What is Waist Slip? How is the treatment done?

The vertebral bones that make up our spine are arranged on top of each other in an order. Normally, the anterior and posterior edges of the vertebrae align with the edges of one lower and one upper vertebra. The vertebrae are connected to each other with the help of discs in the anterior part and facet joints in the posterior part. Many ligament structures that increase the durability of this arrangement also form bridges between bones.

What is Lumbar Slipping? As a result of this slipping event, our spinal cord, which passes through the spine, is 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; Slips due to degeneration seen in old age, slips that develop after surgery, and shifts that develop due to congenital problems in the vertebrae in childhood. These fractures are called “spondylolysis”. Fractures that occur due to the fact that this region is very mobile may not heal most of the time. However, while these fractures usually cause pain in adolescence, they may not cause serious problems in adulthood. In some patients, the upper vertebrae may slide forward relative to the lower spine due to fracture. Spondylolisthesis can cause more serious problems depending on the amount of slippage. Lumbar slippage due to this type of fracture is called "istmatic spondylolisthesis" in the medical language. This problem, which usually occurs over the age of 40, is called "degenerative spondylolisthesis". Narrow canal often accompanies degenerative lumbar slippage.
The first complaint that usually occurs in lumbar slippage is low back pain. The pain may be followed by the complaints of numbness in the legs, muscle tension, weakness, increase in waist slope or difficulty in walking. Although these complaints are relieved temporarily by rest, they are usually relieved by standing, walking and other activities. An increase can be observed.
Stress fractures (spondylolysis) may not always give clinical symptoms. Sometimes it can occur by chance in waist films shot for other reasons. If the pathology becomes symptomatic, the first complaint is usually pain in the lumbar region. Waist slippage may not show any symptoms even years after slippage occurs. Symptoms seen include back and hip pain; numbness in the legs, pain, muscle tension, weakness, increase in waist slope or difficulty in walking can be counted. Although there is temporary relief in these symptoms with rest, the pain usually increases with standing, walking and other activities.

How to Treat Back Slip? is appropriate to follow. Again, relief in complaints can be achieved with one or more of the methods of rest, painkillers and anti-inflammatory drugs, temporary corset use and physical therapy in mild degree shifts. If there is leg pain and numbness due to nerve compression along with low back pain, epidural or foraminal injections can be added to the treatment.
If stress fractures seen in adolescence cause pain and limit the activities of young people, they should be treated surgically. The most appropriate method in surgical treatment is determined by your physician. Generally, the preferred method is to fix the fractured area with screws or hooks along with supporting it with fresh bone grafts for fusion. With many years of experience in our clinic, they perform this procedure for only one vertebra. With this method, which can be defined as a kind of fracture repair, recovery is achieved in the short term and our patients regain their former activities without any restriction in their waist movements. abduction...) and if it progresses, surgical treatment is required. In surgical treatment, the nerves in the slip zone are released and the vertebrae are fixed to each other, preventing the progression of slippage. The operation can be performed from the front or the back, or from both sides. The recovery process is supported by the rehabilitation programs applied after the surgery. One or more of the methods of internal and anti-inflammatory drugs, temporary corset use and physical therapy may be recommended. If nerve compression is present with low back pain, epidural or foraminal injections can be added to the treatment. In the surgical treatment of low back slippage, the nerves in the slip area are released and the vertebrae are fixed to each other, preventing the slippage from progressing. The operation can be performed from the front or the back, or from both sides. Postoperative rehabilitation programs can be beneficial in accelerating the healing process.
The expert physiotherapist staff of our hospital starts the rehabilitation of our patients from the first day after the surgery. Daily movements such as getting out of bed, walking and climbing stairs are taught in detail to our patients before they leave the hospital. To reach us, you can use the contact form on our website or call 444 0436.

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