Clinical Manifestations and Differential Diagnosis

The consequences of the spondylitic process include diminished range of motion of the neck, pain or neurological deficits. The diminished range of motion of the neck results from the diminished volume of the disk, accumulation of osteophyte and change in consistency of the ligamentous and capsular structures. Crepitus can also be appreciated in some patients. This also results from accumulation of osteophyte and changes in the consistence of ligamentous structures and joint surfaces.

Pain is the most common manifestation of spondylosis. The character, severity and distribution of the pain are variable. In some people, the degenerative changes are painless. Pain can result from inflammation and reaction to the osseoligamentous changes or from irritation or compression of nerve roots or dural structures. Depending on the origin of the pain, it can be axial and/or appendicular in distribution. Ascertaining the origin of the pain can be problematic.

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Fig. 31.3. DISH. Lateral X-ray a and CT scan reconstruction b of the cervical spine, demonstrating thick ossification anterior to the vertebral bodies from C2 to C6. The process involves the anterior aspect of the vertebral bodies only, without encroaching upon the spinal canal. This patient presented with dysphagia.

Fig. 31.3. DISH. Lateral X-ray a and CT scan reconstruction b of the cervical spine, demonstrating thick ossification anterior to the vertebral bodies from C2 to C6. The process involves the anterior aspect of the vertebral bodies only, without encroaching upon the spinal canal. This patient presented with dysphagia.

Cure Your Yeast Infection For Good

Cure Your Yeast Infection For Good

The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.

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