Is lumbar spondylolysis serious?

summary

Lumbar isthmus refers to the narrow part between the upper and lower articular processes, where the bone structure is relatively weak. Normal lumbar vertebrae have physiological lordosis, sacral vertebrae show physiological kyphosis, and the junction of sacral vertebrae becomes a turning point. The upper lumbar vertebrae inclines forward, while the lower sacral bone inclines backward. Therefore, the negative gravity of lumbosacral vertebrae naturally forms a forward component, which is the tendency of lumbosacral vertebrae to slide forward. Under normal circumstances, the strength of the L5 inferior articular process and the surrounding articular capsule and ligament can limit this suspicious tendency, so that the 155 gorge is in the focus of the two forces, so it is not easy for the small gorge to collapse, which is also the reason why the L5 isthmus is most likely to collapse.

Is lumbar spondylolysis serious?

1. For internal spondylolisthesis, non-surgical treatment is effective in most cases, including non-inflammatory analgesics, short-term bed rest, avoiding heavy lifting and strenuous exercise, wearing braces, waist back muscle and abdominal muscle exercise. After 6-8 weeks of treatment, the symptoms can be improved, especially for immature teenagers.

2. Not every patient with spondylolysis or spondylolisthesis needs treatment. A considerable number of patients with spondylolysis and grade I spondylolisthesis have no symptoms and need no treatment. For low back pain symptoms persistent or recurrent, non-surgical treatment is invalid, patients for young and middle-aged can be treated by surgery.

3. If accompanied with disc herniation, the herniated disc nucleus pulposus was removed at the same time. In the surgical treatment of spondylolysis, for patients with lumbar spondylolysis, the local plant of spondylolysis is was carried out. After removing the fibrous callus of spondylolysis, the transverse process of the diseased vertebra crossed the spondylolysis West to the vertebral lamina, and the joint was not fused.

matters needing attention

Surgical treatment of lumbar spondylolisthesis, including the relief of cauda equina or nerve root compression, should explore the isthmus fibrous callus hyperplasia, whether compression or removal of vertebral arch, complete decompression. It is easier to remove the subumbilical intervertebral disc after reduction. Fusion, interbody fusion or intertransverse fusion.