Most patients are asked to get out of bed and walk with assistance on the first day following surgery. While you are in the hospital, you can gradually increase your level of activity in preparation for discharge. You may receive some occupational or physical therapy to assist your recovery. Before you are discharged, you will need to demonstrate that you can handle any normal activities that you might need to do at home, such as bathing, dressing, and climbing stairs. You will also need to have regular bowel and bladder functions. If you have had more complex spinal surgery, you may need to spend some time on a rehabilitation unit. This will provide you with additional nursing support and therapy prior to going home.
Brief introduction of lumbar spondylolisthesis Lumbar spondylolisthesis is due to congenital dysplasia, trauma, strain and other causes of adjacent vertebral bone connection abnormalities occurred, the upper vertebral body and the lower part of the vertebral body or all slip. Normal lumbar arrangement neatly, if due to congenital or acquired reasons, one of the lumbar vertebrae relative to the adjacent lumbar spine forward, that is, lumbar spondylolisthesis. Lumbar isthmus refers to the upper and lower articular process between the narrow part of the bone structure here is relatively weak. The normal lumbar spine has a physiological lordosis, sacral vertebrae physiological kyphosis, lumbar, sacral vertebrae junction becomes a turning point. I have the following lumbar spondylolisthesis, can take conservative treatment, including bed rest, back muscles exercise, wearing a waist or brace; can be appropriate aerobic exercise to reduce weight; prohibit the increase in waist weight activities, such as lifting weights, Bending and so on; in addition can also be combined with physical therapy such as infrared, hyperthermia; if pain and other symptoms can be oral anti-inflammatory painkillers such as Xi Le Bao, Fen must be symptomatic treatment. basic knowledge Medicare disease: No Prevalence: 0.02% Susceptible people: no special population Infection: no infectious Complications: shock lung atelectasis urinary tract infection Treatment of common sense Departments: Spinal surgery Orthopedic bone surgery Treatment: Surgical treatment of drug treatment support treatment Treatment cycle: 3-6 months Cure rate: 90% Treatment costs: according to different hospitals, charges are inconsistent, the city of the top three hospitals about 1000 - 30000 yuan Tips Strengthen the back muscles to exercise, reduce weight.
Can clearly show the shape of vertebral arch. Fractures in the lower part of the pedicle, in the articular process and the lower articular process between the edge often hardening signs. Lateral radiographs can show signs of lumbar spondylolisthesis and can measure spondylolisthesis. Commonly used in the domestic Meyerding classification, that is, the lower edge of the lower vertebral body is divided into 4 equal parts, according to the vertebral relative to the lower vertebral body forward sliding degree is divided into I-IV degree.
Lumbar spondylolisthesis caused by the clinical symptoms are very different, not all of the spondylolisthesis has clinical symptoms, and different patients may be the clinical symptoms of the performance and severity can be different. This is in addition to the compensatory capacity of the surrounding structure of the spine, but also depends on the degree of secondary damage, such as synopsis hyperplasia, spinal stenosis, cauda equina and nerve root compression.
Leading experts from the United States, Europe, and Israel present the latest concepts and findings on the biomechanics, clinical presentation, imaging, diagnosis, natural evolution, and conservative and surgical treatment of these vertebral conditions in adults and in children. A major portion of the book focuses on current strategies for surgical treatment in adults.
Eventually, the support from the facet joints becomes ineffective, and the top vertebra slides forward.
What does the condition feel like?
An ache in the low back and buttock areas is the most common complaint in patients with spondylolisthesis.
Lumbar spondylolisthesis symptoms common symptoms of chronic low back pain with lower limb numbness lower limb pain or letting ... lower limb radiating pain incontinence Lumbar spondylolisthesis caused by the clinical symptoms are very different, not all of the spondylolisthesis has clinical symptoms, and different patients may be the clinical symptoms of the performance and severity can be different. This is in addition to the compensatory capacity of the surrounding structure of the spine, but also depends on the degree of secondary damage, such as synopsis hyperplasia, spinal stenosis, cauda equina and nerve root compression. The main symptoms include the following: 1. lumbosacral pain: more performance for the dull pain, a very small number of patients can occur severe coccyx pain. Pain can occur after fatigue, or after a sprain. Standing, bending up when heavier, bed rest after the reduction or disappear. 2. Sciatic nerve involvement: the performance of the lower limb radiating pain and numbness, which is due to the iliis fracture of the fibrous connective tissue or proliferation of callus can compress nerve root, spondylolist nerve root traction; straight leg raising test mostly positive. 3. Intermittent claudication: If the nerve compression or lumbar spinal stenosis often occurs intermittent claudication symptoms. 4. cauda equina by traction or compression symptoms: slip serious, cauda equina involvement can occur lower limb fatigue, saddle area numbness and urinary dysfunction and other symptoms. 5. lumbar lordosis increased, buttocks kyphosis. Slip off the heavier patients may appear lumbar depression, abdominal lordosis, and even shorten the trunk, walking swing. 6. palpation spondylolisthesis on a spinous process, the waist has a sense of step, spinous process tenderness.
The main types of surgery for spondylolisthesis include
When the vertebra slips forward, the nearby nerves that exit the spine can become pinched or irritated.
This is similar to what happens when spondylolysis (mentioned earlier) occurs on both sides of the bony ring, but in this case it happens all at once.
Degenerative changes in the spine (those from wear and tear) can also lead to spondylolisthesis.
Treatment of lumbar spondylolisthesis treatment Departments: Spinal surgery Orthopedic bone surgery Treatment: Surgical treatment of drug treatment support treatment Treatment cycle: 3-6 months Cure rate: 90% Treatment costs: according to different hospitals, charges are inconsistent, the city of the top three hospitals about 1000 - 30000 yuan
Conservative treatment I have the following lumbar spondylolisthesis, can take conservative treatment, including bed rest, back muscles exercise, wearing a waist or brace; can be appropriate aerobic exercise to reduce weight; prohibit the increase in waist weight activities, such as lifting weights, Bending and so on; in addition can also be combined with physical therapy such as infrared, hyperthermia; if pain and other symptoms can be oral anti-inflammatory painkillers such as Xi Le Bao, Fen must be symptomatic treatment. Surgical treatment First, surgical indications include: 1. degree of lumbar spondylolisthesis below, there intractable low back pain, or the original symptoms of low back pain increased by formal conservative treatment is invalid, seriously affecting the lives and work of patients; 2. accompanied by lumbar disc herniation or lumbar spinal stenosis, lower extremity radial pain and intermittent claudication, or the emergence of cauda equina compression symptoms; 3. Course length, there is a gradual increase in the trend; More than degree of severe lumbar spondylolisthesis. Second, the surgical approach: 1. The main purpose of nerve decompression is to fully reduce the nerve root, can be unilateral or bilateral laminectomy decompression, if the laminaectomy is inevitable, you must add spinal fusion. And if the symptoms of lumbar spondylolisthesis is caused by instability of the lumbar spine, and there is no spinal stenosis, then only need to lumbar fusion without spinal decompression. 2. Long-term stability of spinal fusion depends on strong biological fusion. Spine fusion method is many, according to the site of bone graft can be divided into: intervertebral fusion, posterolateral fusion, vertebral circumference 360 fusion; by surgery into the intervertebral fusion can be divided into anterior interbody fusion Intervertebral fusion, intervertebral foramen fusion. At present, after the TLIF surgery for the mainstream surgery, that is, by unilateral intervertebral fusion surgery. 3. Lumbar spondylolisthesis reduction The current mainstream view if you can reset the reset as far as possible, because you can reconstruct the normal lumbar and nerve root anatomical location. But does not advocate the expansion of surgery for a complete anatomical reduction, because the long-term formation of lumbar spondylolisthesis, the surrounding structure of a corresponding change, with the resistance to stretch, to maintain the natural stress slippage, forced reset is not only difficult to completely reset, and will destroy the adapted anatomy Relationship, easy to lead to postoperative nerve root tension, nerve traction injury and other complications. 4. Spinal fixation mainly includes strong fusion internal fixation. 5. isthmus joint direct repair surgery is to do the isthmus reconstruction or isthmus direct repair. Methods are screw fixation, lamina hook and so on. Applicable to young patients. Lumbar fusion surgery, although after several decades, millions of cases of successful test, but still a complex large-scale surgery, the surgeon's surgical skills demanding Often in the outpatient service is encountered in the implementation of the inappropriate surgery caused by symptoms but increased than before surgery patients. " Third, postoperative guidance Line of internal fixation surgery after surgery in patients with three days after surgery can wear braces to get up activities, but should avoid premature intense physical labor, the general six weeks after the car can drive three months after the ride, laundry and other light Physical activity, but to avoid picking, carrying objects and other heavy physical activity. Patients need to continue to adhere to the back muscles exercise, according to their own physical strength in the original exercise on the basis of increased exercise intensity, so perseverance. Outpatient follow-up to check the fusion of bone graft and internal fixation. Quit smoking is extremely important, you can drink some red wine.