SpondyLoListhesis: review and much more.

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spondylolisis is a condition in which the vertebral in the lumbar column (lower) extends from a normal position, moving forward (or, sometimes, backward) in relation With the vertebra below.It can be the result of an injury, a decrease in the rear tension associated with sports, such as gymnastics or football or age changes in the spine.Regardless of the cause, depending on the degree of movement of the vertebrae involved, the symptoms can vary simultaneously from not having a strong pain caused by the pressure on the nerve.

X-ray is usually diagnosed with spontanalistise.Spondilolisis with a low level of evaluation can be provided with non-invasive measures, while the most severe cases may require a surgical procedure.

BSIP / UIG / GETTY images
Types of spondylolisis

Types of SpondyListenSis Include:

  • iSthmicSpondyLolisis: This is the result of spondyLolysis , a condition that leads to small fractures (ruptures) in vertebrae. In some cases, fractures weaken the bone so strong that goes out of place.
  • Degenerative spondyLolisis: Degenerative spondylisisis is associated with changes that tend to occur in the spine with age.For example, discs can begin to dry and become fragile; As happens, they are reduced and can be convenuous. The generative changes that affect the disc can lead to arthritis of the spine.Another common condition in degenerative spondylolisis is spondyses spinal stenosis , in which the bones are narrow and leave pressure on the spinal cord.
  • Congenital spondylolisis: congenital spondylolisis, determined at birth, is the result of abnormal bones, leaving the vertebrae vulnerable to sliding.

The least common state forms include:

  • Traumatic spondylolisis: With this slip of the Fractureor Republic occurs as a result of Injuries, damage.
  • pathological spondylisisis: In this case, spondylolisis has a secondary disease, such as osteoporosis, tumor or an infection.
  • Post-Russian spondylolisteris: When spinal surgery leads to the slip of the vertebrae, it is known as post-gurgetic spondylolist.

SYMPTOMS

Many people with spondylolisis have no obvious symptoms. The condition can not even be detected until the radiography is not associated with an unbound injury or condition.

When the symptoms appear, the most common is the pain on the back of the back, which can irradiate to the buttocks and lower the backs of the thighs. Symptoms can be worse during assets and seals during rest.In particular, it may discover that symptoms disappear when leaning forward or feeling and worse when standing or walked. This is because the seat and flexion opens the space where the nerves are located, thus facilitating the pressure.Other potential symptoms include:

  • Muscle spasms
  • huntsystrings (muscles on the back of the thigh)
  • The knees bent when walking (as a result of Heinstring stockings)
  • Changes in the March

Strong wave High quality class can lead to a root pressure on a spinal nerve, close to destruction, causing tingling, numbness or weakness in one or both legs.

Call

Children involved in sports, such as gymnastics, football and diving, tend to be susceptible to the risk of their spondylolistesis ishmic. These sports require a recurring spinal of Hyperextenste , which can weaken the interacticular of PARS, L5-S1, the fifth lumbar vertebra and the first segment of the rejection sacrer leads to spondroper, the precursor of vertebral sliding, which is characteristic of spondylolisis. The judgment occurs approximately 30% of patients with spondyllysis.

Another theory is that genetics plays a role in the development of defects for analysis and spondylolisis.Certain racial groups, such as Estakimos Enuit, have a much higher common disease (approximately 40%), indicating the inherent genetic weakness of Parprin.

Degenerative spondyLystems tends to ensure that it occurs mainly in adults by birth after the age of 40.Old age, female floor, greater body mass index (ie, having overweight or obesity), and some anatomical variations that cause bent poses, which are considered factors that increase the risk of this state.

Diagnostics

Your healthcare provider will first talk to you and / or your child) about your disease history, your general health and any type of physical activity or sports, what you do .They will inspect your backbone to find tenderness areas and identify muscle spasms or problems with the march or posture.

Next, your doctor will perform an image research, including:

  • x-Rays To help distinguish spondylized characterized by a fracture within the interface, part of the fourth or fifth lumbar ring, and spondylolisis, in which the parts extended PARS and the vertebra advances.X-ray, taken from the side, is also used to assign an estimate between I and IV depending on the gravity of the sliding.
  • Computed tomography (CT) SCANS: provide a large part that radiography and help your doctor, prescribe the most appropriate treatment.
  • Resonant magnetic display (MRI). Roots nervous.

There are four varieties, each of which represents a 25% sliding in the vertebra.

Empleado of espondilolistesis

grado de distribuciĆ³n

clase I

0 % 25 %

Clase II 25% 50% Classiii 51% 75% Class IV 76% 100%

Treatment

SpondyLolisis is processed End AgreementWith the evaluation. According to estimates I and II, conservative treatment, including non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, physiotherapy, origin exercises, stretching and support, often.In physical therapy, emphasizes strengthening and stabilization and stabilization of the nucleus .

During treatment, periodic radiographs will be carried out to determine if it will be allowed to change the position.

For patients with spondylolisis that have high grades of slips, landslides, which gradually get worse, or spinal surgery on the back , In this procedure,The injured vertebrae merged together to be cured in a solid bone. The theory is that if the painful spinal segment does not move, it does not hurt.

Approximately 10% to 15% of younger patients with work spondylolistesis, ultimately will require surgical treatment.

During the procedure, the health provider first transmits the vertebrae in the lumbar column. Pieces of neighboring bone is called bone graft, then placed in the spaces between the vertebrae, which will merge.Over time, the bones grow together, as and when the broken bones are treated. Metal screws and bars can be installed for greater stabilization of the spine and improve the possibilities of a successful fusion.

In some cases, patients with high quality sliding also have a compression of the roots of the vertebral spine.If so, the procedure for opening a spinal channel and the discharge pressure on the nerves can be done before spinal fusion.

Word of the MED information resulting

with non-bodily and surgical procedures that have spondylolisis, which causes symptoms, Does it does not mean you should live in pain.In most cases, you can resume activities, including sports, as soon as the condition is treated.

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