Retraites l5, l4 and l3 vertebrae — treatment and the clinical picture
What is dangerous retraites vertebra: the symptoms and treatment of the disease
All know, the spine consists of vertebrae, and the vertebrae in turn from the bodies and processes.
So the displacement of the vertebrae relative to the normal physiological position of the pole is called retrolisthesis.
Most frequent offsets are subjected to the cervical and lumbar.
This is because there lordosis (curvature of posture), which can develop because of the upright posture of man, so is the biomechanics of the movement. Less commonly detected displacement of the vertebrae in the thoracic spine.
The curvature of posture or kyphosis is often detected in the sacrococcygeal segment, but in the adult the sacrum is fused together with the bone and therefore retraites in this Department impossible.
The causes of the disease
Reasons retrolisthesis vertebra may be a few, here are the main ones:
- degenerative-dystrophic diseases of the spine, this includes such lesions as osteohondroz, intervertebral arthrosis and calcification of the disk;
- some damage to the intervertebral discs; it should be noted that the remoteness of the injury is irrelevant;
- sports injuries and heavy physical exertion (weight lifters, builders);
- overloading the spinal motion segment, the vertebrae are exposed retraites;
- not uncommon on the background of osteoporosis occur compression fractures of vertebral bodies;
- often the injury is caused by torn ligaments.
Retraites l5, l4, l3, l2 vertebra
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The displacement of the fifth lumbar vertebra is the most common, this is because it has the biggest size and it accounts for almost all the loads.
When retrolisthesis l5 pain is felt in the lower back and movements become limited. In the event of displacement of vertebrae of this division is often a protrusion of the spinal disc, which can trigger the development of paralysis of the belt of the lower extremities.
Known cases when there is disorder of internal organs.
Retraites l4 due to the application of direct trauma on the spine, but sometimes occurs together with displacement of the l5. To specify localization and character of the damage is carried out a number of neurological and radiological examinations.
In case of various diseases of the spine is sufficient to lift the load of small dimensions, to the clinical picture manifested itself.
As for retrolisthesis l3 and l2 vertebrae, they are less common and only occur only in case of any direct trauma on the spine.
Undergo partial and full shifts vertebrae heavyweight athletes, porters, and so on. The disease is accompanied by numbness of the lower limbs, crunching when turning, sometimes weakness and sweating.
The symptoms and signs of disease
Often patients noted aching pain in the lumbar region, often while performing some movement or during exercise.
With step can clearly feel the pain either on the right or on the left leg; then a man unconsciously shortens the steps. During a long stay in one position appear nagging pains, even at night.
The muscles of the affected side becomes flabby and lipotropics.
In some cases, the internal organs is disturbed, and the sensitivity of the limbs is reduced. Not surprisingly, in periods of exacerbation of the pathology of the impaired work capacity.
In fact, the manifestation of symptoms for each person individually, not only in severity but also in intensity.
This is because people of different age and sex retraites affects the nerves.
Single people with spondylolisthesis will feel only discomfort, and the other can disrupt the movement of the entire spine.
Diagnosis of the disease
A distinctive feature of retrolisthesis is a specific localization in one of the departments of the spine.
In this case, usually, the clinical picture of the slipping vertebra has a high level.
To properly diagnose the disease is necessary to conduct a number of surveys, such as:
To determine retraites in radiography, you must pay attention to the accompanying signs:
- the height of the disk is reduced;
- vertebral joints become unstable;
- adjacent bodies of the vertebrae affected by multiple sclerosis;
- visible osteophytes.
Thanks to MRI can reveal any damage to structures, fabrics and their changes. After this survey, physicians can confidently prescribe the right course of treatment and give the prognosis for recovery.
In case of damage of nerve fibers must ENMG examination.
Methods of treatment
The choice of treatment depends on the complexity of the disease.
Conservative treatment retrolisthesis l5, l4 and l3 vertebra is assigned only in the initial stages of the disease, and subject to timely detection. This includes:
- visits of physical therapy;
- a course of therapeutic massage that is particularly effective with physical therapy;
- orthopaedic corset for correcting the spine;
- effective therapeutic spinal traction, to prevent muscular dystrophy.
Drug therapies are recommended in cases of severe pain and cramps in the muscles.
Among assignable means analgesics, reduce pain, anti-inflammatory drugs, muscle relaxants decrease muscle tone and relieve pain, in case of defeat of the nervous system and its various departments accept neuropathic means.
Operative or surgical intervention is advisable in case of:
- retrolisthesis high degree;
- if neurological impairment is quite stable;
- the lack of effectiveness of previous treatments.
Often, the operation is to strengthen the musculo-ligamentous apparatus with implants, and then required a period of postoperative recovery.
Prevention of the disease
To achieve a positive result, it is necessary to prevent those areas in which there is damage.
Treatments you can do at home.
For example, if you need to raise the subject, then sit on your heels, it will reduce stress on the back muscles. And in the case of transfer of a heavy object, distribute the weight on two hands evenly.
In order to avoid this injury, as petrolisthes enough to observe elementary rules:
- strengthen back muscles exercise;
- follow up the treatment of previously obtained injuries and avoid new;
- eat foods rich in calcium.
Video: exercises for the spine
This set of exercises developed by experts to restore and maintain mobility of the spine and the health of its individual parts.