Lumbar Spine Pathology Spondylolisthesis Isthmic Low Grade operation videos

http://www.medilaw.tv Lumbar Spine Pathology Spondylolisthesis Isthmic Low Grade operation videos. The inter-vertebral disc and the facet joints are the points that connect and stabilize adjacent vertebrae. They allow some movement while keeping adjacent vertebrae correctly aligned.

Spondylosis can occur from increased stress on the back, particularly from movements like repeated back extension and rotation. The bony pars can develop stress fractures on one or both sides. This can happen to gymnasts, dancers, divers, pole-vaulters, high jumpers, weight lifters and football players, and usually occurs at the fourth or fifth lumbar vertebra. If these stress fractures expand, the pars can break. As well as being painful, the break permits abnormal movement between adjacent vertebrae. This causes accelerated wear and tear of the vertebral column, and narrowing of the spinal canal and intervertebral foramina.

LYTIC SPONDYLOLISTHESIS
Sometimes the vertebral body slips forward over the vertebrae below, leaving the facet joints behind. This is called lytic spondylolisthesis. If the amount of slip is less than 50% of the width of the vertebral body, it is called a low grade lytic spondylolisthesis. Unstable scar tissue fills the gap and may compress the adjacent nerve root.
Lumbar Spine Pathology Spondylolisthesis Isthmic Low Grade operation videos
SYMPTOMS
Although spondylolisthesis may not show any symptoms, it's also possible for patients to suffer
pain that feels like muscle tightness
strain or cramps in the back or buttocks from overwork trying to support the trunk
leg numbness
pins and needles.

The amount of pain is not related to the degree of slippage. The pain is more likely to be related to the degree of instability and the amount of nerve compression. Most cases of spondylolisthesis do not slip further, and surgery is not necessary.

TREATMENT
If the slippage is not progressing, you should try non-surgical treatments first. These include
physical therapy
anti-inflammatory and pain-relieving medication
a corset or brace
restricting stressful activities such as heavy lifting, bending, twisting and running
stopping aggravating activities

Should the degeneration become advanced, where the instability produces uncontrollable pain, or the pressure on the nerves affects their functioning, your surgeon will consider fusing the two vertebrae together to stabilize the area and remove the pressure from the nerves.

The pars are the parts of the vertebrae that connect the pedicle with the lamina, or more accurately, the superior articular process to the inferior articular process of the same vertebra.

SPONDYLOSIS
When there is a break in the bony pars, it is called spondylolysis. Six percent of the population has a defect in the pars. Many have no symptoms, so it is only found during an investigation for a different problem. Mostly it is stable and won't become worse, and so doesn't require any treatment. Lumbar Spine Pathology Spondylolisthesis Isthmic Low Grade operation videos.

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