SPONDILOZA VRATNE KIČME U RADNO- AKTIVNOG STANOVNIŠTVA
Hodžić N, Ramić I.
Institut za fizijatriju i rehabilitaciju, Centar za paraplegije, Klinički centar Univerziteta
u Sarajevu, Sarajevo, Bosna i Hercegovina

CILJ: Rad predstavlja retrospektivno-prospektivnu studiju pacijenata sa spondilozom vratne kičme koji su ambulantno liječeni u Institutu za fizijatriju i rehabilitaciju u periodu od 1.12.1998. do 30.12.2000. godine.

ISPITANICI I METODE: Uniformni pristup ovom problemu uključivao je dijagnostiku i multidisciplinarni pristup u liječenju oboljelih. Ispitivanjem je obuhvaćeno 71 pacijenata, od toga muškaraca 27 (38,02%) i žena 44 (61,97%). Ispitivali smo učestalost vodećih kliničkih simptoma kod spondiloze vratne kičme: bolova u vratnoj kičmi, prinudnog položaja, parestezija, bolova u rukama, ograničenost pokreta vratne kičme, glavobolje, vrtoglavice i zujanje u ušima.

REZULTATI: Dominirajući klinički simptomi su: ograničenost pokreta cervikalne kičme 57 (80,28%), bolovi u vratnoj kičmi 57 (80,28%), bolovi u rukama 39 (54,92%) i prinudni položaj 55 (77,46%). Sve ispitanike podijelili smo na radnike sa pretežno fizičkim radnim naporima i radnike sa pretežno intelektualnim radom. U odnosu na profesiju, najučestaliji klinički simptomi, bolovi u vratnoj kičmi i ograničenost pokreta vratne kičme javljaju se u skupini radnika sa pretežno intelektualnim radom. Najčešće su to bolovi u vratnoj kičmi 35 (49,29%) i ograničenost pokreta vratne kičme 34 (47,88%). Pojava oboljenja vratne kičme u radno-aktivnih ispitanika je u dobnoj skupini od 41-50 godina, 12 (16,90%) u muškaraca i 15 (21,12%) u žena.

ZAKLJUČAK: Naše ispitivanje potvrđuje da je spondiloza vratne kičme bolest produktivnog doba života dobi bolesnika od 40-60 godina, pretežno u bolesnika s intelektualnim radom.

SPONDYLOSIS OF CERVICAL SPINE IN GAINFULLY EMPLOYED POPULATION

Hodžić N, Ramić I.
Institution for Physioterapy and Rehabilitation, Centre for Paraplegija, Clinical Centre Universyty of Sarajevo, Sarajevo, Bosnia and Herzegovina

AIM: This is a retrospective-prospective study of patients with spondylosis of cervical spine who were treated as out-patients at the Institute for Physiotherapy and Rehabilitation from 1998, 1 Dec to 2000, 30 Dec.Treatment included diagnostics and multidisciplinary approach to the problem.

MATERIAL AND METHODS: We included in this study 71 patients of which 27 (38.02%) men and 44 (61.97%) women. We analysed incidence of principal clinical symptoms in the spondylosis of cervical spine: pain in the cervical spine, forced position, paresthesia, pain in the upper arms and hands, limited movements of the cervical spine, headache, dizziness and tinnitus.

RESULTS: Dominant clinical symptoms are: limited movements of the cervical spine 57 (80.28%), pain in the cervical spine 57 (80.28%), pain in the upper arms and hands 39 (54.92%) and forced position 55 (77.46%). We divided all patients into two groups according to their occupation: workers with predominantly physical jobs and workers with predominantly intellectual jobs. Workers with predominantly intellectual jobs have dominant clinical symptoms-pain in the cervical spine 35 (49.29%) and limited movements of the cervical spine 34 (47.88%). They are from the group of gainfully employed population, aged 41-50 -- 12 (16.90%) men and 15 (21.12%) women.

CONCLUSION: Our study confirms that spondylosis of cervical spine is very common in people aged 40-60 years, the most frequent in workers with intellectual job.