[Postclimacteric spondylopathy].

Abstract

Results of a dynamic roentgenological (100 patients aged 33 to 89 years), and roentgeno-pathomorphological examination of the osteoarticular apparatus in persons suffering from post-climacteric spondylopathy are presented. A comparison of those results with the clinical and laboratory findings, as well as with similar changes occurring in a number of other diseases showed that it was osteoporosis that underlay the pathological process. The osteoporosis was prevalent in the vertebral column, and led to a vertebrodiscal dissociation that caused a pathological reconstitution of the vertebral bodies. Depending on the degree of the osteoporosis and the vertebrodiscal dissociation, and with consideration of the clinical findings initial manifestations of three stages of the disease have been specified. The use of sex hormones, drugs of the type of retabolil and nerobol that diminish the anabolic insufficiency, as well as of vitamin D, rational diets, insolation, a relief of the vertebral column with the aid of a corset; therapeutic exercises and massage make it possible to arrest the pathological process.