Anterior Osteophyte

Epidemiology

Spinal osteophytosis (spondylosis deformans) is very common. Approximately 60% of women and 80% of men demonstrate osteophyte formation by the age of 50 years. The disease is more frequent in patients engaged in occupations that require heavy physical labor. Any segment of the vertebral column may be affected. Osteophytes frequently occur in the anterior and anterolateral portions of the vertebral bodies.

Clinical Findings

The presenting symptoms depend on the size and location of the anterior osteophytes and their relationship to adjacent soft tissue and neurological structures. Common symptoms that may be associated with large anterior osteophytes include neck stiffness, restricted motion, and dysphagia. Lateral osteophytes may impinge on the exiting nerve roots and cause radiculopathy.