shared your website in my social networks!

    my web page :: slot live22 online

  2. I love your blog.. very nice colors & theme. Did you design this website yourself or did you hire someone
    to do it for you? Plz answer back as I’m looking to create my own blog and would like to know where u got this from.
    thank you

    Check out my web blog id akaun test aaa1188

  3. Greate post. Keep posting such kind of information on your blog.

    Im really impressed by it.
    Hello there, You’ve performed a great job.
    I will definitely digg it and individually suggest to my friends.

    I’m confident they’ll be benefited from this site.

    Also visit my blog post … id test untuk playboy2

  4. Having read this I believed it was really enlightening.
    I appreciate you taking the time and energy to put this information together.
    I once again find myself personally spending way too much time both reading and posting comments.
    But so what, it was still worthwhile!

    Also visit my webpage – sky1388 agent (Elton)

  5. of course like your website but you need to take a look at
    the spelling on quite a few of your posts. Many of them are rife with spelling issues and I to find it very bothersome to tell the reality however I’ll surely come
    back again.

    my blog post gema wm casino

  6. Saya telah telah menjelajah online lebih dari
    4 jam hari ini, namun saya tidak pernah menemukan artikel menarik seperti milik Anda.
    It’s cukup berharga bagi saya. Secara pribadi , jika semua
    pemilik situs dan blogger membuat konten yang baik seperti yang Anda lakukan,
    web akan menjadi a jauh lebih berguna dari sebelumnya.

    Feel free to visit my web-site: Daftar joker123 online – gameaco.com,

  7. Hmm it looks like your website ate my first comment (it was extremely long) so I guess
    I’ll just sum it up what I wrote and say, I’m thoroughly enjoying
    your blog. I as well am an aspiring blog writer but I’m still new to everything.

    Do you have any helpful hints for novice blog writers?
    I’d definitely appreciate it.

    my blog post … gamegamma.com.tw

  8. Every weekend i used to go to see this web site, for the reason that i wish for
    enjoyment, since this this site conations actually nice
    funny data too.

    Look at my blog – mintjasia.com

  9. Hi there, just became alert to your blog through Google, and found that it is truly
    informative. I?m going to watch out for brussels.

    I will be grateful if you continue this in future.
    Lots of people will be benefited from your writing.
    Cheers!

    My website – trumaroonnation.net

  10. Hiya very cool site!! Guy .. Beautiful .. Wonderful .. I’ll bookmark your website and take the feeds additionally…I’m satisfied to
    seek out a lot of useful information here in the put up, we want work out more strategies in this regard, thanks for sharing.

    my web page :: http://www.hotelforrest.ru

  11. Its not my first time to go to see this web site, i am browsing this site
    dailly and obtain fastidious information from here everyday.

    Also visit my homepage – Marcos

  12. I have been exploring for a little for any high quality articles or
    weblog posts in this sort of space . Exploring in Yahoo I ultimately stumbled upon this web site.

    Reading this information So i am happy to express that I’ve an incredibly excellent uncanny feeling I discovered
    just what I needed. I so much no doubt will make sure to don’t forget this website and
    give it a look regularly.

    Also visit my web page – mybbplugins.com

  13. I’ve been exploring for a little for any high quality articles or weblog
    posts in this sort of space . Exploring in Yahoo I eventually stumbled upon this web site.

    Studying this information So i’m glad to show that
    I’ve a very just right uncanny feeling I discovered exactly what I needed.
    I so much indubitably will make sure to don’t omit this website
    and give it a look on a continuing basis.

    Here is my page … kebe.top

  14. I would like to consider the chance of thanking you for the professional advice I have enjoyed going to your site.
    I am looking forward to the commencement of my college research and
    the entire preparation would never have been complete without checking out your web blog.
    If I can be of any help to others, I would be happy to
    help by way of what I have learned from here.

    Here is my blog – 19wujian.com

  15. With havin so much content do you ever run into any issues of plagorism or
    copyright infringement? My site has a lot of completely unique content I’ve either authored myself or outsourced but it appears a lot of it is popping it up all over the web without my agreement.
    Do you know any solutions to help protect against content from
    being stolen? I’d really appreciate it.

    Feel free to visit my web-site: https://kebe.top/viewtopic.php?id=1330497

  16. I’m excited to find this site. I want to to thank you
    for your time due to this wonderful read!! I definitely
    enjoyed every little bit of it and I have you bookmarked to check out
    new stuff on your website.

    Here is my blog: 211.159.150.117

  17. Hi there! I know this is kinda off topic but I was wondering if you knew where I could locate a captcha plugin for my comment form?

    I’m using the same blog platform as yours and I’m
    having problems finding one? Thanks a lot!

    Here is my blog … discuz.e70w.com

  18. Excellent blog you have here but I was wanting to know if you knew of any message boards
    that cover the same topics talked about here? I’d really like to be a part of group where I can get feed-back from other experienced people that share the same interest.
    If you have any suggestions, please let me know.
    Thanks a lot!

    Here is my web blog live22 website

  19. We’re a group of volunteers and starting a brand new scheme in our community.
    Your site offered us with valuable info to work on. You have performed an impressive process and our whole
    group shall be grateful to you.

    Also visit my web-site: calibet pc (https://sg918kiss.com/calibet)

  20. Hey there would you mind sharing which blog platform you’re working
    with? I’m going to start my own blog in the near future but I’m having a hard time choosing between BlogEngine/Wordpress/B2evolution and Drupal.
    The reason I ask is because your layout seems different then most blogs and I’m looking for something unique.
    P.S Apologies for getting off-topic but I had to ask!

    Visit my page; 39.100.90.4

  21. I was suggested this blog by my cousin. I am not sure
    whether this post is written by him as no one else know such detailed about my
    difficulty. You are incredible! Thanks!

    Take a look at my webpage … love138 android – 918kiss-m.com,

  22. You ought to take part in a contest for one of
    the most useful websites on the web. I most certainly will highly recommend this website!

    Feel free to visit my webpage android xe88

  23. Great blog here! Also your web site loads up very fast!

    What web host are you using? Can I get your affiliate link to
    your host? I wish my website loaded up as quickly as yours lol

    my homepage … kebe.top

  24. This is really interesting, You are a very skilled blogger.
    I have joined your rss feed and look forward to
    seeking more of your excellent post. Also, I have shared your website in my
    social networks!

    Also visit my website greatwall99 pc download

  25. Spot on with this write-up, I seriously feel this amazing site needs
    a lot more attention. I’ll probably be returning to
    read through more, thanks for the advice!

    Feel free to visit my web site; rollex11

  26. What i don’t understood is in truth how you are now
    not really much more neatly-liked than you might be now.
    You’re very intelligent. You know therefore considerably on the subject of this subject, made me in my view believe it from a lot of
    various angles. Its like men and women aren’t involved except
    it’s one thing to do with Lady gaga! Your individual stuffs excellent.
    At all times care for it up!

    Feel free to surf to my blog: download lpe88

  27. I believe this is one of the so much important info for me.

    And i’m happy reading your article. But wanna commentary on few normal things,
    The site taste is great, the articles is actually excellent :
    D. Excellent process, cheers

    my web page; atomy123.com

  28. I’m not sure where you are getting your information, but good topic.
    I needs to spend some time learning much more or understanding
    more. Thanks for great information I was
    looking for this information for my mission.

    Visit my web blog: wukong333apk ios – 918kiss-m.com

  29. This design is spectacular! You most certainly know how to keep a reader entertained.
    Between your wit and your videos, I was almost moved to start my
    own blog (well, almost…HaHa!) Great job. I really loved what you had to say,
    and more than that, how you presented it. Too cool!

    Also visit my site … kebe.top

  30. If you lack the knowledge, then you should use the search to give you the guides.
    Anyone begin a directory so just because it exists doesn’t mean it really is well ran or will drive you traffic.

    Look at my web page tokyo live 22

  31. Hi! This is my first comment here so I just wanted to give
    a quick shout out and tell you I truly enjoy reading
    through your articles. Can you recommend any other blogs/websites/forums that
    go over the same topics? Thanks a ton!

    My web blog :: Breeze Max

Lascia un commento

Il tuo indirizzo email non sarà pubblicato.