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WAIST SLIPPED

WHAT IS ADULT ISTHMIC SPONDYLOLISTHESIS?

The spine is a group of interconnected bones called vertebrae. It consists of structures. Approximately adult humans 905 mostly have lower spine and tailbone (sacrum) There is a developmental crack visible between the This The crack may occur as a stress fracture. affecting the waist Under the influence of constant forces, this fracture is usually normal. It does not heal like bone. A fracture such as spondylolysis It is called a simple structure containing part of the vertebra. It is cracked and does not cause any serious problems in its current form. But Sometimes the cracked vertebra moves forward over the vertebra below. slides right. This condition is adult isthmic spondylolisthesis. It is called.
Other types of spondylolisthesis other than this type of spondylolisthesis There are also varieties; one of them is slipping inflammation of the small joints in the spine (arthritis) and disc Degenerative disease that occurs due to the deterioration of its structure It is spondylolisthesis.

WHAT ARE THE SYMPTOMS?

Isthmic spondylolisthesis, years after the slip has occurred It may not even cause symptoms. Among the symptoms seen lower back and hip pain; numbness, pain, muscle in the legs tension, weakness (sciatica); increase in lumbar slope or It may be considered a disability in walking. These symptoms occur with rest. Although temporary relief occurs, standing still It increases with walking and other activities.
Studies show that patients with lower back pain should consult a spine surgeon. 905-10% of patients had spondylolysis or showed that isthmic spondylolisthesis was present. However, isthmic spondylolisthesis is always There is no crack on the x-ray because it is not painful. (spondylolysis) or slippage (spondylolisthesis) Being seen does not mean that these are the source of your complaints.

HOW IS IT DIAGNOSED?

Your doctor will listen to your complaints and perform a physical examination. After doing this, take a direct x-ray of your waist. may want. In most cases, an x-ray It is possible to detect cracks or slippage. Sometimes Some additional tests may be required. your waist area a computed tomograph that displays cracks or It may indicate defective structure in the bone. Also the spine soft tissues (nerve structures and between vertebrae) discs) and the cracks or slippages of these tissues, if any. In order to clearly show its relationship with the region Magnetic resonance imaging (MRI) may be requested. MRI and also due to spondylolisthesis (slip) The presence of any damaged or burst disc can also be detected.
If isthmic spondylolisthesis is present, slip It is classified as grade I, II, III, IV depending on its size.

WHAT ARE THE TREATMENT METHODS?

If your doctor determines that the cause of your pain is spondylolisthesis If you think it is, surgery is usually the first thing to do. will try non-existent treatment methods. This methods include short-term bed rest, anti-inflammatory medications (oral or oral) to reduce by injection), painkillers to control your pain, corsets to restrict movement and flexibility and physical therapy methods to improve your strength and includes exercise. In this way, a more normal life You can return to the format. If rest is recommended, You should stay in bed for as long as your doctor deems appropriate. is necessary. Usually this period is longer than a few days (absolute bed rest is often necessary) is not). When can you return to work during your treatment? Ask your doctor if you can return.
In addition, your doctor, sometimes with the help of a nurse or physiotherapist, can also provide training on how to do your daily activities without straining your back.
If the desired result as a result of medication and physical therapy If no improvement is observed, your doctor will ask for further details. Some additional new tests may be required to obtain information.
In an adult human, only one vertebral fracture occurs (spondylolysis) or intervertebral slippage The presence of spondylolisthesis does not create a dangerous situation. This so the treatment can control the pain and the patient’s work should aim to become. Although non-surgical If treatment methods do not correct the crack or misalignment long-term without the need for invasive methods They can provide pain control. A comprehensive program may require three or four months of treatment.

SURGICAL TREATMENT

Surgical treatment, pain relief with non-surgical methods It is necessary in a very low percentage of patients who do not pass is happening. Pain from pinched nerve, unstable fissure caused by movement of the vertebra or nearby It may be caused by an affected disc. If you slip If a spinal nerve is under pressure as a result, this nerve to open a new tunnel or create free space surgery becomes necessary.
As a result near a crack or slip screws and screws to relieve the pressure on the nerve stabilization (fixing) process with rod system or Fusion (boiling of bones) may be recommended. These procedures prevent further slippage of the vertebrae. and also any new nerve pressures that may occur in this area. prevents. Fusion surgery in isthmic spondylolisthesis Its success in correcting complaints is above 9075.
When you can return to work after surgery varies depending on the job you do. If you have a desk job, you may wait 2-3 days after surgery. You can return to work in as little as a week. if If your job is based on physical strength, bone healing and You may have to wait a few months for it to boil. Being able to return to your daily life activities A complete post-operative rehabilitation program for It is recommended.

ADULT ISTHMIC SPONDYLOLISTHESIS NOTES ABOUT

  • – A cracked vertebra (spondylolysis), approx. Adults are found in 905 cases and are mostly painless.
  • – When a crack causes the vertebra to shift, this The condition is called isthmic spondylolisthesis and may cause lower back and/or leg pain or It may not be.
  • – The first step of treatment is usually medication or is physical therapy. Correct diagnosis and early treatment It will enable your doctor to heal you faster with appropriate prescriptions. A large number of patients Long-term well-being with some non-surgical treatments They can obtain it.
  • – Medicines should be taken only as recommended and only as part of a comprehensive treatment program should be used.
  • – Surgery for persistent waist and/or leg pain may be necessary. with nerve decompression or nerve Fusion surgery without decompression The success rate is more than 9675.
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