Saturday, 10 September 2016

Sliding paragraphs

Sliding paragraphs

 Spondylolisthesis spondylolisthesis is a condition in which the greatness slip in the back (paragraph) to forward to the greatness underneath. Often slipping into the lower part of the spine occurs (lumbar sacral region of the lumbosacral spine). In some cases this may lead to pressure on the spinal cord (spinal) or nerve roots.

As it can be spondylolisthesis also occur in the middle of the upper part of the back (dorsal spine thoracic spine) and neck (cervical spine cervical spine).

 This may cause pain in the back and Tnumeila and weakness in one or both legs. As you might also cause, in rare cases, loss of control over bladder or bowel. Therefore, you should see a doctor as soon as the feeling of loss of control of the bladder or intestines.

Symptoms at all, or may not appear symptoms may not appear until years after sometimes, when sliding paragraph of the place. And there can be a feeling of pain in the lower back or in the buttocks (spanking) buttock; or there may be a feeling of traction or weakness in the muscles of the legs; and even can happen limp.

 Types of spondylolisthesis

There are different types of spondylolisthesis, and include the most common species
:

     Congenital spondylolisthesis Congenital spondylolisthesis: and Congenital means that it "exists since birth"; Phanzlaq spondylitis congenital form is the result of abnormal bone. In this case, the alignment of the vertebrae is a natural increase in the risk of slipping causes.

 Spondylolisthesis Alborzkha Isthmic spondylolisthesis: Infection occurs with this type of spondylolisthesis result of spondylolysis Spondylolysis, a condition which causes a stress fractures (cracks) stress fractures in small paragraphs. In some cases, bone fractures weaken so much that slip from its place.

     Spondylolisthesis degenerative Degenerative spondylolisthesis: It is the most common form of this disorder, where you lose disks - cushions between the bones of the spine - the water with age, losing part of a strong advantage spongy, and become less able to resist the movement of paragraphs.

 At least formats include common spondylolisthesis on:

     Spondylolisthesis Traumatic Traumatic spondylolisthesis: where infection leads to a break or sliding backbone.

     Spondylolisthesis patients Pathological spondylolisthesis: occurs when a weakened spine as a result of the disease - such as osteoporosis - or infection or tumor.

     Next slide spondylitis Surgery Post-surgical spondylolisthesis, which refers to the slide that occurs or worsens after a spine surgery.
Causes of spondylolisthesis

The bones in the spine are connected to each other through a number of small joints that maintain the alignment of the bone but still allow them to move. Spondylolisthesis resulting from the occurrence of a problem in one or more of these small joints, allowing the exit of one of the bones of the place.

Spondylolisthesis may result from one of the problems that affect the small joints in the back, where a person can suffer from:


 Articular defect since birth (congenital congenital).
     Detailed victim of an accident or trauma to another.
     With a broken vertebra piezoelectric caused by excessive use of the joint.
     Detailed affected by the infection or joint inflammation.

Spondylolisthesis affects children and adolescents participating in sports activities; exercise may lead some sports calisthenics or gymnastics, or weight lifting to the excessive use of the bones back to the point of causing a break in the piezoelectric paragraph, leading to spondylolisthesis.


 Spondylolisthesis may occur in the elderly, because the wear the bones of the back leads to the occurrence of fractures Piezo. It can also happen without fractures Piezo, when Thtri disks and bones and slip out of its place.

 Risk factors include for sliding vertebrate on having back problems in the family health history, with increased risk of sliding spondylitis Alborzkha Isthmic spondylolisthesis in people who suffer from a defect in the part between the bone joints of the spine (called the situation spondylolysis Spondylolysis). And other risk factors, the presence of a long record of repeated trauma or hyper-extension of the lower back or lumbar spine.

Symptoms

Infection may include spondylitis plunge on the appearance of the following symptoms:


     Pain in the back or mechanism (rump).
     Pain extends from the lower back around one or both legs.
     Numbness or weakness in one or both legs.
     Difficulty walking.
     The worsening leg pain or back or rump when bending or when turning.
     Loss of control over bladder or bowel, in rare cases.
     In some cases, symptoms do not appear when a spondylolisthesis.


 Diagnosed with spondylolisthesis

The doctor read the X-ray images X-rays of the afternoon when suspected spondylolisthesis, where the X-ray images will show a fracture or a crack or get out of the position of one of the vertebrae. You can also make a radiograph CT CT scan or MRI MRI to position the damage and to help guide treatment.


How are classified spondylolisthesis

X determines the degree of slippage specialist based on the view of the X-ray image of the spine, where they are classified slipping into four levels
:

     First level: sliding ranges between 1-25%.
     Level II: sliding ranges between 26-50%.
     Level III: sliding ranges between 51-75%.
     Level IV: sliding ranges between 76-100%.


  The slide does not need on the first and second levels usually surgical treatment, and treated pharmacologically. While it may require treatment slip on the third and fourth levels to perform surgery if chronic and painful.

Spondylolisthesis occurs when children between the fifth lumbar vertebra and the first sacral paragraph in the pelvic area usually. The result often from a birth defect in that area of the spine or sudden injury (acute trauma); while the most common cause of injury in adults is abnormal wear of the bones and cartilage, such as arthritis.


the cure

Begins to treat spondylolisthesis off any physical activity may lead to damaged vertebrae. And it can be used as anti-inflammatory drugs non-steroidal, from which ibuprofen (such as Advil Advil) and naproxen (such as Aleve pet) to help ease the pain. And we should not use aspirin to anyone who did not exceed the 20-year-old, in the presence of risk syndrome Ray Reye syndrome, a serious illness. It may be the use of acetaminophen (such as Tylenol Tylenol) is also useful in the relief of pain.


 Doctors recommend often perform physiotherapy to strengthen the stomach and back muscles (strengthen the muscles of the trunk). It can also be useful when you lose weight who are overweight.

It may be a surgical operation is useful when the pain is severe, or when the bones are moved constantly, or when the damage to the nerve roots or the spinal cord as a result of spondylolisthesis.


 Can the surgery to eradicate bone tissue or another to relieve pressure on the spinal cord or nerves, or it can be the surgery to install the bones in place. You can sometimes do to ease the pressure and installation during the same surgery. There may be a need to use a splint or brace (pillar) back for some time after conducting any operation of these surgeries. It will help rehabilitation therapy rehabilitation therapy later on muscle strengthening and facilitating the movement.
Complications related to plunge spondylitis

Constant pain related to plunge spondylitis may lead to reduced mobility and a lack of activity. The lack of activity leads in turn to an increase in weight and a lack of bone density and loss of muscle strength and flexibility in other parts of the body. There is also a risk of the occurrence of permanent neurological damage if paragraph sliding pressure on spinal nerve root.


The extent of spondylolisthesis

Spondylolisthesis is most commonly used for back pain in adolescents is why, as the symptoms of spondylolisthesis begin to appear during the period of rapid growth in adolescence often. While degenerative spondylolisthesis occurs after the age of forty habit.


 The fate of people infected plunge spondylitis

It supports the possibility of the recurrence of pain on the severity of spondylolisthesis; When a slide lightly, so as not to put pressure on the bone any nerves, it does not repeat the person feeling back pain linked to plunge spondylitis
.

Treatment is conservative for cases of spondylolisthesis light generally successful in 80% of cases; while the surgery to be successful in relieving symptoms at about 85-90% of people who suffer from severe sliding impoverishment.


 Prevention of infection plunge spondylitis

     Maintaining a strong back and abdominal muscles to help support and install the lower back.

     Choice of activities and sports that do not display the lower back to the risk of injury. The biking and swimming from the possible options.

     Maintaining a healthy weight, since excess weight puts additional pressure on the lower back.

 
     A balanced and good diet to keep bones strong and has a good feeding.


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