The displacement of the vertebrae

The displacement of the vertebrae (spondylolisthesis) may occur due to various reasons, from injuries to congenital anomalies. It should be noted that the acquired status in some cases, the flow is heavier. Often the displacement of the vertebrae in the background of the injury or any disease is accompanied by bouts of severe pain, get rid of which can only surgery.

Spondylolisthesis Often occurs in the lower portion of the lumbar region. Usually, spondylolisthesis occurs relative to the underlying. The development of spondylolisthesis depends on the nature of changes in the disk, resulting usually, in the case of a defect in the interarticular region of the vertebral arch.

The Disease in most cases is bilateral.

Given x-rays, specialists klassificeret the displacement of the vertebrae by five degrees. The definition of each of them depends on the ratio of the shifted portion of the rear edge of the body segment relative to the underlying. So, the first degree is offset three quarters of the rear edge of the vertebral body, and at fifth – the vertebra is shifted completely.

Spondylolisthesis can be stable and unstable.

In the second case, the relationship between the underlying and adjacent segments are changed in accordance with the posture taken by the patient. This does not happen in the stable spondylolisthesis.

The Nature of the disease depends not only degree of shear, but the causes that provoked it, and a view.

The displacement of the vertebrae can be dysplastic. This kind of shift is caused by a disruption in the development of the sacrum bone. As a rule, it is more prone to children and adolescents.

Spondylolis the displacement caused by the fracture, which is formed slowly and is caused by fatigue interarticular parts of the vertebral arch. This species is distributed both among adults and children. The condition is not characterized by a pronounced shift of the segments.

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Degenerative displacement usually occurs in the elderly. This condition is dependent on metabolic changes.

Traumatic shift can sometimes be the result of fractures of the articular processes or interarticular region of the arc.

The Pathological displacement accompanies some diseases of the skeletal system.

The Main signs of disease are pain of varying intensity. It should be noted that they are localized depending on the location of the affected segment, the patient's age and the extent of the shift. Adult patients often have pain in the neck, waist, back, lateral areas of the pelvis. For Teens and children is more typical unpleasant sensations in the legs.

Diagnosis of the disease is carried out using x-rays. In order to clarify the details of the assigned shift MRI and CT scan.

The displacement of the vertebrae. Treatment

In the diagnosis of first degree spondylolisthesis in adolescents and children assigned to the treatment with the use of conservative methods. In the course of treatment for three to four months, superimposed plaster bandage that captures the pelvis, the portion of the rib cage, lower limbs (bent at an obtuse angle) in the area of the hip joints to the knees. Further treatment involves not less than six months use of rigid corsets. Mandatory rest and bent position. As treatment applied physiotherapy, fitness training, stay in the resort, corsets.

The Progressive course of the disease involves surgical intervention in the case of the unstable form in which there is no effect from conservative measures.