- kinds of diseases
spondylolysis - an anomaly of the spine in which there is no bony fusion of the vertebral bodies and arches.Most often there is spondylolysis in the fifth lumbar vertebrae - l5, but its causes may be different.In the diagnosis of this disease is quite complex, since it practically does not manifest itself, and various symptoms appear only when the disease has already "started".An additional complication is that spondylolysis is often the cause of spondylolisthesis, because it is more interesting than a distinct disease, namely in terms of the danger of his move to another, much more serious disease.
Of course, the disease is not the only possible cause of spondylolisthesis, but it is this form (referred from spondylolysis) is called a "true spondylolisthesis."Also cause displacement of the vertebrae may be a variety of injuries and diseases of the spine degenerative nature.
kinds of diseases
occurs unilateral (one nonunion bow) on the
Congenital spondylolysis usually develops due nesliyaniya two ossification centers, which were to form the missing half of the arc.Acquired as usually develops under the influence of external factors.It may be unnecessary exercise that against the background of dysplasia or vertebral bone eating disorders, which lead to fracture of the arc, and so on. D. Also, it may simply be a consequence of the injury.Mixed type of the disease involves a combination of innate and adaptive species.
spondylolysis What are the symptoms?
As we have said, clear and well-marked symptoms of the disease is not present.Sometimes it is detected by chance in the survey, but more often - in the development of spondylolisthesis.But as the symptoms of the disease are isolated signs:
- periodic appearance of moderate pain, which are located in the lumbar region.They usually appear after loading - long distance, long sitting in a forced unnatural posture, rapid rising, physical activity, and so on. D. It should be noted that it is quite "common" symptom that occurs in many diseases of the spine;
- feeling of stiffness in the lower back;
- displacement of one of the vertebrae in the lumbar region forward in relation to the adjacent vertebrae.In fact - this is a manifestation of spondylolisthesis, which requires serious examination and immediate treatment.
may be noted that the symptoms of the disease sufficiently "generic" that leads to difficulties in diagnosing this disease.On examination the doctor draws attention to some additional symptoms.So, in the process of palpation revealed tenderness of the spinous process, and the doctor may notice an increase in lumbar lordosis and lateral position of the sacrum.But it is not always even radiography can detect the problem - in this case should be quite specific in the study of body position (¾ projection).Clarify the diagnosis in such a situation lets computer tomography.
How to treat the disease?
only treatment that allows you to fully get rid of this problem is surgery.But as the disease does not manifest itself by any symptoms, even when detecting a disease, most patients are categorically against surgery and try to find a less drastic methods of treatment.However, with two-way form of the disease still needs surgery (osteoplastic sacral fixation and low-lumbar spine), as too great a risk of spondylolisthesis.
main task of conservative treatment is to strengthen the muscular system (in this case - the muscles of the back and abdomen), thereby reducing the risk of vertebral instability.This is achieved through the special therapeutic exercises and special physiotherapy.One serious problem is the lack of symptoms as "no pain" - the patient does not refer to the process of the treatment of serious and eventually just forget about the need for such prevention.
If you develop acute pain (which, incidentally, happens very rarely), it is possible to use braces and the use of medical methods of treatment.But in this case it is often about spondylolisthesis, in which held much more serious treatment.