脊椎前移
Overview
脊椎前移 is a condition in which one vertebra slips forward on the one below it. 在儿童, spondylolisthesis may occur as the result of a birth defect that affects the back of the spine or be caused by stress fractures within the back part of the spine. 脊椎前移 is the most common cause of low back pain in adolescent athletes. In older people, the most common cause is degeneration of the discs between the vertebrae. 与衰老, 圆盘失去水分, 晾干并压平, bringing the bones on either side closer together to the point where one slips forward on the other.
Our Approach to 脊椎前移
UCSF is home to one of the largest centers in the country dedicated to evaluating and treating spinal disorders such as spondylolisthesis. 病人 have access to the most up-to-date diagnostic imaging techniques as well as innovative treatments that are not widely available. Our team includes world-renowned specialists in neurosurgery, 整形外科手术, 神经学, 疼痛管理, 物理治疗, 精神病学, radiology and rheumatology. These experts work together to personalize a plan for each patient.
Treatment for slipped vertebrae and the associated pain usually begins with bed rest, 物理治疗 to strengthen back muscles, medications to manage pain and sometimes wearing a brace. 病人 who do not respond to these treatments may require surgery to relieve irritated nerves or stabilize the spine. Our team's expertise in state-of-the-art surgical repair and rehabilitation results in less time under anesthesia, 更快的恢复和, 最终, a better quality of life.
奖 & 识别
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Among the top hospitals in the nation
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One of the nation's best for orthopedic care
迹象 & 症状
Typical 症状 of spondylolisthesis include pain across the lower back and legs, which occurs when the slipped vertebra irritates the nerves around it. However, a person can have the condition and not have pain.
诊断
A number of tests may be used to aid in the diagnosis of spondylolisthesis and to locate the affected bone, 包括:
- x射线 高能辐射 is used to take pictures of the spine.
- Magnetic Resonance Imaging (核磁共振成像) An 核磁共振成像 provides detailed pictures of the spine that are produced with a powerful magnet linked to a computer.
- Computed Tomography (CT) Scan A CT扫描 uses a thin x射线 beam that rotates around the spine area. A computer processes data to construct a three-dimensional, cross-sectional image.
治疗
Most often, treatment for spondylolisthesis includes:
- Physical therapy to strengthen the back muscles
- 止痛药
- 卧床休息
- Wearing a back brace or corset
Children and adolescents whose spines have slippage greater than 30 percent to 50 percent may be candidates for spinal fusion surgery. Children and adults who have persistent pain despite non-operative care also may be considered for surgery.
Surgery for spondylolisthesis may involve decompression of the nerve roots by removing bone and/or intervertebral disc material, followed by fusion of the vertebrae with or without bracing.
加州大学旧金山分校健康 medical specialists have reviewed this information. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.
