Analyses (anterolisthesis) of the spine: causes, treatment and complications
Analyses: the displacement of the vertebrae relative to each other
The spine is a very fragile organ, prone to many diseases. One of them is called Antelias. Rarely in medical practice the term anterolisthesis.
The main symptom of disease – displacement of one vertebra forward relative to the located below it. On the side view it would look like overhanging visor.
This deformation applies to the cases when the phase is shifted as a whole, there is no break in the arc. This is the main distinguishing feature analistas from spondylolisthesis.
Painful changes in the spine structure for this diagnosis lead to several functional disorders.
Described a degenerative condition associated with osteochondrosis in the lumbar region, it is localized, usually on level 3 (L3), 4th (L4), 5th (L5) vertebrae.
Most can change the position of the L4 – to 10 mm Located above shift less, and L5 firmly connected with the sacrum. The shape of the intervertebral disc in these cases is distorted.
Analyses vertebra may result in uncontrolled load increase in deformation of the spine, can harm the muscles and tissues in this area, to rupture the ligament.
Causes and classification of disease
The origin of the pathology is well understood, and doctors have identified the following causes as the main ones:
- congenital disorders of the joints and arches of the vertebral column;
- the result of the injury;
- the development of inflammation and oncological processes in the spine;
- arthrosis of the vertebral segments;
- raising large weights, excessive exercise;
- muscle contractions;
- static long stay of the body;
- a quick drop in temperature.
Pathology can result from spinal stenosis due to aging. Birth injuries are considered statistically significant factors. Known cases where the disease was the result of a failed surgical intervention.
On the basis of etiology and causes, who played the role of a trigger for the emergence and development of defects in anterolisthesis, carry out their classification.
- Innate. Usually fixed for level L5, rare.
- Traumatic (istericeski). This type is characterized by the duration and the steady curvature of the back.
- Degenerative. It is noted in the elderly.
- Surgical. Is associated with doctors.
Symptoms of pathology
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Disease some time developing asymptomatic in the early stage is defined only when the diagnosis of another disease. This leads to late access to specialists, including, when it touched the back of the brain.
Mostly the patients complain that they have:
- impaired sensitivity of the limb;
- uncontrolled defecation and urination;
- unbearable pain when trying to change pose;
- difficult movement of arms and legs until the Paralyzation.
Along with the General signs of the disease has specific manifestations in different lesions of the vertebrae.
Features analistas l5, L4 and L3 vertebrae
When analysese L5 vertebra there is a significant compression of the spinal cord. This leads to involuntary urination and bowel movements, inability to change the position and stiffness of muscles.
The patient has severe pain requiring analgesics. This is the most serious complication of the spinal cord with this diagnosis.
Protrusion of the L4 vertebra causes hardly bear the pain when emptying bladder and bowel relief. Typical symptom include spasms of the muscles of the buttocks and the accompanying unpleasant sensations in the perineum.
Painful compression of the muscles in the lower back associated with atelestite L3 vertebra. This leads to difficulty urinating, defecation, women have problems with fertility.
Methods of diagnosis of the disease
It is crucial to conduct high-quality, correct diagnosis analysese of a vertebral body. The disease in its development goes through several stages, from the correct definition depends on the methods of treatment.
To determine the phase of the disease are used for quantitative characteristics. Assesses the degree of deformation, computed as the ratio of the length of the offset to the diameter of the vertebra, expressed as a percentage
To the initial extent of damage to 25%. The following stages are allocated as 50% deformation and 75.
To clarify the situation is enough radiographic studies. If it is impossible to obtain contrast of the patient is directed to magnetic resonance imaging.
Based on the definition of the depth of the lesion, the doctor prescribes conservative or operative treatment.
When conservative therapy treatment is aimed at relieving pain and eliminating precipitating factors. First of all, the patient must avoid physical stress on the spine.
Assigned to the treatment wearing a corset, the treatment course pain medications and anti-inflammatory drugs. Last used in tablet form and in the form of compresses, soaked with need ointments.
Prescribed drugs to relax the muscles, eliminates cramps in combination with vitamins of class b are made novocaine blockade.
Performs physiotherapy for strengthening the abdominals, the patient attends sessions of therapeutic massage. To maintain the results of primary treatment are assigned special exercises, it is recommended that the use of the pool.
After a course of conservative treatment need time for rehabilitation. At this time, it is useful to spend some time in sanatorium-resort institution, which has created conditions for consolidation of the results.
You should be aware that all of these techniques assist only in the early stage of the disease and eliminate its symptoms without affecting the cause.
If you are not able to achieve positive dynamics, the patient has no relief, surgical treatment. This usually happens if you offset more than 50%.
During surgery, the surgeon fixes the vertebrae in the correct position. In complex cases, implants are used to restore the natural dimensions of the vertebrae. Surgery is not only eliminates symptoms and restores crippled the axis of the spine.
The patient should understand that it is necessary to strictly comply with all instructions of doctors to adhere to recommended lifestyle, to undergo examinations by the deadline.
If you feel unwell should visit a doctor.
By following these rules, you can avoid heavy, difficult-healing complications that can lead to disability.
Analyses of the spine can be the cause of serious consequences by themselves, which is a serious ailments. Of these, the most common:
- spontaneous urination and defecation;
- the lack of sensitivity of the lower extremities;
- muscle paralysis;
- pain in the pelvic region;
- curvature of the spine;
- difficulties with digestion.
To take timely measures against complications appropriate in due time to carry out x-rays. Change in pictures the specialist can determine the kinetics of hazardous processes and carry out the necessary therapy.
Prevention of anterior displacement of the vertebrae
Prevention is about common measures to prevent diseases of the spine. Required physical education classes, swimming, massage.
To frequently change body position. Do not raise large weights. To undergo periodic x-ray examination of the spine and lumbar area.
- intellisteam is the displacement of one vertebra forward relative to located below;
- the disease is localized in L3, L4, L5 vertebrae;
- the disease can lead to serious pathologies;
- the disease is diagnosed with the aid of fluoroscopy;
- distinguish 4 stages of the disease depending on the strain;
- conservative treatment helps small lesions;
- in advanced cases, surgery is carried out.