Enostosis of the spine: symptoms and treatment
The is a benign entity, a particular variant of the osteoma , a tumor-like growth that originates from osteoblasts--specific developing cells. Osteoma, is essentially a bone structure that includes elements of a tumor-like nature.These cells contain an increased number of ribosomes, an overdeveloped endoplasmic reticulum and a "hypertrophied" Golgi complex.Therefore, the osteoma acquires the character of a tumor with a benign course.It grows quite slowly and almost never degenerates into a malignant tumor.This new growth can grow in the form of osteophytes ( diffuse layers on the bone surface), exostoses( tumor-shaped limited formations on the bone), of the enostozes - germination inside the bone tissue, into the bone cavities.This process can affect all bones.Including the spine.Contents: Classification spine enostosis What causes enostosis Spine Diagnostic methods Symptoms of spinal enostosis and complaints of patients Complications enostosis Treatment enostosis spine enostosis in children and pregnant forecast
Classification spine enostosis
Types spine enostosis:
- solid -Dense, bony consistency;
- spongy - softer, porous structure;
- cerebral( rare form) - with the content of the brain-like substance located in the bone-cavity tumor-like formations;
- mixed - in the composition there are solid, spongy and cerebral elements.
The vertebral anenosis can be single and multiple .Pathological formations occur in any part of the spine.Most often the process affects the body of the vertebrae, sometimes the processes.
What causes an enostosis of the spine
The exact cause of the appearance of intraosseous growths is unknown, but in clinical practice the factors contributing to the development of this pathology are noted.
The spinal anenosis can develop as a result of:
- predispositions of a hereditary nature;
- injuries and mechanical effects( sprains, vibration, static loads);
- inflammatory diseases of bones and surrounding tissues;
- fracture, bruise;
- for certain systemic diseases;
- of chronic infections, involving the involvement of the spinal cord tissue - tuberculosis, syphilis;
- available other bone tumors and surrounding tissues;
- disease with impaired calcium metabolism.
Most often, the spinal enostosis develops in young people, up to 30-35 years.
Diagnostic methods allowing to determine the existing spinal enostosis
Most often, the enostosis of the bone tissues of the spinal column becomes an accidental finding that is found when the patient is examined for other diseases or on preventive examinations.
An asthenosis is defined:
- on X-ray photographs of the spine( radiography), with fluoroscopy;
- when performing computed tomography, especially its modern modification - digital( multislice) CT;
- during diagnostic studies using magnetic resonance imaging.This method allows not only to detect an enostosis, but also to determine its shape, composition.
Symptoms of spinal enostosis and complaints of patients
In most cases, the spinal enostosis proceeds without any severe symptoms.The diagnosis of this disease is an accidental finding.
But in some forms of pathology, patients complain of periodic or persistent pain of varying intensity.They most often occur several years or even decades after the onset of the disease.
The pain is caused by an increase in the size of the enostosis, the compression of healthy tissues.Sometimes they are combined with painful sensations from the degenerative-dystrophic processes that occur in the spine in the elderly.Osteochondrosis, curvature, scoliosis and other pathologies can give pain, which is summarized with the pain caused by the spinal enostosis.
Sometimes an enostosis can be combined with other types of osteoma.In this case, patients have very serious complaints caused by mechanical pressure of the tumor tissue on the spine, vessels, nerve trunks.Patients are followed by severe pain, cramps in the limbs, violations of the functions of the organs, sometimes develop violations of sensitivity and movements( parezy).Perhaps the appearance of paralysis of parts of the body( fingers, hands, legs, half of the body), depending on the location of the tumor-like growth.
Differential diagnosis of the enostosis of the spine with other diseases is not difficult, due to a clear radiographic picture.
The anesthetic has a chronic course with a very slight growth trend throughout life.Given the tumor-like nature of the pathological process, one should not discount the possibility of degeneration into a malignant neoplasm.However, such cases are extremely rare.
Treatment of spinal enostosis
In most cases, treatment for this disease is not required.Behind the patient is a dynamic observation.
The appearance of pain should be removed with the prescription of pain medications.The most commonly used group of anti-inflammatory non-steroid agents.
If the enostosis tends to grow rapidly and there is a suspected malignancy of the process, then the indications are surgical intervention, with the removal of the formation and the bone structure on which it was located.The removed tissue undergoes a histological examination.
In case of confirmation of the presence of malignant process in cytodiagnostics, the volume of the operation can be increased at the discretion of the surgeon.
Traditional medicine and home treatment for this disease are not applied because of their uselessness and inefficiency.
Anesthetic in children and pregnant women
No specific features of the course of the disease in this case is not manifested.In children it is very rare.Pregnant women, when an enostosis of the spine is found, should not subject themselves to physical overload.
The prognosis for life is favorable in almost all cases.Patients should periodically undergo preventive examinations and diagnostics.
Alexander Lotin, radiologist,