Lumbar Spondylosis (Degeneration)

什么是腰椎病？

腰椎病是椎骨和下背部椎间盘的年龄相关变性。这些变化通常称为退化性磁盘疾病和骨关节炎。共同的条件以分离脊柱骨骼的一个或多个椎间盘的分解为标志。这些磁盘在椎骨之间提供缓冲，并在脊柱上吸收压力。尽管大多数人随着年龄的增长而经历脊柱变性，但并非每个人都经历背痛。

您可以在Uthealth神经科学上期待什么

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.

We first investigate nonsurgical treatment options, including medical management, pain management, physical therapy, rehabilitation, and watchful waiting. When surgery is needed, our neurosurgeons routinely employ innovative minimally invasive techniques. Throughout the treatment process, we will work closely with the doctor who referred you to ensure a smooth transition back to your regular care. While you are with us, you will receive expert care, excellent communication, and genuine compassion.

腰椎滑脱的原因

脊椎病通常会影响腰部区域的椎间盘。当椎间盘突出症时，突出的椎间盘可以压在从脊髓到身体其余部分的任何脊柱神经。椎间盘突出可能会导致神经疼痛被称为坐骨神经痛，该神经疼痛沿着坐骨神经从下部向下延伸到每条腿的长度。

As a disk degenerates, bone spurs may form at the edges of the vertebrae. Bone spurs may also compress the spinal nerves, leading to weakness or numbness in the arms or legs. If bone spurs compress the spinal cord, you may develop problems with walking and bladder and bowel control. Over time, a degenerating disc may break down completely, leaving no space between two vertebrae, which can result in impaired movement, pain, and nerve damage. The pressure can cause pain, weakness, and numbness in the back and the legs.

腰椎病和诊断的早期迹象

脊椎病的症状可能会有所不同从没有温和to severe. The most common symptom is low back pain. Our spine specialists diagnose spondylosis based on your history of symptoms, a physical exam, and imaging tests that may include X-rays, CT scan, or MRI.

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腰脊椎滑星的疗法

我们的脊柱专家根据您的症状史，体格检查和可能包括X射线，CT扫描或MRI的成像测试来诊断脊椎病。大多数患有腰椎病的患者都可以通过非甾体类抗炎药或止痛药，热或冰施用以及物理疗法治疗。

在尝试更保守的治疗方法后仍会经历疼痛或在日常运动中受到严重限制的人们可能会考虑手术去除恶化的椎间盘并融合两个椎骨。对于椎骨严重或高级滑移的患者，可能建议进行手术，例如，超过50％的椎骨在其下方的椎骨上向前滑动时。该手术通常适用于腰脊椎滑落术的患者是脊柱融合。

贝弗利·史密斯（Beverly Smith）：脊柱疼痛的缓解

Anatomy of the neck and spine

The spine is divided into the following regions:

• 颈椎区域（椎骨C1-C7）涵盖了头骨下的前七个椎骨。他们的主要功能是支撑头部的重量，平均磅10磅。颈椎比其他区域更容易流动，而地图集和轴椎骨促进了颈部的各种运动。这些椎骨的开口使动脉可以将血液带到大脑，并允许脊髓通过。它们是最薄，最精致的椎骨。
• The thoracic region (vertebrae T1-T12) is composed of 12 small bones in the upper chest. Thoracic vertebrae are the only ones that support the ribs. Muscle tension from poor posture, arthritis, and osteoporosis are common sources of pain in this region.
• The lumbar region (vertebrae L1-L5) features vertebrae that are much larger to absorb the stress of lifting and carrying heavy objects. Injuries to the lumbar region can result in some loss of function in the hips, legs, and bladder control.
• The sacral region (vertebrae S1-S5) includes a large bone at the bottom of the spine. The sacrum is triangular-shaped and consists of five fused bones that protect the pelvic organs.

Spine Disease and Back Pain

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