What should I do if I have a spondylolisthesis one degree of the congenital six lumbar vertebrae a

Brother Ren on the first floor has not looked at what disease people are asking, congenital six lumbar vertebrae and now there is lumbar spondylolisthesis, it is okay to consider conservative ** in the early stage. But now the patient's quality of life is very poor, and there is a clear history of pain, this patient has a clear indication for surgery, and the pain is not relieved to prove that the nerve root is compressed when walking. CT radiographs, on the other hand, are taken when the patient is lying flat and may not reflect the patient's condition.

The congenital six lumbar vertebrae are inherently unstable, and then there is a spondylolisthesis of the lumbar spine, and the aggravation of the condition may be relatively large, surgery is recommended, considering the age does not necessarily require strong internal fixation, you can choose posterior surgery, do a lumbar laminectomy decompression, nucleus pulposus removal, lumbar bone graft fusion. Other **** can refer to the first floor.

Hello. At the moment, based on your mother's symptoms. There should be symptoms of nerve compression.

Since the results of the examination are now inconsistent with the clinic. It is recommended to remain conservative for the time being**.

I don't know what kind of conservative ** approach you are taking now. My suggestion is to do a light meridian massage, please note that it is a light meridian massage, and do not use heavy techniques. This can be done in conjunction with physiotherapy or as directed by a physician for a period of observation**.

Since I don't know the specific situation of the patient, I can't give a detailed plan.

Big brother, am I not good at learning, does the lumbar spine have a sixth section, but the problem of the waist depends on the situation, just sleep on a hard bed at home and put some medicine.

Hello. This is mainly due to compression of the nerves (dural crumb), which leads to degeneration of the lumbar spine and ruptures the annulus fibrosus, resulting in a herniation of the nucleus pulposus. However, the main cause of the rupture of the fibrous ring is due to the loss of elasticity and toughness of the fibrous annulus, which is not possible with traction, acupuncture or massage.

It is also not possible to eliminate the herniated nucleus pulposus.

However, it can provide temporary relief.

Long-term use is very disadvantageous.

The surgery is mainly to cut the nucleus pulposus into protrusion, but the ruptured fibrous annulus is still not recovered, which is very likely**.

Once**it is impossible to be in**, it is recommended not to use surgery blindly. You are now mainly treating the root cause, and it is recommended that you use traditional Chinese medicine for external application**.

The main thing is to take soft and hard drugs to **.

Thus softening its protrusions.

Improves metabolic circulatory function.

Restoring the elasticity and toughness of the fiber ring can be done thoroughly.

Painful period of lumbar disc herniation.

The following points should be noted:

One: Sleep on a hard bed. Sleeping on a rigid bed can reduce the pressure on the discs.

2: Pay attention to the warmth of the waist and try not to get cold. Wear a waist circumference (belt belt) on the waist during the day to strengthen the protection of the lower back and at the same time facilitate the recovery of lumbar spondylosis.

Three: Do not bend over and force hard (such as mopping the floor...)), bed rest as much as possible during acute attacks, and also after the pain has been relieved. Take proper rest and don't overexert yourself. so as not to aggravate the pain. Rotten oranges.

When you're older, it's still conservative in traditional Chinese medicine, acupuncture, massage, physiotherapy, fumigation or something, and there is another wine Wang reflux sugar You are also sleepy and hungry, you can try it for the old people.

Lumbar spondylolisthesis is a relatively common type of lumbar spondylosis, and understanding the causes of lumbar spondylolisthesis is of great help to the disease. So, how is spondylolisthesis caused? 1.

Congenital genetic factors, lumbar vertebrae are born in viviparity with vertebral bodies and vertebral arch ossification centers, and each side of the vertebral arch has two ossification centers, one of which develops into the superior articular process and pedicle, and the other develops into half of the inferior articular process, lamina and spinous process. If nonunion occurs between the two, a congenital isthmus cleavage (also known as isthmus disunion) is formed, and pseudoarticular changes are formed locally. After walking, the spine above can slide forward due to standing, which is called spondylolisthesis; Spondylolisthesis can also occur due to abnormal development of the upper sacrum or L5 vertebral arches, and there is no fracture in the isthmus.

2.Degenerative factors, causes of lumbar spondylolisthesis: due to long-term continuous lower back instability or increased stress, the corresponding facet joints are worn out, degenerative changes occur, and the joints are mutated to the level, coupled with intervertebral disc degeneration, intervertebral instability, and anterior longitudinal ligament relaxation, so that slippage gradually occurs, but the isthmus remains intact, so it is also called pseudospondylolisthesis.

It is more common after the age of 50, and the incidence rate in women is 3 times that of men, more common in L4, followed by L5 vertebral body, and the degree of slippage is generally less than 30%. 3.Pathological fracture is a systemic or local lesion involving the vertebral arch, isthmus, superior and inferior articular process, resulting in loss of posterior vertebral structural stability and pathological slippage.

Local bone lesions can be tumors or inflammation. 4.Fatigue fracture or chronic strain, from a biomechanical point of view, when the human body is standing, the lower lumbar spine bears a large weight.

The component that causes forward displacement acts on the isthmus where the bone is relatively weak, and long-term repetitive action can lead to fatigue fractures and chronic strain injuries. 5.Traumatic, acute fractures of the lumbar isthmus can occur due to acute trauma, especially retroextension trauma, and are more common in competitive sports or strong labor porters.

The above is the relevant introduction of the five major ** of lumbar spondylolisthesis by the cervical and lumbar spine experts of Taiyuan Tongji Hospital, for your reference only, once diagnosed as lumbar spondylolisthesis, you should go to a regular hospital in time to receive **, in order to minimize the injury.

1. Sleep on a hard bed. Sleeping on a rigid bed can reduce the pressure on the discs.

2. Pay attention to the warmth of the waist, and try not to be affected by the cold and the spine. Avoid cold and gluttony, don't stay in the air conditioner for a long time, this is not good for the waist! Strengthen the protection of the lower back and lower back.

3. Wear a waist circumference (lumbar spine Kang special lumbar seal) on the waist during the day, which is conducive to the recovery of the lumbar spine.

You can try lumbar ** bone paste.

**Principles:1Non-surgical**.

Non-surgical** is effective in most cases for slippage up to °, including non-steroidal anti-inflammatory analgesics, short-term bed rest, avoidance of heavy lifting and strenuous activities, wearing braces, and exercises for the lower back and abdominal muscles. After 6 to 8 weeks**, symptoms may improve, especially for adolescents who are late to maturity. Not every patient with lumbar isthmic fissure or spondylolisthesis needs **, and a significant proportion of patients with isthmic fracture and spondylolisthesis are asymptomatic and do not need **.

2.Surgery**.

For patients with persistent low back pain symptoms, or ineffective non-surgical treatment, patients who are young and middle-aged can be operated on**, accompanied by intervertebral disc herniation, and the herniated disc nucleus pulposus is removed at the same time.

1) Surgery for isthmic disconnectivity** Isthmus disunion local bone grafting: For patients with lumbar isthmic disconnect, local bone grafting is performed at the isthmus disconnect, that is, after removing the fibrous callus of the isthmic disconnect, bone grafting is performed with the transverse process of the diseased vertebra crossing the isthmus fissure to the lamina, without fusing the joint. It can also be fixed with screw internal fixation.

2) Surgery for lumbar spondylolisthesis** Surgery includes: To relieve cauda equina or nerve root compression, explore the isthmus fibrous callus for compression or resection of the vertebral arch to radical decompression; Spondylolisthesis reduction, cutting the hall except its lower intervertebral disc to make reduction easier; Fusion, intervertebral bone graft fusion or intertransverse process (posterior lateral) bone graft fusion.

Lumbar spondylolisthesis is a disease in which the upper vertebral body and the lower vertebral body of the rubber plexus partially or completely slip due to the abnormal bony connection of the adjacent vertebral body due to congenital dysplasia, trauma, strain, etc., which is manifested as lumbosacral pain, sciatic nerve involvement, intermittent claudication and other symptoms. If you know that the lumbar spondylolisthesis is not significant, you can take conservative**, including bed rest, low back muscle exercises, and wearing a lumbar beam or brace.

Conservative** includes bed rest.

It is forbidden to increase the weight bearing activities of the waist, such as lifting heavy objects, bending over, etc., combined with physiotherapy such as infrared and hyperthermia, oral anti-inflammatory painkillers 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.

If the patient with lumbar spondylolisthesis has 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, which seriously affects life and work, surgery should be considered for treatment of malpractice and filial piety treatment.

There are many surgical methods for lumbar spondylolisthesis, such as posterior spondylolisthesis, recessed position, pedicle screw fixation, intervertebral bone graft fusion, etc.

It is recommended that you should go to a regular hospital for a check-up, to be clear**, symptomatic**, and truly get rid of the troubles of the disease.

All the medical staff of Shanghai Kaiyuan Orthopaedic Hospital wish it a good day.

This degree of slippage is indeed more serious. 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 4 of the sagittal diameter of the vertebral body.

Lumbar spondylolisthesis below the degree can be taken conservative**, jujube peel includes bed rest, lumbar back muscle exercises, wearing waist circumference or brace; Appropriate aerobic exercise can be used to reduce weight; It is forbidden to carry out activities that increase the weight on the waist, such as lifting heavy objects, bending over, etc.; In addition, it can also be combined with physical ** such as infrared and hyperthermia; If you have pain and other symptoms, you can take oral anti-inflammatory painkillers, such as Celebris and Fenpidex, etc.

Indications for surgery include: 1Lumbar spondylolisthesis below the degree, intractable low back pain, or aggravation of the original symptoms of low back pain, through the conservative ** of the regular stool is ineffective, which seriously affects the patient's life and work;

2.Accompanied by lumbar disc herniation or lumbar spinal stenosis, radicular pain and intermittent claudication of the lower extremities, or symptoms of cauda equina nerve compression;

3.The course of the disease is long, with a tendency to gradually worsen;

4.Severe lumbar spondylolisthesis above the degree.

It's very serious, and you need surgery, so it's better to do it early, don't delay.