Reply from our radiologist consultant in St. Louis about this xray:
I suspect this is just long standing degenerative disc disease and degenerative joint disease.
Is it cultural to carry heavy things on her head? (My reply…Yes. That is why she has such severe neck arthritis. )
Spinal TB is usually a more focal process, at least in America. Certainly could be a component of osteopenia.
Degenerative changes in her neck are severe so she could certainly be having serious problems from that including pain or neurologic symptoms (numbness, tingling, weakness, spasticity) from central canal stenosis, cord compression or nerve compression.