The treatment of degenerative lumbar spondylolisthesis Progress.docVIP

 PAGE \* MERGEFORMAT 28 The treatment of degenerative lumbar spondylolisthesis Progress Author: Chu Ge Bai Jing-ping cylinder Prat Day Xiang Jiang Ze-wen Zhao Fangrui Keywords: Xinjiang Uygur Chinese Medicine Hospital Degenerative lumbar spondylolisthesis (LDS) a common cause of low back pain 〔12〕, treatment varied, as summarized below. A non-surgical treatment The most common symptoms are low back pain, 80% of patients had pain in parts of limitations, the need is only 10% of surgical treatment, disease, natural history shows that most symptoms do not change over time and heavier, with little deterioration of neurological function 〔12 〕, preferred non-surgical treatment that can be used non-steroidal anti-inflammatory drugs, physiotherapy, massage, closed to relieve pain. But no randomized controlled trials confirmed its long-term efficacy. Two surgical treatment 2.1 The simple decompression method Single-segment degenerative spondylolisthesis, no patients with unstable performance, simple decompression of efficacy is very good 〔12〕. Johnsson et al 〔7〕 reported simple decompression laminectomy and fusion in 45 patients, including 20 cases of degenerative spondylolisthesis, spinal stenosis in 25 cases, postoperative slippage in 18 cases, 13 (65%) cases of belongs to spondylolisthesis group. Only 5 cases (20%) were spinal stenosis. The bad effects are increased in patients with spondylolisthesis, 13 cases in 7 cases (54%), degenerative spondylolisthesis obtained good effect. Therefore, we can consider only the motion segment with a stable trend of delayed degenerative spondylolisthesis was suitable for such treatment. 2.2 decompression and fusion methods Decompression and fusion can improve degenerative spondylolisthesis and spinal stenosis effects 〔16〕. Schnake et al 〔13〕 through research confirms this. The 20th century, the mid-80s, integration became the focus of the study due to a simple