When talking about the spondylolysis and the spondylolisthesis it is usual that there are doubts about them, there are people who do not know how to differentiate between these. Actually it is about two pathologiesías what isán related to each other in a regular way, and that usually affect the región lumbosacra. Spondylolisthesis is the slip of a vévertebra on another, usually forward.
This can be accompaniedñwould from spondylolysis, what is uni's defectóno fracture of a part of the védegenerative vertebrae, congénita o dreamática that causes instability. When displacement is found because it is a spondylolisthesis without spondylolysis, it should be, in general, to degenerative disorders.
It speaks of spondylosis when a break occurs in the láv mineértebra. Some people are born with this lesion.ón; and others develop it as a consequence of the stresses that their lives endure.évertebrae when practicing somethingún sport in which you stretch and twist your spine sharply; or because there is a direct trauma.
Index
Causes
The spondylolysis may be caused by a cong defecténest in the column, which usually appears one by oneñundress themés of being born; acute back trauma; degenerative spinal conditions; or by an overextensionón cróthe only problem in the back that has been caused by some sports activities.
It speaks of spondylolisthesis when there is a displacement of a vévertebra with respect to the inferior. This lessonón can be caused by an associated spondylosis; or due to interapophyseal osteoarthritis, without it being necessary for there to be a break.
It occurs between the fifth bone of the región lumbar, in the call vértebra lumbar, and the first bone in the ásacred evil (pelvic retroversion). It is often due to an abnormalía congégirl in this áarea of the spine or an injuryón sudden, with acute trauma. can be differentiated two types of spondylolisthesis, what are the following:
- Anterolisthesis. In this case the véupper vertebra moves forward on the vélower vertebra.
- Retrolisthesis. It occurs when I see heréupper vertebra moves backwardsás on vélower vertebra.
Síntomas
spondylosis does not have toé show síntomas, since we can find situations in which there is breakage without displacement. The moment there is displacement is when the signs begin to appear.íntomas.
there will be more pressure on the lower back, It must be taken into account that the symptomatologyía of spondylolisthesis depends on the degree to which the lesion isón, being able to classify and differentiate the following degrees:
- Degree 1. Displacement less than 25%.
- Degree 2. displacement between a 25 and a 50%.
- Degree 3. displacement between a 50 and a 75%.
- Degree 4. Displacement greater than 75%.
In general, Grades 1 and 2 They do not usually cause back pain or lumbago; while when there is a greater displacement, as in degrees 3 and 4, it is possible to cause a includedóno nerves or thereática, what gives rise to:
- Rigidity
- Tensionón muscular
- Sensitivity in the ábad from véinjured vertebra
- Pain, numbness or tingling in thighs and glúteos
- leg weakness
Treatment of spondylolisthesis
Treatment of spondylolysis and spondylolisthesis will dependá largely from vertebral displacement and the degree of this. in the great majoría of the cases, people improve by going to an ostóButter is a physiotherapist; and following their recommendations for stretching and strengthening exercises to do daily.
Only in the most serious cases, in which a strong compression occursón nervous, surgery is neededía to be able to merge the vévertebrae. In the rest of the cases, the following treatments are chosen:
Applicationóno ice or heat
One of the treatment options for spondylolisthesis and spondylolysis is to resort to a méall that is very effective when dealing with different types of problems, generally refers to injuries sustained in the applyóno ice or heat, commonly used to reduce localized pain.
In general, It is recommended to use ice to relieve pain or discomfort immediately after carrying out the activity in which the pain has been caused.. The application is recommendedón of calories, for his part, in order to effectively relax the múmuscles and promote así airflow and a suitable healing environmentón. It should not be applied for a period of time that exceeds the 15-20 minutes continuously.
Physiotherapy
It is also recommendedén resort to a treatment that is as effective and precise as the physiotherapy. In this case, elongation is recommended.ón, starting with the elongationón of the hamstrings and progressing over time.
in addition, attention should be paidón special to elongationón of the múhamstrings twice daily in order to relieve tensionón that exists in the lower back. The professional analyzeá each specific case to designñar an exercise program that isé under control and can be gradually increased over time.
Turning to a professional is a great option.ón in all these kinds of situations, since I caná assess each particular case and designñar a physiotherapy treatment that can be the más idóneo to enable the patient to solve his problem as quickly as possible and with the greatest efficiency.
Manipulationón manual
A third víThe treatment for spondylolisthesis is to resort to manipulationón manual, where to trustá in the work of physiotherapists but alsoén ostópatas and other health professionals who are duly trained to do so. A través of this tétechnical beingá pain can be reduced throughés of the mobilizationón of the jointópainful dysfunctionón.
It is necessary to be aware that as theñoh and time passes, the lord curveótica is accentuatedúa, which makes it essential to carry out physiotherapy treatments along with daily exercise, stretch and hold adequate postural hygiene.
