What are the latest treatments for spondylolisthesis?

Lumbar spondylolisthesis below the degree can be conservative**, including bed rest, low back muscle exercises, 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.

Surgery**. 1. Indications for surgery include:

1.Lumbar spondylolisthesis below the degree, intractable low back pain, or aggravation of the original low back pain symptoms, through the regular conservative ** ineffective, seriously affecting 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.

2. Surgical method:

1.Nerve decompression surgery The main goal is to adequately decompress the nerve roots, which can be decompressed by unilateral or bilateral lamina fenestration, and if laminectomy is unavoidable, spinal fusion must be attached. However, if the symptoms of lumbar spondylolisthesis are caused by lumbar instability and spinal stenosis is not present, lumbar fusion and fixation are required without spinal decompression.

2.Spinal fusion Long-term stability depends on strong biological fusion. There are many methods of spinal fusion, which can be divided into the following according to the location of bone grafting

intervertebral fusion, posterolateral fusion, 360° fusion around the vertebral body, etc.; According to the surgical approach, interbody fusion can be divided into anterior interbody fusion, posterior interbody fusion, and transforaminal interbody fusion. At present, posterior TLIF surgery is the mainstream surgery, that is, translateral foraminal interbody fusion surgery.

3.Lumbar spondylolisthesis reduction The current mainstream view is that if it can be reduced, it should be reduced as much as possible, because the normal anatomical position of the lumbar spine and nerve roots can be reconstructed. However, it is not advisable to force complete anatomical reduction with extended surgery, because the long-term lumbar spondylolisthesis has changed its surrounding structure, which has the inherent stress to resist traction and maintain the spondylolisthesis, and forced reduction is not only difficult to completely reduce, but also destroys the anatomical relationship that has been adapted, and is easy to lead to complications such as postoperative nerve root tension and nerve traction injury.

4.Spinal internal fixation mainly consists of strong fusion internal fixation. 5.Direct isthmic joint repair is the practice of isthmic reconstruction or direct isthmus repair. Methods include screw fixation, laminar hook, etc. Suitable for younger patients.

Although lumbar fusion surgery has been successfully tested for decades and millions of cases, it is still a complex and large-scale operation that requires a high level of surgical skill from surgeons. It is not uncommon to meet patients who have undergone inappropriate surgery in the outpatient clinic and their symptoms are worse than before the surgery. "

Lumbar spondylolisthesis can be performed with medications** first, including anti-inflammatory painkillers, bed rest, strenuous activity, wearing braces, and exercises for the lower back muscles and abdominal muscles. Do CT examination to clarify the degree of lumbar spondylolisthesis, and choose the appropriate method according to the symptoms and degree of spondylolisthesis.

Physical**, Drug**, Surgical**. With the growing pressure of people's life and work, health problems have become a major issue of increasing concern, especially for those working talents, who have to bear a large number of labor force every day, and there will inevitably be certain problems in the lumbar spine.

1. Physics**.

Physical ** can effectively alleviate lumbar spine injury, in this process, can reduce the torment of the disease, for the initial detection of patients, can achieve the effect of relief through bed rest, severe cases through physical ** to improve, so that the body's various functions grow in balance, maintain a good sleep habit when sleeping at night, pay more attention to eating habits.

2. Drugs**.

The drug is also a conservative one, which will not bring about an unexpected situation, but with the extension of time, if it is not effectively relieved, it is necessary to undergo surgery, and the early stage can be effectively reduced by drugs, lumbar spondylolisthesis, we must always pay attention to it, pay attention to the review, quit drinking and smoking at the same time as the drug, and prevent adverse effects, some drugs may be repelled with these bad foods, and cause damage through various reactions in the body.

3. Surgery**.

When the condition is very bad, it is necessary to undergo surgery, but the risks it brings are also what we must bear, we must choose according to the risk system provided by the doctor, be prepared, pay attention to the patient's dietary habits, ensure the healthy growth of the patient, and maintain a positive attitude to deal with various diseases, so that the condition can be effective.

You can apply some drugs to the waist to promote blood circulation and remove blood stasis for massage, acupuncture, physiotherapy for symptomatic **, to carry out more news, to avoid overwork of the waist, to prevent standing and sitting for a long time, and in serious cases, go to the hospital for surgery**.

It can take the way of acupuncture**, it can also take the way of massage**, it can also take the way of bone setting**, it can also be done by surgery**, and it can also be through the way of plaster**.

You can do acupuncture, you can massage, you can do physiotherapy, you have to do more exercise, you can do surgery.

You can do acupuncture, you can do massage, you can do physiotherapy, you have to do more exercise, you can do surgery.

This should refer to the lumbar disc herniation type, that is, the herniated disc protrudes from the ruptured fibrous annular opening, then this situation requires surgery**. At present, we believe that it is better to use minimally invasive surgical methods for the prolapsed disc, such as MED is the intervertebral discoscope, which can be removed by incising a small incision in the ** and opening the window between the lamina under the microscope. This surgical method is minimally invasive, less damaged, and has a quick recovery, so you can get off the ground on the same day after surgery and be discharged in 5-7 days.