Spinal Slippage – The Disease Cannot Be Underestimated
Spinal slippage is a common disease that occurs mainly in the lumbar spine. The disease can be caused by congenital, degenerative, traumatic, pathological conditions, the most common of which is spina bifida due to open waist and degenerative disease.
Why miss the vertebra?
A person may have a vertebrae due to one of the following causes: congenital, developmental disorder, characterized by anatomical defects of the joint such as: aplastic anatomy, the orientation of the cleft joints on the posterior plane, usually with spinal deformities; minimizing the joint, the orientation of the joint is located on the inverse plane.
Due to the waist gap, the waist defect due to fracture, due to the phenomenon of bone fractures and continuous bone in the waist area; Injury to the waist causes slip.
Due to degeneration mainly in the L4-5 position, common in women aged 40-50; Spinal degeneration, especially degenerative disc disease and articulation of joints, destroys the stability of the spine.
Due to conditions such as: infections, cancers that cause necrosis or destruction of the structure of the spine; calcification of vertebrae.
Due to trauma, broken stem and broken joint lead to instability of the spine. Due to posterior arc surgery, removal of joints
Is disease difficult to detect?
You can detect spondylosis based on the following signs: the patient shows signs of spinal instability and nerve root compression.
Patients with lumbar spine pain constantly dull, pain increases when the spine suffered as standing, walking, labor ... but lying down, the pain or pain completely reduced. When the patient changes position, it also causes spinal pain, having to put his hands on his thighs when standing up.
If the disease is severe, there is often a change in posture of the body and gait. In the lumbar spine area there may be concave deformities, called stair signs, ax marks
There are patients with pain in recovery, this is a typical symptom of pain: pain when walking, because pain must stop, pain to stop, continue to go because of pain to rest, pain again.
For patients with pinched nerve roots, they often experience pain even when lying down. Patients with narrowed nerve gaps are thought to be the most common cause of root compression.
Narrow apertures are caused by factors such as the protrusion of the posterior margin of the body and the disc, the condition of the articular joint and fibrous organization from the waist opening, partly because the spine often rotates slightly making the graft narrower in one. side. A small number of patients because the fibrous organization is so prominent from the waist slit have become a cause of nerve root compression.
Other lesser causes of root compression are the disc herniation at the slip level or in the vicinity of the sliding vertebra.
For patients with spondylitis due to degenerative degeneration, nerve root compression due to graft stenosis is quite common.
Most patients with vertebrae slip receive medical treatment. Adolescent patients who only need to lie down, put on a t-shirt, and limit the painful activities can improve the symptoms of the disease.
For patients who are adults, during acute attacks, they must rest and avoid any activity or labor; using anti-inflammatory and analgesic drugs such as paracetamol, aspirin, diclofenac, ibusprophen ... use physiotherapy, rehabilitation methods, guide patients to do exercises to strengthen the back, abdominal and thigh muscles; Perform eating and exercise to lose weight for fat people.
Surgical treatment in cases of: vertebral slide with nerve root damage; have lumbar spine pain for medical treatment but do not help; Sliding vertebra progresses more and more severe.
Bone graft surgery builds strong bones between the vertebrae, eliminating abnormal movement between the unstable vertebrae.
Monitoring and treatment after surgery: after surgery, patients should be immobile in bed for 5-7 days. If the patient has no pain, he may sit up earlier. Pay attention to discover early complications: infection, root damage ... X-ray should be taken before the patient is discharged to assess the location of the screw; evaluation of sliding displacement after surgery ..
Prevention should avoid heavy movements in the lumbar region to prevent fractures and continuous bone fractures in the waist. Preventing injuries that cause fractures of the waist causing slip vertebrae such as traffic accidents, labor accidents, accidents in sports practice. Use foods high in calcium to prevent osteoporosis, limit the degeneration of the spine, especially in women aged 40-50 years. Thorough treatment of bacterial infections to prevent vertebral slip complications. For patients who have had surgery to treat vertebrae. After being discharged from the hospital, it is necessary to periodically check by appointment to evaluate the results of surgery, the rehabilitation of the spine, early detection of sliding displacement ..
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