What is the reason that lumbar spondylolisthesis appears more in old people
summary
Many patients with lumbar spondylolisthesis are over 50 years old, but now these lumbar spondylosis and cervical spondylosis are also very young, and most of them are lumbar 4 vertebral body and vertebral arch sliding forward together. If the cause of the disease can not be identified and treated in time, it will cause a lot of trouble to the life of the elderly. Let's take a look at the following.
What is the reason that lumbar spondylolisthesis appears more in old people
First, due to extensive degenerative changes of the sliding vertebral body, abnormal activity of the intervertebral body, bone hyperplasia at the edge of the vertebral body, hyperplasia and hypertrophy of the articular process, wear of the articular surface, wear of the upper articular process at the back of the lower vertebral body, and proliferation at the front, the articular process gradually tilted forward and occupied the spinal canal and lateral recess. When L4 slipped forward, it occupied the posterior part of the spinal canal, and the hypertrophic articular process occupied the lateral recess, causing compression symptoms of cauda equina and nerve root. In the elderly, the elasticity of the tissue around the spine is weakened, and the degeneration of the joint capsule is also the main factor of lumbar spondylolisthesis.
Second: after manipulative reduction, the patients with sciatic nerve involvement, intermittent claudication and cauda equina nerve involvement can be quickly solved. At the same time, laser needle knife lysis is used to release the soft tissue of lumbar adhesion, and new He-Ne laser is used for anti-inflammatory analgesia, which can quickly cause old low back pain due to lumbar soft tissue adhesion and is not easy to relapse. The patients do not need to be hospitalized and go with the treatment. Patients with degree II or above need internal fixation for vertebral reduction.
Third: for patients with lumbar spondylolisthesis less than degree II, they can be treated by manipulative bone setting and laser Acupotomy.
matters needing attention
In general, for lumbar spondylolisthesis within degree II, experts will first recommend the use of minimally invasive and bone setting treatment.