脊椎滑脱
什么是脊椎滑脱？
脊椎滑脱occurs when a vertebra in the lower spine shifts out of place and onto the bone below it, often because of weakness or a stress fracture. It is more common in young athletes and older adults who suffer from arthritis. It can cause pain, stiffness, and muscle spasms.
非手术选择通常在缓解症状方面成功，但有时需要手术。脊柱融合是最常见的选择之一。
Causes of Spondylolisthesis
Usually spondylolisthesis results from spondylolysis, a crack or stress fracture in the pars interarticularis, the thin portion of the vertebra that connects the upper and lower facet joints.
In children, spondylolisthesis usually occurs between the fifth bone in the lower back (lumbar vertebra) and the first bone in the sacrum (pelvis) area. The injury is most commonly seen in children and adolescents who participate in sports that involve repeated stress on the lower back, including football, weightlifting, and gymnastics. Repetitive stress can cause a fracture on one or both sides of the vertebra. It also may be caused by a birth defect in the lumbar spine or an acute injury.
In adults, the most common cause is abnormal wear on the cartilage and bones, such as through arthritis. The condition affects people over the age of 50 and is more common in women than in men. Bone disease and fractures also can cause lumbar spondylolisthesis. Genetics may play a role, as some people are born with thinner-than-normal vertebral bone.
脊椎滑脱和诊断的早期迹象
脊椎滑脱的症状可能从无变化到轻度到重度。最常见的症状是腰痛。
这种病可能会导致脊柱障碍（摇摆）。在后来的阶段，由于上脊柱从下脊柱掉落时，可能导致脑脊液（回转）。一般症状是下背痛；腿筋的肌肉紧绷；大腿和臀部的疼痛，麻木或刺痛；椎骨区域的温柔；腿部的弱点；和站立和行走的困难。
我们的脊柱专家通过彻底的病史，进行体格检查并要求您进行可能包括X射线，CT扫描或MRI扫描的成像研究来诊断脊椎滑脱。
脊椎滑脱的治疗
您的医生可以使用X射线，CT扫描或MRI以及身体检查来确定病情的严重性。初始治疗可能包括休息，物理疗法，非甾体类抗炎药，口服皮质类固醇和/或支撑，以限制脊柱的运动并允许骨折愈合。
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。对于患有腰脊椎滑落术的患者，最常见的方法是脊柱融合或椎板切除术以减压神经。
您可以在Uthealth神经科学上期待什么
Uthealth神经科学中心汇集了由董事会认证的，受过奖学金培训的神经外科医生，神经科医生，研究人员和疼痛管理专家组成的多学科团队，他们共同努力，以帮助解决最复杂的问题。beplay苹果手机能用吗您的团队将分享见解，从而提供更好的治疗决策和结果。
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.
Anatomy of the neck and spine
- 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
关节固定
Artificial Disc Replacement
库达等综合征
宫颈骨术
宫颈椎间盘疾病
宫颈切除术和融合
Cervical herniated disc
Cervical laminectomy
宫颈腹膜切开术
Cervical radiculopathy
Cervical spondylosis (degeneration)
Cervical stenosis
脊髓损伤
退化性椎间盘疾病
有孔切除术
Foraminotomy
Herniated discs
Injections for Pain
Kyphoplasty
Laminoplasty
Lumbar herniated disc
腰椎切除术
Lumbar laminotomy
腰椎肿瘤病
Lumbar spondylolisthesis
腰椎病（变性）
腰椎狭窄
Neck Pain
周围神经疾病
射频消融
脊柱侧弯
Spinal cord syrinxes
脊柱畸形
脊柱受伤
脊柱骨折和不稳定性
Spinal Cord Stimulator Trial and Implantation
Spinal Fusion
脊柱放射外科手术
Spine and spinal cord tumors
脊椎滑脱
狭窄
系绳脊髓
胸腔椎间盘突出
胸脊髓损伤
Transforaminal Lumbar Interbody Fusion
椎骨成形术
Contact Us
在Uthealth神经科学，我们为大休斯顿地区诊所的患者提供了患者的专门神经护理。要问我们一个问题，安排约会或了解有关我们的更多信息，请致电（713）486-8100，或单击下面向我们发送消息。如果发生紧急情况，请致电911或去最近的急诊室。