Square dance video of exercising lumbar spondylolisthesis
The lumbar vertebrae of normal people with lumbar spondylolisthesis are arranged neatly. If one of the lumbar vertebrae slides forward relative to the adjacent lumbar vertebrae due to congenital or acquired reasons, it is lumbar spondylolisthesis. The causes of lumbar spondylolisthesis can be congenital (existing at birth) or acquired, occurring in childhood or later. It is mainly caused by all kinds of excessive mechanical stress, and the inducements include carrying heavy objects, lifting weights, playing football, physical training, trauma, wear and tear, etc. Another kind of lumbar spondylolisthesis is degenerative, that is, structural abnormalities occur due to the aging of various structures of the lumbar spine, which generally occurs after the age of 50. This spondylolisthesis is usually accompanied by lumbar spinal stenosis and requires surgical treatment. Symptoms: After lumbar spondylolisthesis, the patient may not have any symptoms, which can only be found when filming; There may also be various related symptoms, such as low back pain, lower limb pain, numbness and weakness, etc. In severe cases, abnormal urination and defecation may occur. Patients with severe spondylolisthesis may have lumbar depression, abdominal protrusion, or even shorter trunk and swing when walking. If there is no obvious aggravation of lumbar spondylolisthesis, conservative treatment can be taken, and X-ray of lumbar spine can be reviewed regularly to understand the spondylolisthesis. If you have low back pain and leg discomfort, the symptoms can usually be relieved after rest. Treatment: Conservative treatment includes staying in bed for 2-3 days, forbidding lifting heavy objects and bending over, combined with physical therapy such as infrared ray and hyperthermia, and taking ibuprofen, fenbid and other anti-inflammatory painkillers orally. In addition, you can also wear a waistline and suspenders, which can reduce the burden on the waist and relieve symptoms. If patients with lumbar spondylolisthesis have symptoms of nervous system, but the symptoms are not obviously relieved after regular conservative treatment, they still have long-term low back pain and other accompanying symptoms of lumbar spondylolisthesis, that is, conservative treatment is ineffective and seriously affects their life and work, so surgical treatment should be considered. There are many surgical methods for lumbar spondylolisthesis, such as posterior spondylolisthesis reduction, pedicle screw internal fixation and intervertebral bone graft fusion. Note: if there are symptoms of nerve root compression, decompression of nerve root canal and spinal canal is needed to eliminate the pain and numbness of lower limbs caused by lumbar spondylolisthesis.