How many degrees does the spondylolisthesis have? Specific

1. Lumbar spondylolisthesis must be judged to a degree, generally slippage out of the next vertebral body 1 4 for a degree of spondylolisthesis, half of the second degree of spondylolisthesis, under normal circumstances, there should be lumbar spinal stenosis, two degrees and above can cause obvious spinal stenosis, spinal stenosis is easy to cause nerve damage, so surgery is generally required. In addition, lumbar spondylolisthesis can generally not be taken casually traction and massage, because the danger is relatively large, and it must be carried out by a professional Chinese medicine practitioner, and the oral effect of traditional Chinese medicine is better.

2. If it is about one degree or less, you can choose to be conservative**. When you are conservative, you must remember to wear and brace when you protect your waist, which can reduce the burden on your waist and relieve your symptoms. You can stay in bed for 2-3 days, it is forbidden to increase the weight-bearing activities of the waist, such as lifting heavy objects, bending over, etc., you can combine physiotherapy such as infrared, heat therapy, oral non-zeproxine anti-inflammatory and analgesic drugs, you said that oxaproqin enteric-coated capsules are this type, stretching tendon tablets to relax tendons and channels, promote blood circulation and remove stasis, reduce swelling and relieve pain, and the previous medicine is the same, but one west and one middle, generally no ***.

If there is no obvious relief of symptoms after conservative **, and there are still long-term low back pain and other accompanying symptoms of slippage, that is, conservative** is ineffective, seriously affecting life and work, surgery should be considered**. There are many surgical methods for lumbar spondylolisthesis, such as posterior spondylolisthesis reduction, pedicle screw internal fixation, intervertebral bone graft fusion, etc., ** are not the same, and the other is that the surgery has greater risks.

I don't understand what you're talking about.

Legal Analysis: Lumbar spondylolisthesis of 1 degree is usually counted as a grade 8 or 9 disability. The specific level of disability needs to be evaluated by experts on the patient's working ability before issuing authoritative results.

Legal basis: "Appraisal Standards for Minor Human Injuries" Article 3 The evaluation of the degree of injury should be based on the primary injury and its consequences caused by external factors directly to the human body, including the injury at the time of the injury, the complications caused by the injury after the injury, and the sequelae of the previous traces, etc., and comprehensively analyze and comprehensively assess.

Hello, lumbar spondylolisthesis should be considered according to the symptoms of low back pain, combined with whether the pedicle of the lumbar spine is broken. If pedicle exercises and more than two degrees of slippage, surgery is recommended**. Within one degree, the low back pain is mild, and it can be conservative**, but it should be rechecked regularly, if the slippage is aggravated, it means that the slippage is unstable, and surgery is recommended.

Degree I ---slippage <25%)

Degree II --- slippage 25%-50%.

Degree III - slippage 50%-75%.

Degree IV - 75%-100% slippage

Grade V ---Slippage" 100% (lumbar detachment).

There are several methods of lumbar spondylolisthesis**: (1) conservative** suitable for all patients, and most patients have different degrees of efficacy, conservative** need to regularly review the lumbar spine X-ray to understand the slippage situation, if there is low back pain and leg discomfort, usually the symptoms can be relieved after rest, conservative**, including manipulation, bed rest, prohibiting activities that increase waist weight-bearing, such as lifting heavy objects, bending over, etc., to strengthen the function of the lower back muscles, exercise waist circumference, protect the waist circumference, combined with physiotherapy, such as microwave, infrared, hyperthermia, oral anti-inflammatory painkillers (2) Surgery**If the patient with lumbar spondylolisthesis has neurological symptoms, and there is no obvious relief or unsatisfactory relief after regular conservatism, there is still long-term low back pain and other accompanying symptoms of spondylolisthesis, that is, conservative** is ineffective and affects life and work, surgery should be considered**There are many surgical methods for lumbar spondylolisthesis, such as posterior spondylolisthesis, reduction, pedicle screw fixation, intervertebral bone graft fusion, etc. (3)**Whether it is caries** or surgery****, it is very important to try to avoid heavy lifting, Bending over or strenuous exercise, such as football, high-intensity training (running, aerobic exercise) and other lumbar back muscle function exercises are extremely important, if possible, you can participate in swimming exercises, and maintain a suitable weight for appropriate exercise.

Generally, according to the meyerding scale: that is, the upper edge of the lower vertebral body is divided into 4 equal parts, and according to the degree of slippage, it is divided into the following four degrees: 1 degree:

Refers to the sliding of the vertebral body forward not exceeding 1 4 of the sagittal diameter of the middle part of the vertebral body 2 degrees: more than 1 4, but not more than 2 4 3 degrees: more than 2 4, but not more than 3 4 4 degrees:

3 to 4 of the sagittal diameter of the vertebral body.

Analysis of the law of caution:

Lumbar spondylolisthesis of 1 degree is usually counted as a grade 8 or 9 disability. The specific level of disability needs to be evaluated by experts on the working ability of the person who suffers from the model, and then the result of the authoritative lead tool is released.

Legal basis: Criteria for the Identification of Minor Human Injuries》 Article 3 The evaluation of the degree of injury shall be based on the primary injury and consequences directly caused by external factors to the human body, including the injury at the time of the injury, the complications and sequelae caused by the injury, etc., and shall be comprehensively analyzed and evaluated.

The syllidate classification is not based on the length of the slippage, but according to the distance of the hyperextension and flexion of the upper vertebral body, 1 4 is 1 degree below 1 degree, 1 4-2 4 is 2 degrees, 2 4-3 4 is 3 degrees, 3 4-4 4 is 4 degrees, you can compare it yourself.

Lateral x-ray.

The morphology of the vertebral arch fracture can be clearly visualized. The fissure is posterior inferior to the pedicle, between the superior and inferior articular processes, and there are often signs of hardening at the edges. Lateral views may show signs of spondylolisthesis and measure the scale of spondylolisthesis.

The commonly used meyerding classification in China is to divide the upper edge of the lower vertebral body into 4 equal parts, and divide it into I IV degree according to the degree of forward slippage of the vertebral body relative to the lower vertebral body.

Refers to the vertebral body sliding forward not exceeding 1 4 of the sagittal diameter of the middle vertebral body.

More than 1 4, but no more than 2 4.

More than 2 4, but no more than 3 4.

3 to 4 of the sagittal diameter of the vertebral body.

Advice: Hello, it is best to carry out traction, acupuncture physiotherapy according to your situation, reduce the symptoms of compression, in addition, eat more foods rich in vitamin B and amino acids, such as cereals, fish, green vegetables, eggs, etc.

Lumbar spondylolisthesis is a relatively common disease of the lower lumbar spine, which is generally divided into two categories: true spondylolisthesis (with lumbar isthmus fissure) and degenerative spondylolisthesis. The former is mainly caused by the rupture of the lumbar vertebral arch isthmus; The latter is mainly caused by lumbar disc degeneration.

Regardless of the type of lumbar spondylolisthesis, there is generally a phenomenon of lumbar spine instability, patients often feel that the lower back is not strong, sitting for a long time will have low back pain, low back tiredness, severe symptoms will complain of low back pain when turning over and getting up, low back pain symptoms when bending over. If the disease progresses further, leg pain, numbness, muscle weakness, and muscle atrophy caused by nerve root compression may occur. At this point, the patient may not be able to walk long and may have intermittent claudication.

The best method for spondylolisthesis should be surgery, early slight slippage, if the symptoms of low back pain are not severe, you can first exercise the back muscles and other conservative**. Surgery should be considered if the results are not good.

If the lumbar spondylolisthesis does not reach the degree of disability, compensation can be made according to the level of disability of the injury.

If the injury is minor and does not meet the disability level, the compensation standard is as follows:

1. Medical expenses: subject to the amount of hospital invoices (about 80% of social security payment, 20% of unit payment) 2. Hospitalization meal subsidy: 100 yuan for hospitalization days 70% (social security payment) 3. Nursing expenses:

The number of days of hospitalization is 50 yuan (paid by the unit) 4. Transportation expenses: 300-1000 (social security payment).

5. Suspension of work and salary: the period of suspension of work and salary (subject to the appraisal of the Labor Bureau) (paid by the unit).

If the employer does not purchase social insurance for the employee, all the above compensation shall be borne by the employer, and if the wage standard of the employer purchasing social insurance for the employee is lower than the actual salary of the employee, the difference shall be made up by the company.

3rd degree slippage is already considered relatively heavy, and surgery is still recommended**. Conservative should be considered unless the medical condition is too poor to tolerate surgery**.

In addition, the conservative **contraindication massage massage for lumbar spondylolisthesis will aggravate the condition. Oral painkillers, blood circulation and stasis removal drugs, local hot compress physiotherapy for painful areas, and at the same time strengthen the function of the lower back muscles. However, these are not enough for 3rd degree slippage, surgery is king, especially when accompanied by numbness, weakness, and inability to walk long distances in the lower limbs.

The main reason for this problem is the damage to the organs in the body, resulting in low metabolic function.