Vertebral spinal osteophytes

Zachary W A Klaassen, R. Shane Tubbs, Nihal Apaydin, Robert Hage, Robert Jordan, Marios Loukas

Research output: Contribution to journalReview article

29 Citations (Scopus)

Abstract

Osteoarthritis is a common complication in the elderly and is often associated with osteophyte growth on vertebral bodies. The clinical presentation of vertebral osteophytes is related to anatomical structures adjacent to the spinal column. For instance, cervical osteophytes potentially involve the pharynx and esophagus, leading to dysphagic symptoms that may be accompanied by food aspiration, vocal fold paralysis and obstructive sleep apnea. In addition to anterior cervical osteophytes, posterior and uncinate process osteophytes may form, compressing the spinal cord and vertebral artery blood supply, respectively. Cervical osteophytes have also been shown to form an accessory median atlanto-occipital joint when the relationship between the atlas, dens and basiocciput is involved. In the thorax, the esophagus is often affected by osteophytes and may result in dysphagia. Traumatic and non-traumatic thoracic aorta pseudoaneurysm formation has been attributed to sharp osteophytes lacerating the aorta, a direct complication of the relationship between the aorta anterior vertebral column. Additionally, aspiration pneumonia was reported in patients with compression of a main stem bronchus, due to mechanical compression by thoracic osteophytes. In the lumbar spinal region, the two major structures in close proximity to the spine are the inferior vena cava and abdominal aorta, both of which have been reported to be affected by osteophytes. Treatment of osteophytes is initially conservative with anti-inflammatory medications, followed by surgical removal. Increasing obesity and geriatric populations will continue to result in an array of osteoarthritic degenerative changes such as osteophyte formation.

Original languageEnglish (US)
Pages (from-to)1-9
Number of pages9
JournalAnatomical Science International
Volume86
Issue number1
DOIs
StatePublished - Mar 1 2011

Fingerprint

Osteophyte
Spine
Esophagus
Aorta
Atlanto-Occipital Joint
Thorax
Aspiration Pneumonia
Lumbosacral Region
Vertebral Artery
Vocal Cords
Atlases
False Aneurysm
Abdominal Aorta
Inferior Vena Cava
Obstructive Sleep Apnea
Bronchi
Deglutition Disorders
Pharynx
Thoracic Aorta
Paralysis

Keywords

  • Ageing
  • Bone
  • Pathology
  • Spinal column

ASJC Scopus subject areas

  • Anatomy

Cite this

Klaassen, Z. W. A., Tubbs, R. S., Apaydin, N., Hage, R., Jordan, R., & Loukas, M. (2011). Vertebral spinal osteophytes. Anatomical Science International, 86(1), 1-9. https://doi.org/10.1007/s12565-010-0080-8

Vertebral spinal osteophytes. / Klaassen, Zachary W A; Tubbs, R. Shane; Apaydin, Nihal; Hage, Robert; Jordan, Robert; Loukas, Marios.

In: Anatomical Science International, Vol. 86, No. 1, 01.03.2011, p. 1-9.

Research output: Contribution to journalReview article

Klaassen, ZWA, Tubbs, RS, Apaydin, N, Hage, R, Jordan, R & Loukas, M 2011, 'Vertebral spinal osteophytes', Anatomical Science International, vol. 86, no. 1, pp. 1-9. https://doi.org/10.1007/s12565-010-0080-8
Klaassen ZWA, Tubbs RS, Apaydin N, Hage R, Jordan R, Loukas M. Vertebral spinal osteophytes. Anatomical Science International. 2011 Mar 1;86(1):1-9. https://doi.org/10.1007/s12565-010-0080-8
Klaassen, Zachary W A ; Tubbs, R. Shane ; Apaydin, Nihal ; Hage, Robert ; Jordan, Robert ; Loukas, Marios. / Vertebral spinal osteophytes. In: Anatomical Science International. 2011 ; Vol. 86, No. 1. pp. 1-9.
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