Spondylolisthesis
What is Spondylolisthesis?
当下脊柱中的椎骨移出并在其下方的骨头上移动时，会发生脊椎滑落术，通常是由于虚弱或应力骨折。在患有关节炎的年轻运动员和老年人中，它更为常见。它会导致疼痛，僵硬和肌肉痉挛。
Non-surgical options are often successful in relieving the symptoms, but sometimes surgery is needed. Spinal fusion is one of the more common options.
脊椎滑脱的原因
通常是由脊椎分裂的脊椎分裂，脊柱溶解，pars骨间骨间骨折的裂纹或应力断裂，这是连接上和下部小平面接头的椎骨的薄部分。
在儿童中，脊椎滑脱通常发生在下背部的第五骨（腰椎）和骨子（骨盆）区域的第一个骨头之间。受伤最常见于参加体育运动的儿童和青少年，涉及在下背部反复压力，包括足球，举重和体操。重复应力会在椎骨的一侧或两侧引起骨折。它也可能是由于腰椎出生缺陷或急性损伤引起的。
在成年人中，最常见的原因是软骨和骨骼的异常磨损，例如通过关节炎。这种病影响50岁以上的人，在女性中比男性更普遍。骨骼疾病和骨折也会引起腰椎脊椎滑脱。遗传学可能起作用，因为有些人天生就有比正常的椎骨稀薄。
Early Signs of Spondylolisthesis and Diagnosis
Symptoms of spondylolisthesis may vary from none to mild to severe. The most common symptom is low back pain.
条件会导致脊柱前弯症(swayback). In later stages it may result in kyphosis (roundback) as the upper spine falls off the lower spine. General symptoms are lower back pain; muscle tightness in the hamstrings; pain, numbness, or tingling in the thighs and buttocks; tenderness in the area of the vertebra that is out of place; weakness in the legs; and difficulty standing and walking.
Our spine specialists diagnose spondylolisthesis by taking a thorough medical history, conducting a physical exam, and asking you to undergo imaging studies that may include X-ray, CT scan, or MRI scan.
Treatments for Spondylolisthesis
Your doctor may use X-rays, CT scans, or an MRI, as well as a physical exam, to determine the severity of your condition. Initial treatment may include rest, physical therapy, nonsteroidal anti-inflammatory drugs, oral corticosteroids, and/or bracing that limits movement of the spine and allows the fracture to heal.
Surgery may be recommended for patients who have severe or high-grade slippage of the vertebra, such as when more than 50% of the fractured vertebra slips forward on the vertebra below it. The procedures most often recommended for people with lumbar spondylolisthesis are spinal fusion or a laminectomy to decompress the nerves.
What You Can Expect at UTHealth Neurosciences
The UTHealth Neurosciences Spine Center brings together a multidisciplinary team of board-certified, fellowship-trained neurosurgeons, neurologists, researchers, and pain management specialists who work together to help provide relief for even the most complex problems. Your team will share insights, leading to better treatment decisions and outcomes.
我们首先研究非手术治疗方案，包括医疗管理，疼痛管理，物理疗法，康复和注意等待。当需要手术时，我们的神经外科医生通常采用创新的微创技术。在整个治疗过程中，我们将与医生紧密合作，该医生向您推荐您，以确保顺利过渡到您的常规护理。当您与我们在一起时，您将获得专家护理，出色的沟通和真正的同情心。
脖子和脊柱解剖
- The cervical region (vertebrae C1-C7) encompasses the first seven vertebrae under the skull. Their main function is to support the weight of the head, which averages 10 pounds. The cervical vertebrae are more mobile than other areas, with the atlas and axis vertebra facilitating a wide range of motion in the neck. Openings in these vertebrae allow arteries to carry blood to the brain and permit the spinal cord to pass through. They are the thinnest and most delicate vertebrae.
- 胸部区域（椎骨T1-T12）由上胸部的12个小骨头组成。胸椎是唯一支撑肋骨的椎骨。姿势不良，关节炎和骨质疏松症的肌肉紧张是该地区疼痛的常见来源。
- 腰部区域（椎骨L1-L5）具有更大的椎骨，以吸收举重和携带重物的压力。腰部区域的伤害会导致臀部，腿部和膀胱控制的功能损失。
- s骨区域（椎骨S1-S5）在脊柱底部包括一个大骨。ac骨是三角形的，由五个保护骨盆器官的熔融骨头组成。
脊柱疾病和背痛
Arthrodesis
人造光盘更换
Cauda Equina Syndrome
Cervical corpectomy
Cervical disc disease
Cervical discectomy and fusion
颈椎椎间盘
颈椎切除术
Cervical laminoforaminotomy
宫颈辐射病
颈脊利病（变性）
宫颈狭窄
Cervical spinal cord injury
Degenerative Disc Disease
Foraminectomy
有孔切开术
椎间盘突出
注射疼痛
kyphop成形术
椎板成形术
腰椎椎间盘
Lumbar laminectomy
腰椎椎板切开术
Lumbar radiculopathy
腰脊椎滑星
Lumbar spondylosis (degeneration)
Lumbar stenosis
颈部疼痛
Peripheral Nerve Disorders
Radiofrequency Ablation
Scoliosis
脊髓syrinxes
Spinal deformities
Spinal injuries
Spinal fractures and instability
脊髓刺激器试验和植入
脊柱融合
Spinal Radiosurgery
脊柱和脊髓肿瘤
Spondylolisthesis
Stenosis
Tethered spinal cord
Thoracic herniated disc
Thoracic spinal cord injury
跨膜腰椎室内融合
Vertebroplasty
联系我们
At UTHealth Neurosciences, we offer patients access to specialized neurological care at clinics across the greater Houston area. To ask us a question, schedule an appointment, or learn more about us, please call (713) 486-8100, or click below to send us a message. In the event of an emergency, call 911 or go to the nearest Emergency Room.