Treatment of lumbar spondylolisthesis.docVIP

 PAGE \* MERGEFORMAT 35 Treatment of lumbar spondylolisthesis Vertebral slippage (spondylolisthesis) is a Greek word of the spine (spondylo) and spondylolisthesis (1isthesis) 2 word combination. It is the vertebral column caused by a variety of reasons interbody bony anomaly which occurred in the upper and lower vertebral body vertebral body part or all of the sliding bit. Most common lumbar spine, especially the L5, S1 segment of pre-spondylolisthesis, cervical or thoracic spondylolisthesis there are also individual reports. A few years now on the cusp of lumbar spondylolisthesis treatment options are reviewed. A classification Wiltse is currently used according to anatomical characteristics of the spine, and acquired pathological conditions, the spondylolisthesis is divided into six types: Ⅰ-type congenital or dysplastic divided into three subtypes: Ⅰ A Facet of the Ministry of poorly developed, there is the level of the small joints of the axial plane. Department Ⅰ B there sagittal facet dysplasia, but the lamina is usually full. Ⅰ C except Ⅰ A, Ⅰ B outside the vertebral body to connect other types of congenital dysplasia. Type Ⅱ isthmic spondylolisthesis abnormalities were divided into two subtypes: Ⅱ A defect in the isthmus, undermining the integrity between the facet joints may be unilateral or bilateral slip. Ⅱ B arch of the isthmus to extend the model. Degenerative type Ⅲ: 2 is divided into primary and secondary classes. Type Ⅳ traumatic: divided into acute fractures and stress fractures of two classes. Pathological type Ⅴ: local disease and systemic disease, Type 2. Type Ⅵ after surgery: direct and indirect surgical operation two classes. 2 Classification Meyerding accordance with the lateral view the next position on the upper vertebral body vertebral level on the slip, the slip is d