Lumbar spondylolisthesis is due to congenital dysplasia, trauma, strain and other causes of adjacent vertebral bone connection abnormalities occurred, the upper vertebral body and the lower part of the vertebral body or all slip. Normal lumbar arrangement neatly, if due to congenital or acquired reasons, one of the lumbar vertebrae relative to the adjacent lumbar spine forward, that is, lumbar spondylolisthesis. Lumbar isthmus refers to the upper and lower articular process between the narrow part of the bone structure here is relatively weak. The normal lumbar spine has a physiological lordosis, sacral vertebrae physiological kyphosis, lumbar, sacral vertebrae junction becomes a turning point. I have the following lumbar spondylolisthesis, can take conservative treatment, including bed rest, back muscles exercise, wearing a waist or brace; can be appropriate aerobic exercise to reduce weight; prohibit the increase in waist weight activities, such as lifting weights, Bending and so on; in addition can also be combined with physical therapy such as infrared, hyperthermia; if pain and other symptoms can be oral anti-inflammatory painkillers such as Xi Le Bao, Fen must be symptomatic treatment.
Most people will experience some degenerative changes in their spines as they age. However, severe spondylolisthesis only affects a small percentage of the population. Overall, most degenerative disorders of the spine can be treated successfully using non-surgical methods. Your doctor will work closely with you to find a treatment method that is best for you and help you return to an active lifestyle.
For most cases of isthmic spondylolisthesis (especially Grades I and II), treatment consists of temporary bed rest, restriction of the activities that caused the onset of symptoms, pain/ anti-inflammatory medications, steroid-anesthetic injections, physical therapy and/or spinal bracing. Spondylolysis is the defect of the pars interarticularis without slippage. If acute, especially in young patients, bracing is often helpful. Patients can continue with their activities such as sports while wearing the brace.
The most common surgical procedure used to treat spondylolisthesis is called a laminectomy and fusion. In this procedure, the spinal canal is widened by removing or trimming the laminae (roof) of the vertebrae. This is done to create more space for the nerves and relieve pressure on the spinal cord. The surgeon may also need to remove all or part of the vertebral disc (discectomy) and then also fuse vertebrae together. If fusion is done, various devices (like screws or interbody cages) may be implanted to enhance fusion and to support the unstable spine. In some cases reduction of spondylolisthesis is indicated to correct the slippage and bring the spine to normal alignment. Some cases of spondyloptosis may require resection of slipped vertebra (usually L5) and fusing L4 to S1.
Spondylolisthesis is a condition of spinal instability, in which one vertebra slips forward over the vertebra below. Isthmic spondylolisthesis, the most common form of this condition, is caused by a bony defect (or fracture) in an area of the pars interarticularis, an area located in the roof (laminae) of the vertebral structure. This bony defect occurs in approximately 4% of the population, and results from a genetic failure of bone formation. The condition most commonly affects the fourth and fifth lumbar vertebrae (L4 and L5) and the first sacral vertebra (S1). It is interesting to note that the condition is not always painful.
If the spondylolisthesis is non-progressive, no treatment except observation is required. Symptoms often abate once precipitating activities cease. Conservative treatment includes 2 or 3 days of bed rest, restriction of activities causing stress to the lumbar spine (e.g. heavy lifting, stooping), physical therapy, anti-inflammatory and pain reducing medications, and/or a corset or brace.
Conservative management: Patients who were diagnosed with spondylolisthesis irrespective of grade were treated on op basis with bed rest at times of acute exacerbation along with activity modification, weight reduction and analgesics, muscle-relaxants, lumbosacral corset for about 4 - 6 weeks. Non responsive patients were admitted and treated conservatively additionally with pelvic traction and foot end elevations for about another 4 weeks. Additionally physiotherapy in the form of IFT/SWD given. Those patients who have not responded to these conservative lines of management were given counseling for surgery and were taken into consideration. Patient selection: Patients are interviewed and epidemiologic, historical, subjective and physical findings are recorded. Routine plain roentgenograms of the lumbar spine with erect flexion and extension views are obtained and the results recorded. An MRI scan of Lumbo-sacral spine is also done to determine the extent of the nerve root involvement. Based on all available information, a therapeutic and surgical plan is then laid out with a predetermined goal in mind for the surgery. Intra-operative findings confirm or alter the pre operative plan and modifications are made accordingly. As with any major spine surgery, patient selection, education and communications are essential for good clinical and functional results
Do you have a pars defect a region of your back? This most likely means you have spondylolisthesis or spondylolysis, which are two similar spine conditions. Learn more on the symptoms, causes, and treatment options for your lower spine pain.
Lumbar spondylolisthesis Acute trauma, posterior extensor trauma can cause acute fracture can cause lumbar spondylolisthesis, this situation is more common in handling heavy objects, weightlifting, football, sports training, trauma, wear and tear. Due to prolonged persistent waist instability or increased stress, so that the corresponding small joint wear, degenerative changes occur, the level of sudden changes in the joint, combined with disc degeneration, intervertebral instability, the former ligament relaxation, which gradually slippage, but the gorge Remains intact, also known as pseudo-spondylolisthesis, usually occurs after 50 years of age, this spondylolisthesis is usually accompanied by lumbar spinal stenosis, the surgeon orthopedic hospital experts say more need surgery. More due to systemic or local tumor or inflammatory lesions, involving the arch, isthmus, articular process, so that the stability of the posterior vertebral structural loss, the occurrence of pathological spondylolisthesis. When the human body is standing, the lower lumbar weight is larger, resulting in the forward force of the component in the relatively weak bone isthmus, long-term repeated effects can lead to fatigue fracture and chronic strain damage. Lumbar spine in the development of the vertebral body and vertebral ossification center, each side of the arch has two ossification center, one of the development of the articular process and pedicle, the other one for the lower articular process, lamina and spinous process Of the half, if there is no healing between the two, it will lead to congenital isthmus nonunion, causing lumbar spondylolisthesis. Also due to the upper sacrum or L5 pedicle abnormal development and slippage, but in this case the hell did not crack.
A physical therapist can recommend the best exercises based on the cause of your sciatica. Gentle stretching exercises done a couple of times per day are often done to relieve sciatica but what exercises to do will vary according to the cause of the sciatica. For example, exercises that involve rounding the back can aggravate sciatica caused by a herniated disc in the lumbar spine yet relieve sciatica caused by spinal stenosis. Piriformis stretches (muscles deep in the buttocks region) can relieve sciatica that is caused by a tight piriformis putting pressure on the sciatic nerve.
Do I Have Spondylolisthesis or Spondylolysis? These are two common spine problems closely related to each other that cause lower back pain. Read more to learn about the symptoms & treatment options for these two lumbar back conditions.