Progress in the diagnosis and treatment of spinal instability.docVIP

 PAGE \* MERGEFORMAT 19 Progress in the diagnosis and treatment of spinal instability Keywords: Spinal stability Under normal circumstances, the maintenance of spinal stability, the basic unit is the motion segment (motion segment), the spine functional unit (function of spinal unit, FSU), including the adjacent two vertebrae and the intervertebral disc, facet joints and ligament structure and so on. In physiological conditions, the activities of the spine affected by various external loads (external forces) and internal load (stress) of the common role of the corresponding parts of the resulting physical deformation (strain), and spine physical activity. In the physiological load, FSU does not appear abnormal strain, thus ensuring the stability of the spine. Pope and Pajabi made in 1985, reflecting the stability of the spine that occur under load and its role in the relationship between the displacement. In the same load, the smaller displacement, stability will be. Therefore, the spinal instability means that the normal load that appeared unusual activity, strain and deformation. In 1987, White and so on clinical stability (clinical stability), and clinical instability (clinical instability) of the concept. That the physiological load, all the spine structure can maintain its normal position between the vertebral body relationship, does not cause spinal cord or spinal nerve root injury or stimulation, it is known as the clinical stability; when the spine when the loss of this function, it said for clinical instability. “Spinal instability,” There is no uniform definition. However, most scholars believe that the concept should include the following two main aspects: (1) bio-mechanics, spinal instability refers to the motion segment stiffness decreased activity increased, as compared with the normal structure, instability Spinal loads in the same place a larger displacement; (2) Clinically, instability of the spine can cause pain