What is lumbar spondylolisthesis? Pay attention to lower back pain

The most common causes of lumbar spondylolisthesis are strain, congenital dysplasia, injury, etc. The main symptom of lumbar spondylolisthesis is long-term recurrent pain in the lower back. Severe pain will also radiate to the lower limbs, so you should rest in bed in time.

1. The main clinical manifestations of patients with lumbar spondylolisthesis:

Long-term recurrent lower back pain, sometimes the pain radiates to the sacroiliac region and even to the lower limbs. The pain worsens when standing, walking, bending over, or bearing weight, and is relieved when resting in bed. A very small number of severe patients may experience symptoms of traction and compression of the cauda equina, weakness of the lower limbs, numbness in the saddle area, urinary and bowel dysfunction, and even incomplete paralysis. If there is only isthmus collapse but no slip, sometimes there are no symptoms, and some people have mild lower back pain and can engage in general work. The severity of a person's symptoms depends on the type of nonunion, the amount of spinal instability, the degree of the slip, and the person's age.

2. Treatment Methods

1. Treatment

Conservative treatment includes bed rest for 2-3 days, prohibiting activities that increase the weight of the waist, such as lifting heavy objects, bending over, etc., combined with physical therapy such as infrared and heat therapy, and oral anti-inflammatory and analgesic drugs such as ibuprofen and ibuprofen. In addition, you can also wear a waist belt or a brace, which can reduce the burden on the waist and relieve symptoms. If patients with lumbar spondylolisthesis develop neurological symptoms and the symptoms are not significantly relieved after regular conservative treatment, and they still have long-term low back pain and other accompanying symptoms of spondylolisthesis, that is, conservative treatment is ineffective and seriously affects their life and work, then surgical treatment should be considered. There are many surgical methods for lumbar spondylolisthesis, such as posterior spondylolisthesis reduction, pedicle screw fixation, intervertebral bone grafting and fusion.

2. Notes

If there are symptoms of nerve root compression, decompression of the nerve root canal and spinal canal is also required to eliminate lower limb pain and numbness caused by lumbar spondylolisthesis.