- Discussion:
- uncovertebral joint arthrosis involves what is known as the joints of Luschka, extending from C3 to C7;
- lateral aspect of vertebral body has superior projection (uncinate process);
- as the disks become degenerative, these projections approximate w/ body of the next highest vertebra;
- result is degenerative joint changes called the joint of Luschka;
- Arthritic Process:
- as loss of disk space ht occurs;
- uncinate processes are pressed together, resulting in central clefts & a rounding off of the articular surface;
- osteophytes form & project into disk space or intervertebral foramina, compressing nerve roots & producing radicular symptoms;
- Spondylosis, manifested by uncovertebral osteophytes, will compress nerve roots anteriorly, causing a radicular syndrome;
- Radiographs:
- Oblique & AP views are used to evaluate uncovertebral joints;
- AP shows narrowing of uncovertebral joints w/ irregularity & rounding of uncinate w/ lateral projecting osteophytes at joint margins;
- oblique views:
- formina canal can be evaluated for encroachment by spurs;
- these spurs are not thought to encroach upon the nerve roots until they obliterate more than 50% of the foraminal volume