- Possible manifestations of the disease
- Diagnosis - what research is needed?
- The treatment of surgical treatment
Listez vertebrae (spondylolisthesis spine) - a displacement of the body of one of the vertebrae relative to the subsequent (underlying).Pathology varies in displacement direction: forward, sideways or backwards, and on the degree of deformation of the spine.The disease is most prone to lumbar and cervical because of their high mobility and the regular reception of high loads.In addition, listez spine can be stable or unstable.With stable listeze position of the human body does not affect the displacement of the vertebrae.Accordingly, in an unstable, prone to progression of spondylolisthesis vertebral displacement depends on the adoption of a person of a particular posture.
Depending on the cause of the disease, it is divided into several types.If the cause of the disease is a congenital abnormality of the vertebrae, it is a dysplast
If listez started due to excessive physical exertion or a back injury this or isthmic spondylolisthesis spondilezny.The cause of the disease is abnormal growth of scar tissue in the damaged area due to draining or bow legs fracture vertebra.This option is also more common pathology in the lumbar spine.
Spondylolisthesis spine can be triggered by diseases such as low back pain and arthritis of the joints of the spine.This type of disease is more common in people aged under him marked deformity of the intervertebral disc, their thinning.This degenerative spondylolisthesis - common in his age category disease.Do not forget about the likelihood of listeza patients suffering from various forms of ankylosing spondylitis (ankylosing spondylitis) - with the autoimmune disease of the spine, this pathology occurs often enough.
many cases where after spinal injuries such as broken legs or spinal arc, or for injuries facet joint develops traumatic spondylolisthesis.If the cause of the disease - a modification of the bone due to tumors, it is an idiopathic spondylolisthesis.
Possible manifestations listeza
Often this disease is asymptomatic for a long time.A person may for a few years and did not suspect that he had a displacement of the vertebra.If listez vertebrae flows still with symptoms, for him the most typical variety of pain.This pain often aching may give in neighboring areas, the pathology of the cervical spine - in the shoulders or arms.This discomfort may be constant or worse after exercise.
By moving the cervical often appear severe headaches, migraines, dizziness, wanton.When the pain of this type often do not help ordinary painkillers.In severe stages of the disease may limit the mobility of the spine, a sense of constraint.
Experienced professionals can put this diagnosis at a glance on the patient.Often, even in the initial stages the body is shortened, the specific changes noticeable gait, stomach heavily favored ahead.
What research is needed to diagnose the displacement of the vertebrae?
diagnosis of spondylolisthesis spine can be put under examination, an orthopedic surgeon or neurosurgeon.Detailed account of the patient's presenting symptoms, lifestyle and previously received injuries largely able to clarify the situation.If the doctor is not sure about the diagnosis, you may need to conduct additional studies.
for the diagnosis of vertebral displacement used:
- method spondylography spine;
- dynamic X-rays of the spine;
- magnetic resonance and computed tomography of the spine.
By their reliability and objectivity of all the modern methods of diagnosis are equal, the choice of research doctor is subject to availability at the clinic of a hardware and assumptions about the diagnosis.
Tactics of treatment
Treatment of this disease should be aimed at addressing the symptoms and improve the quality of life of the patient.Parallel measures should be taken to stabilize the spine and the removal of the existing strain.To eliminate discomfort during movement and pain relief can be assigned to the medication, but it must be remembered that no drug currently available, can not cure the disease.Sometimes used as manual therapy and massage, but in this case optimal treatment strategy should be chosen by a qualified doctor, and take place only massage therapist with extensive experience in the treatment of diseases of the spine .
classic method of correction of this pathology involves strengthening the muscular frame of the back and torso - that muscles provides support necessary for the proper support of the spine.This method of treatment involves mainly the use of special exercise, partly borrowed from the practice of medical physical training.Patients are prohibited from any activity traumatic sports that involve excessive strain on the spine in a vertical plane or threaten to direct trauma.
In severe deformations can be assigned a hard time wearing a corset, but regularly it is forbidden to go.The fact is that this device really sets back the correct position and support, but at the same time strengthening and muscle development does not occur.
If this disease is inflammation adjacent organs or tissues and intervertebral discs, possible appointment of anti-inflammatory drugs.
Surgery is performed in the event that the patient is addressed in a medical institution, with advanced forms of disease, or previous conservative treatment did not bring the expected results.The main purpose of this method, the elimination of nerve terminals and the return of the correct position of the spine.Sometimes surgery involves the removal of the vertebral arch.Also common operative method to remove excess scar tissue resulting from the improper healing of fractures of the vertebrae.
to secure the result in the period of rehabilitation after surgery may be assigned Physiotherapy, massage and carrying fixing belt / corset.Thus, depending on the type of disease and its reasons for any patient treatment may designate an increase or a decrease of physical activity.
In order to reduce to a minimum the chance of deformation of the vertebrae, should maintain a moderately active lifestyle.It is recommended to avoid monotonous physical activity associated with excessive loads on your back.This regular exercise for the muscles of the neck, back and abdominal muscles are required.We should follow the posture and gait, studying not only the right move, but sit with your back flat.It is advisable to limit any physical activity, which may be accompanied by hyperextension of the spine - that in such exercises likelihood of complications is greatest.
also want to buy a mattress and a pillow for correct body position during sleep.It is also important to monitor their state of health and the appearance of discomfort in the lower back or neck promptly see a doctor and undergo the necessary examination.Any disease of the vertebral column, including spondylolisthesis, much easier to cure at its initial stages.