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REVIEW PAPER
Progress in the treatment for osteoarthritis of the spine
Submission date: 2013-06-19
Acceptance date: 2013-11-18
Online publication date: 2013-12-24
Publication date: 2013-12-20
Reumatologia 2013;51(6):429-436
KEYWORDS
TOPICS
ABSTRACT
Degenerative disease of the spine is characterized by progressive lesion of intervertebral discs and cartilage of the zygapophyseal joint. This exposes joint capsules and ligaments to microtraumatization. Healing starts with local inflammation, then it follows with corrective hypertrophy of the osseous tissue. The degenerative process can lead to a loss of stability of the spine, herniation of discs, or spinal stenosis with or without any neurological symptomatology. Then, apart from nociceptor arthralgia, radicular pain, neuropathic pain or neurogenic claudication may occur. Neurological complications, such as muscle weakness, sensory and sphincter disorders, alongside long-lasting pain, form the clinical picture of the disease. This paper discusses the progress in the treatment of pain, taking into consideration the psycho-social conditions of patients and the progress in surgical treatment of complications of degenerative spine disease. Because the degenerative spine disease itself is not curable, changing it into an asymptomatic form would be a success.
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