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uncovertebral joint hypertrophy?

JKDE302JJKDE302 Posts: 348
edited 06/11/2012 - 8:32 AM in Neck Pain: Cervical
uncovertebral joint hypertrophy? anyone else have this?
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Comments

  • nobody else? no explanation ?
  • JKDE302 said:
    uncovertebral joint hypertrophy? anyone else have this?
    hypertrophy is primarily an osteophytic overgrowth of the uncovertebral joint
    2005-ACDF with Corpectomy at C3-C-5.
    2006-L4-L5 diskectomy.
    2009-Cervical laminectomy at C3.
    Steroid injections series x 4.
  • I dont understand what that means? what part of the joint?
  • This is what the joint is:
    "In anatomy, Luschka's joints (also called uncovertebral joints) are formed between uncinate processes above, and uncus below; see synovial. They are located in the cervical region of the spine between C3 and C6. Two lips project upward from the superior surface of the vertebral body below, and one projects downward from the inferior surface of vertebral body above. They allow for flexion and extension and limit lateral flexion in the cervical spine."

    and hypertrophy:
    "1: excessive development of an organ or part ; specifically : increase in bulk (as by thickening of muscle fibers) without multiplication of parts
    2: exaggerated growth or complexity"

    Hope this helps!
  • my neck was like that at all three levels your joints are getting arthritis ,thats what i was told my doctor anyways.
  • My cervical MRI showed uncovertebral joint hypertrophy and/or facet hypertrophy at most levels. My surgeon never pointed this out because I think the hypertrophy (overgrowth) is just part of the bigger picture of degeneration and arthritis. :D
    Linda

    2009 Foraminotomy C6-72010 PLIF L4-S1Multi RFA's, cervical inj, lumbar injLaminectomy L3-4 and fusion w/internal fixation T10-L4 July 17Fusion C2-C5 yet to be scheduled
  • How do you treat this?
  • I don't know if there is a specific treatment but I copied a paragraph from a neurosurgery site explaining cervical disc disease and cervical degenerative (osteo) arthritis.

    Excerpted from: http://www.neurosurgerydallas.com/4_4_5.html

    The "Uncovertebral Joints" are important anatomical structures of the cervical Spine that lie bilaterally (both sides) on the antero-lateral (far front) side of each vertebral body immediately adjacent to the Neural Foramen. Degenerative arthritic changes in these joints results in bone spur formation that can cause severe Nerve Root compression at the opening to and throughout the Neural Foramen. Uncovertebral Joint "hypertrophy" (bone spur formation) is one of the most common causes of Foramenal stenosis and Nerve Root injury. Plain x-rays can give some information about this unique anatomy; however, CT scan is the most accurate method to evaluate these structures.
    Linda

    2009 Foraminotomy C6-72010 PLIF L4-S1Multi RFA's, cervical inj, lumbar injLaminectomy L3-4 and fusion w/internal fixation T10-L4 July 17Fusion C2-C5 yet to be scheduled
  • thanks...sadly i fear because of this i will miss the chance of getting an ADR and get stuck in a neck brace...
  • i had it at all my levels,my surgeon still put in implants i think it depends on the surgeon.
  • tammyc said:
    i had it at all my levels,my surgeon still put in implants i think it depends on the surgeon.
    What kind of implants? where at? what do they do?
  • I'm not sure what they were called he never told me and i didn't ask.I just wanted the surgery done and over with.He put them in the three levels in my neck.i had complete range of motion after the surgery was done.well a few months later when the pain and stiffness calmed down.C4-C7.
  • How you feeling now? Is it just real slow but your constantly getting better?

    I will probably need c4~c5 c5-6 fusion...my doc said today...

    First he wants me to go for discogram and ct scans with dye..im sad...
  • the only thing on my mind this friday night is uncovertebral joint hypertrophy...

    how sad life has become...

    i wonder if i have a 2 level adr or acdf will it stop the uncovertebral joint hypertrophy..

    is the "hypertrophy" from the deflated Disc desiccation ?

    maybe i should have my c5-6 fused...

  • WhymeA said:
    This is what the joint is:
    "In anatomy, Luschka's joints (also called uncovertebral joints) are formed between uncinate processes above, and uncus below; see synovial. They are located in the cervical region of the spine between C3 and C6. Two lips project upward from the superior surface of the vertebral body below, and one projects downward from the inferior surface of vertebral body above. They allow for flexion and extension and limit lateral flexion in the cervical spine."


    Hope this helps!
    I wish there was a picture to help me understand....
  • some scar!!!looks bad there! i had done in 2003 in florida an ACDF @ C 5-6-7 with donor bone graft and corpectomy, formainotomy, and 5 screws and 2 metal plates....well that fused ok but when the doc did the PDCF @ 5-6-7 she took off my spinal process and laminectomy so i dont have much holding my neck together except for 6 screws and 2 metal plates backthere which hurt 24/7. you ought to see my neck posterior!! 8" long scar, front looks much better, did the op in the fold of my neck so it blends in with natural crease. had a car crash also. a corpectomy si where they strip down the front of your neck vertrebre to practically nothing and reconstruct your neck! not fun

    am still hurting and have reached my MMI. now a new doc wants to fuse above and below b/c i have luchkas joint disease and too many bone spurs growing, so you see i have this crazy luchchkas joint thingy too!!!
  • on account of the ACDF & PCDF @ 5-6-7 with 11 screws and 4 metal plates, the discs above and below where i ws fused is shot now and the doc wanna get in there and grind off some bone spurs and fuse at C 3-4 and C 7-T1.
    Now not to mention that according to my MRI's and CT scans I have also T 8-9, 9-10, 10-11 HNP's and L 5 S1 with a lateral recess, it e never ends, and on SSDI,
    if the docs could hve their way they would open me up from stem to stern and have there way with me my neck, and spine but i am tired of all this metal as it hurts. all from a car crash in 2 min this woman took away my work and life, husband divorced me after settlement, now at 54 alone, not happy folks, and i am not a knife happy person either. i do not trust docs t ofix casue all they end up doing is trading one set of pain for another.
  • To you earlier. The surgery was a great success.I live in Canada and he put the implants in the three levels.I was feeling much better after the surgery.I still had some problems but i knew i would,i had some permanent nerve damage before the surgery and had a lot of muscle weakness all over my body.But i was in a car accident six months post op. while i was on my way to therapy i was hit from behind and it has caused havoc with my body since. Even though i'm having a lot of pain now i know that it wasn't from the surgery.
  • tammyc thanks for the info...

    badbackytoo what exactly is luchkas joint disease? the same thing as uncovertebral joint hypertrophy?
  • You said you'd like to see pictures. Have you tried to search google images section? Input the word - maybe add "mri" to your search so you can see what it is.

    jasro

  • Hi JKDE302, I understand how you feel... It is clear that you should never have a ProDisc C if you have a fusion in at another level. I had a fusion in C6-C7 in Feb 2005 and a Prodisc C in C5-C6 in December 2005 in Europe. The pain was constant and problems worsened and persist. Almost six years after I have been told here in Europe that there is a new ProDisc as the first ones are causing a lot of problems and they are recommeding speciallist to remove them... I am searching for information. I must say the recovery after the ADR and Prodisc was fantastic and amazing, I was up and around the day after and discharged from hospital in three days, I could even shower the day after the op on my own and all went well the first few months after it just worsened and worsened it will be six years in December.
    I would love to exchange experiencies with other people who have had a ProDisc C after an accident as it was my case and their outcome.
    Keep fighting, things have to get better for us.
    Maria
  • JKDE302 said:
    uncovertebral joint hypertrophy? anyone else have this?
    I know this is old, but I have it in my C-spine at three levels (albeit mild). I'm actually wondering what the surgical options are for this--if the spurs/extra bone mass can be removed to reduce the bone-on-bone contact like they might do in, say, an elbow arthroscopy.

    Also wondering how this would effect the success of ADR--anyone have this before they had an ADR done?
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