Sunday, May 29, 2011

Lumbar Spondylolisthesis

Lumbar spondylosis describes the appearance of bone spurs - growths of bone on the front, side and rarely the posterior superior and inferior margins of the vertebral body. This dynamic process occurs and progresses with age once. Lumbar spondylosis usually produces no symptoms. When symptoms are back pain or sciatica, lumbar spondylosis usually is not the case.
Spondylolisthesis is a fault between joint faces of the vertebral body, which may or may not be accompanied by translation of a vertebra over another - spondylolisthesis. Bone spurs were long taken back because of back pain due to their size and frequency.Frequency of signs or symptoms among individuals with osteophytes is not higher than in those without. Lumbar spondylosis is present in 27-37% of asymptomatic population.Approximately 87% of individuals have vertebral osteophytes, most frequently at T9-10 and L3.Spondylosis lumbar segments involved reduces the ability to move normally. Back pain and back stiffness are common. Compression of nerves in the spinal canal or out of it leads to pain, numbness or weakness in legs, buttocks or bowel and bladder. Develop abnormal body weight. Occasionally these degenerative changes can produce spinal instability. Alterations in spinal alignment or spondilolistoza segments lead to severe pain and deformity of the spine with neurological symptoms.
Lumbar spondylosis appears to be a specific phenomenon of aging. Most studies do not suggest any relationship between lifestyle, weight, height, physical activity, smoking and alcohol consumption or reproduction isotirc. Adipozitatea is seen as a risk factor in some populations. Effect of physical activity is controversial. Lumbar Spondylosis occurs as a result of newly formed bone depunderii in areas where the annular ligament is stressful.
Because back pain is infrequent in lumbar spondylosis will seek another diagnosis for this. Medication is not indicated in the absence of complications. Surgical excision is performed for the incarceration sciatica unresponsive to 2 days of absolute bed rest.Increased mortality is associated with lumbar spondylosis. While some patients have persistent back pain, significant disability is rare if the patient has severe neurologic compromise. Morbidity is most commonly represented by persistent back pain or nerve incarceration. Since degeneration of the disc is accelerated spondylosis can occur discogenica pain. Degenerative spondylolisthesis produces characteristic arthritic symptoms can worsen with age.

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