Sacralization of l5 vertebrae: symptoms and treatments
Sanctification: characteristics and risk of the rare anomalies
By mysterious word «sanctification» is hiding an unusual congenital anomaly.
It is reflected in the fact that the last, the fifth lumbar vertebra is partly or completely fused with the sacrum at the lumbosacral spine.
As a result, the number of lumbar vertebrae is reduced by one, and in the sacral division – increases, which leads to pain and excessive strain on the spine.
Anatomical features of the sacralization of
This anomaly can take many forms. If the vertebrae have transverse processes, it is likely that the pressure of the bones they will take the form of a butterfly wing or a fan.
At the point where the vertebra in contact with the sacrum, these processes can spaihts or be connected with it. The gap between the transitional vertebra and the sacrum may be narrowed or absent.
The spinous process is shorter and rests on the sacrum, and sometimes can blend with its comb. All of this is changing the space for the nerves: they are either changing, or converted into other holes, similar to those of the sacrum.
If between the transverse process and the sacrum is the joint, transitional vertebra retains its mobility. And with a unilateral or bilateral complete soldering of the sacrum and of the process of this vertebra cannot move.
According to some researchers, sacralization can also be considered the deep location of the fifth lumbar vertebra between the iliac bones, even if the transverse processes are not in contact with the bones of the sacrum.
However, this theory is not supported by traditional medicine, although experts do not deny that this may occur pain.
The types of anomalies
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Sacralization of l5 can be divided into two main types:
- With full (true) of the fifth lumbar vertebra is completely fused with the sacral bone, and transverse processes articulate with the Ilium. While the intervertebral hole takes the form of a channel corresponding to the front and rear holes of the sacrum. True sanctification can also be unilateral: lateral process forms the articulation with the iliac bone, and bilateral.
- About is characterized by the presence of normal interval between the vertebra and the sacrum, but the transverse processes will increase considerably, which come into contact with the sacrum and can spaihts and be connected with him. Incomplete sacralization similarly classified as single or double — sided.
Full sanctification happens:
- full – at absolute fusion of vertebrae L5 and S1;
- partial – when the fusion of the vertebrae arms or appendages, with the result that they become less mobile;
- deep – L5 penetrates the sacral region in a stealthy manner, i.e., without signs of merging (this type is allocated only certain doctors).
The deep location of the vertebra L5 between the Ilium is also considered about the type of sacralization, or regarded as a variant of development of the bones of the spine.
In addition, about sacralization also called ossification, i.e., the deposition of salts in the ligaments.
While there are pathological processes, including ankylosing spondylitis, known as ankylosing spondylitis. The calcium is washed out from almost all the ligaments of the spine.
Ossification – the problem is mainly the elderly because with age, the ligaments of the spine starts to Deposit more salts.
What caused the anomaly?
The exact answer to this question does not exist. Rather, it is a congenital disorder caused by developmental disorders of the fetus.
Fortunately, found this anomaly is quite rare – the likelihood that lower back pain caused by sacralization is not more than 2%.
As the disease manifests itself?
As a rule, to manifest this anomaly in humans begins 20-25 years in the form of pain of the lumbar spine.
In this case the discomfort is greatly magnified if the pull of gravity, stand for a long time, move a lot and exercise related to big load on the back.
Pain can be of two types depending on place of origin: lumbar and sciatic. Lumbar often caused by a secondary metamorphosis of the transitional vertebra and joints.
They can also appear due to the pressure exerted by the transverse process of the sacrum, or of the compression of the intervertebral disc. Sciatic pain or both immediately arise from the impact of the anomaly on the nerve.
Another cause of pain of the lumbosacral spondylosis is a that develops in the splice. In addition to this may appear low back pain in the region of the intervertebral disc.
Acute pain caused by injury (falls to his feet, sprains) and excessive strain on the spine. There are cases when this person feels a burning sensation or numbness in the legs.
The pain can be less pronounced in the horizontal position and grow in the vertical.
Another sign of pathology is discomfort while descending stairs, while the rise did not cause any inconvenience. Also worth considering if the pain is felt when jumping and down on the heels with improper feet.
At the age of 25 years when one begins to work, the pathology may manifest in other ways:
- pain in the lower extremities and buttocks;
- the reduction or loss of skin sensation in the lower back and hips;
- the occurrence of pain on palpation along the spine;
- the limitations of circular motion in the lower back;
- the low mobility of the spine.
However, all these pathologies are manifested only by the pronounced sacralization, i.e. when prosazhivanie intervertebral discs in the lumbar.
How to identify a pathology?
To determine the pathology with absolute certainty is impossible, but there is a test that help to suggest its presence:
- stand up straight;
- keep the heels together, place socks in hand;
- try to reach out your hands to the floor;
- if you can’t reach the floor with your fingers, ask someone to measure the remaining distance.
Such testing enables to approximately determine the anomaly in the absence of pain syndromes.
Accurately diagnose the sacralization of l5 and to determine its type only by using x-ray.
The anomaly is characterized by:
- the absence of the intervertebral gap in the photo – but it is seen in the bone;
- weak visualization or absence of the shadows of the spinous processes of the vertebrae L5 and S1.
The will help to determine the presence of anomalies and to see if there is adverse development of bone – globalizatsii (the appearance of the 6th lumbar vertebra).
Methods of medical therapy
If the pain is bothering rare and are mild in nature, it is possible to do conservative treatment, which includes:
- massage the sacrum and lower back;
- electrophoresis (done with novocaine);
- the use of orthopedic corset;
- the ultrasound procedure;
- sanatorium-resort treatment;
- paraffin baths;
- anti-inflammatory and analgesic medications.
However, if the nerve endings are highly that gives a lot of discomfort and pain, strongly recommended surgery.
During surgery is dissected the fusion of vertebrae L5 and S1, and instead of the intervertebral disc is a transplant.
Most often disease can cause degenerative disc disease, spondylosis and spondylosis in the upper segments of the spine, which increases the pain.
However, in most cases it does not cause a lot of problems and does not disturb the normal functioning of internal organs.
In General, sanctification is a rare phenomenon, and in some cases, does not cause discomfort. Is a congenital anomaly, but eliminate it surgically.