The spine is a group of interconnected bones called vertebrae.
It consists of structures. Approximately adult humans
905 mostly have lower spine and tailbone (sacrum)
There is a developmental crack visible between the This
The crack may occur as a stress fracture. affecting the waist
Under the influence of constant forces, this fracture is usually normal.
It does not heal like bone. A fracture such as spondylolysis
It is called a simple structure containing part of the vertebra.
It is cracked and does not cause any serious problems in its current form. But
Sometimes the cracked vertebra moves forward over the vertebra below.
slides right. This condition is adult isthmic spondylolisthesis.
It is called.
Other types of spondylolisthesis other than this type of spondylolisthesis
There are also varieties; one of them is slipping
inflammation of the small joints in the spine (arthritis) and disc
Degenerative disease that occurs due to the deterioration of its structure
It is spondylolisthesis.
WHAT ARE THE SYMPTOMS?
Isthmic spondylolisthesis, years after the slip has occurred
It may not even cause symptoms. Among the symptoms seen
lower back and hip pain; numbness, pain, muscle in the legs
tension, weakness (sciatica); increase in lumbar slope or
It may be considered a disability in walking. These symptoms occur with rest.
Although temporary relief occurs, standing still
It increases with walking and other activities.
Studies show that patients with lower back pain should consult a spine surgeon.
905-10% of patients had spondylolysis or
showed that isthmic spondylolisthesis was present.
However, isthmic spondylolisthesis is always
There is no crack on the x-ray because it is not painful.
(spondylolysis) or slippage (spondylolisthesis)
Being seen does not mean that these are the source of your complaints.
HOW IS IT DIAGNOSED?
Your doctor will listen to your complaints and perform a physical examination.
After doing this, take a direct x-ray of your waist.
may want. In most cases, an x-ray
It is possible to detect cracks or slippage. Sometimes
Some additional tests may be required. your waist area
a computed tomograph that displays cracks or
It may indicate defective structure in the bone. Also the spine
soft tissues (nerve structures and between vertebrae)
discs) and the cracks or slippages of these tissues, if any.
In order to clearly show its relationship with the region
Magnetic resonance imaging (MRI) may be requested. MRI
and also due to spondylolisthesis (slip)
The presence of any damaged or burst disc can also be detected.
If isthmic spondylolisthesis is present, slip
It is classified as grade I, II, III, IV depending on its size.
WHAT ARE THE TREATMENT METHODS?
If your doctor determines that the cause of your pain is spondylolisthesis
If you think it is, surgery is usually the first thing to do.
will try non-existent treatment methods. This
methods include short-term bed rest,
anti-inflammatory medications (oral or oral) to reduce
by injection), painkillers to control your pain,
corsets to restrict movement and flexibility and
physical therapy methods to improve your strength
and includes exercise. In this way, a more normal life
You can return to the format. If rest is recommended,
You should stay in bed for as long as your doctor deems appropriate.
is necessary. Usually this period is longer than a few days
(absolute bed rest is often necessary)
is not). When can you return to work during your treatment?
Ask your doctor if you can return.
In addition, your doctor, sometimes with the help of a nurse or physiotherapist, can also provide training on how to do your daily activities without straining your back.
If the desired result as a result of medication and physical therapy
If no improvement is observed, your doctor will ask for further details.
Some additional new tests may be required to obtain information.
In an adult human, only one vertebral fracture occurs
(spondylolysis) or intervertebral slippage
The presence of spondylolisthesis does not create a dangerous situation. This
so the treatment can control the pain and the patient’s work
should aim to become. Although non-surgical
If treatment methods do not correct the crack or misalignment
long-term without the need for invasive methods
They can provide pain control. A comprehensive program may require three or four months of treatment.
SURGICAL TREATMENT
Surgical treatment, pain relief with non-surgical methods
It is necessary in a very low percentage of patients who do not pass
is happening. Pain from pinched nerve, unstable fissure
caused by movement of the vertebra or nearby
It may be caused by an affected disc. If you slip
If a spinal nerve is under pressure as a result, this nerve
to open a new tunnel or create free space
surgery becomes necessary.
As a result near a crack or slip
screws and screws to relieve the pressure on the nerve
stabilization (fixing) process with rod system or
Fusion (boiling of bones) may be recommended.
These procedures prevent further slippage of the vertebrae.
and also any new nerve pressures that may occur in this area.
prevents. Fusion surgery in isthmic spondylolisthesis
Its success in correcting complaints is above 9075.
When you can return to work after surgery varies depending on the job you do. If you have a desk job, you may wait 2-3 days after surgery.
You can return to work in as little as a week. if
If your job is based on physical strength, bone healing and
You may have to wait a few months for it to boil.
Being able to return to your daily life activities
A complete post-operative rehabilitation program for
It is recommended.
ADULT ISTHMIC SPONDYLOLISTHESIS
NOTES ABOUT
– A cracked vertebra (spondylolysis), approx.
Adults are found in 905 cases and are mostly painless.
– When a crack causes the vertebra to shift, this
The condition is called isthmic spondylolisthesis
and may cause lower back and/or leg pain or
It may not be.
– The first step of treatment is usually medication or
is physical therapy. Correct diagnosis and early treatment
It will enable your doctor to heal you faster with appropriate prescriptions. A large number of patients
Long-term well-being with some non-surgical treatments
They can obtain it.
– Medicines should be taken only as recommended and only
as part of a comprehensive treatment program
should be used.
– Surgery for persistent waist and/or leg pain
may be necessary. with nerve decompression or nerve
Fusion surgery without decompression
The success rate is more than 9675.
