The vertebrae bones that make up our spine are arranged in an order on top of each other. Normally, the anterior and posterior edges of the vertebrae are aligned with the edges of the lower and upper vertebrae. The vertebrae are connected to each other with the help of discs in the front and facet joints in the back. Many ligament structures that increase the durability of this alignment also form bridges between bones. In the disease known as lumbar vertebrae, one vertebra is usually displaced forward over the other. As a result of this slippage, our spinal cord passing through the spine gets compressed and complaints such as pain, numbness and burning occur in both legs. There are five types of waist slips available. The most common of these are; These are slips due to degeneration seen in old age, slips that develop after surgery, and slips that develop due to congenital problems in the vertebrae in childhood.
About 5% of people have developmental problems in the bone part that connects the upper and lower joints of the vertebrae in the lower part of the waist (facet joints). There may be a fracture. These fractures are called "spondylolysis". Fractures that occur because this area is very mobile may often not heal. However, while these fractures generally cause pain in adolescence, they may not cause serious problems in adulthood. In some patients, due to fracture, the upper vertebrae may slide forward compared to the lower vertebra.
This condition is called "lumbar slippage" or "spondylolisthesis". Spondylolisthesis can cause more serious problems depending on the amount of slippage. Lumbar slippage due to this type of fracture is called "isthmic spondylolisthesis" in medical terms.
Another type of waist slipping is the waist slipping seen due to wear and tear in the spine and surrounding connective tissues as a result of aging. This problem, which usually occurs over the age of 40, is called "degenerative spondylolisthesis". Degenerative lumbar slips are often accompanied by stenosis.
The first complaint that occurs in lumbar slips is low back pain. Pain may be followed by complaints of numbness in the legs, muscle tension, weakness, increase in waist curvature or difficulty in walking. Although these complaints are temporarily relieved with rest, an increase in pain can often be observed with standing, walking and other activities. attached.
Stress fractures (spondylolysis) may not always cause clinical symptoms. Sometimes it can occur accidentally in waist x-rays taken for other reasons. If the pathology becomes symptomatic, the first complaint is usually pain in the lumbar region. Waist slips may not cause symptoms even years after the slip occurs. Symptoms seen include lower back and hip pain; These may include numbness in the legs, pain, muscle tension, weakness, increased waist bend or difficulty in walking. These symptoms may be temporarily relieved by rest
Waist slip treatment
Stress fractures and waist slips that do not cause complaints should be followed up and physical therapy should be given. The use of a corset may also be recommended after physical evaluations. In severe cases, the physician may decide on surgery.
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