Excuse me, how is intervertebral degenerative spondylolisthesis treated? Urgent!!!

It is suitable for simple fracture, no obvious slippage, and mild clinical symptoms. Key measures include:

1) Lumbar back muscle exercise: the most important is to increase the stability of the lumbar spine.

2) Waist brace or leather waist circumference for external use.

3) Avoid lumbar trauma, heavy workload and strenuous exercise.

4) Symptomatic treatment: Waist physiotherapy, massage, and medication can be used. After the conservative ** is effective, special attention must be paid to the exercise of the lumbar back muscles, otherwise there is a possibility of symptom reversal.

Indications for surgery are: degree of detachment, intractable lower back pain or worsening of lower back pain symptoms, which are ineffective after conservative **. Radicular pain in the lower extremities, intermittent lameness, or cauda equina nerve compression with lumbar disc herniation or spinal stenosis is present.

The course of the disease is long and has a tendency to gradually worsen, and the severity of symptoms is consistent with the degree of aggravation of the spondylolisthesis and the degree of degeneration of the intervertebral disc, and the progression of the spondylolisthesis is confirmed by imaging examination. Severe slippage above the degree.

Precautions for daily living after surgery:

1.Avoid stretching, twisting, bending, or shaking your back muscles to avoid spraining your lower back.

2.Use a broom or mop to do cleaning work, and do not bend over.

3.When brushing your teeth and washing your face, bend your knees slightly, don't bend over.

4.Do not lift heavy objects for 3 to 6 months after surgery.

5.Desk work can be done 4 to 6 weeks after surgery, and hard work can be done after 3 to 4 months.

6.Gradually increase your activity and avoid strenuous exercise.

7.Those who need to wear a hard back frame must be dressed before getting out of bed.

8.Sexual life can be resumed after 6 weeks of surgery.

9.Avoid overworking your back for a year.

10.Maintain an appropriate weight. The use of minimally invasive ** can directly reach the lesion through minimally invasive means in a short time, and the diseased tissue can be coagulated and ablated to achieve the goal.

At the same time, it is safe and effective. It is suitable for patients who have undergone conservative** ineffective, but are afraid of surgery**. This ** adapts to the following symptoms:

1. Cervical spondylosis, lumbar spondylosis, lumbar and cervical disc herniation.

2. Low back pain accompanied by weakness, numbness or pain in one or both lower limbs 3. Positive signs of spinal nerve compression or paresthesia, such as positive straight leg raise test, etc.;

4. Severe low back pain suddenly or reversely, afraid to move or aggravated after activity;

5. Low back pain accompanied by lumbar deformity (kyphosis or scoliosis);

6. Low back pain accompanied by urinary and bowel disorders;

7. Hammering locally, the pain is aggravated or accompanied by radiating pain to the lower limbs;

8. No obvious pain, but can not straighten the waist or walk for a long distance, must squat and rest before continuing to walk, etc.

Degenerative lumbar spondylolisthesis is a disease of anterior and posterior dislocation of the lumbar spine, which is more common in middle-aged and elderly women, often between the 4th and 5th lumbar vertebrae. The reason for this is not very clear, but most scholars believe that with the increase of age, the intervertebral discs, joints, ligaments, etc. of the lumbar spine are relaxed, and the spondylolisthesis of the lumbar spine is unstable, resulting in spinal canal (nerve channel) narrowing and compression of nerves, resulting in low back pain, lower limb pain and numbness. With the progression of the disease, the symptoms will also change, in the early stage, the low back pain caused by the intervertebral disc and intervertebral joints is the mainstay, and with the aggravation of the disease, lumbar spinal stenosis, intermittent claudication (can not walk continuously for long distances, pain and numbness in the lower limbs, must be stopped, walked and rested, sitting or squatting to rest can be relieved), and in the late stage of bed rest, the lower limbs will also appear painful and numb.

**Conservative**, when the symptoms are severe, wear a brace or waist circumference, avoid doing actions that increase the burden on the waist in daily life, and rest is extremely important. If oral anti-inflammatory and painkiller medications are effective, stretch and strengthen your lower back. When the pain is significant, nerve injection can be trialed for closure**.

If the symptoms cannot be relieved with these conservative **, decompression surgery and lumbar spine fixation and fusion are required.

From the perspective of the structure of the human body, the most important thing is the spine, the reason why we can stand up is because of the spine, and the most problematic part of the spine is the lumbar spine, lumbar spondylolisthesis is one of the diseases, and then we will introduce you to the relevant information about how to have lumbar spondylolisthesis. Lumbar spondylolisthesis**1Non-surgical**:

Effective for most patients, non-surgical** includes bed rest, avoidance of activities such as lumbar weight-bearing, twisting, bending over and straining, lumbar physiotherapy, lumbar brace, waist protection, strengthening of the lower back muscles, local occlusion, and taking related medications. 2.Surgery**:

It can be operated for patients who are ineffective to conservative**, severe slippage, progression of slippage confirmed by X-ray, and concomitant persistent nerve root compression and spinal stenosis**. The surgical methods are roughly divided into two categories: one is to reduce and fix the spondylolisthesis vertebral body with specific instruments through the posterior human path, and at the same time perform spinal cord and nerve root reduction and recompression, and bone graft fusion between the transverse processes.

The second is anterior intervertebral discectomy and interbody bone graft fusion. If you can, everyone wants to take care of their own diseases, but often some things backfire, but there are still some successful cases in the history of medicine, I believe that everyone has a certain understanding of lumbar spondylolisthesis through the reading just now.

Hello. Conservative spondylolisthesis** includes bed rest for 2-3 days, prohibiting activities that increase the weight bearing on the waist, such as lifting heavy objects, bending over, etc., combined with physiotherapy such as infrared and hyperthermia, oral anti-inflammatory analgesics such as ibuprofen, fenpidex, etc. In addition, it can also be equipped with a waist circumference and a brace, which can reduce the burden on the waist and relieve symptoms.

However, if the patient with lumbar spondylolisthesis has rough neurological symptoms, and the symptoms are not significantly relieved after regular 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**.

Dr. Hou Tiesheng of Shanghai Changhai Hospital solemnly reminded that because the patient cannot be seen face-to-face and cannot fully understand the condition, the above suggestions are for reference only. ）