腰椎滑脱（spondylolisthesis）.docVIP

腰椎滑脱（spondylolisthesis） Correct treatment principle of lumbar spondylolisthesis Hou Department of orthopedics, No.304 Hospital of PLA, No. 100037 Fu Cheng Road, Beijing, 51 Because lumbar spondylolisthesis has its special pathological, anatomical and radiological features, it is easy to be diagnosed in various causes of low back pain and deserves better treatment. But the fact is not true, there are some patients after surgical treatment, the symptoms do not improve, even further aggravate the condition, the removal and operation of technology and experience, but to understand and change of lumbar spondylolisthesis of different pathological and therapeutic methods for different indications are the important factors to influence the treatment effect. 1 not all lumbar spondylolisthesis requires treatment Some doctors believe that lumbar spondylolysis requires surgical treatment to prevent further lumbar spondylolisthesis, worsening symptoms, and compression of the nerves. In fact, some people with lumbar spondylolysis do not suffer from low back pain until old age, and even some patients with mild spondylolisthesis are without treatment for life without symptoms of low back pain. The study showed that the degree and type of chronic low back pain in patients with lumbar spondylolisthesis were not significantly different from those of the normal subjects. In the middle-aged population, the rate and severity of low back pain are similar to those without spondylolisthesis. Therefore, mild lumbar spondylolisthesis is not necessarily the root cause of low back pain. There is no need for occupational restriction for patients with low back pain, and no surgical treatment is necessary. 2 lumbar spondylolisthesis accompanied by low back pain does not require surgery The pain symptom of lumbar spondylolisthesis patients should first position and character of the pain, the pain and the judgment whether slippage and detachment, because parts of the adjacent intervertebral disc deg