I-retrolisthesis ukunyakaza okubuyela emuva kwe-vertebra yomgogodla ehlobene ne-vertebra ngaphansi kwayo. Ngokomlando, ukubuyisa kabusha kubonakala kungenakho ukubaluleka komtholampilo. Kodwa njengoba imisebenzi yokucwaninga iqhubeka, izinhlangano ezihambisana nobuhlungu, ukunciphisa ukusebenza, kanye nezinguquko ezishintshayo emgodini kwenziwa.
Isibonelo, isifundo se-2003 eshicilelwe kuyi- The Spine Journal sathola ukuthi abesifazane base-Afrika baseMelika basebenamaphesenti amabili kuya kwezi-3 anterolisthesis (ukuqhuma phambili kwe-vertebral slippage) kunabalingani babo baseCaucasia.
I-anterolisthesis ayizange ithinte kabi umsebenzi wabo wokubuyela emuva. Ucwaningo olufanayo lubuye lwathola ukuthi ukuphindaphinda kabusha (ukubuyela emuva kwe-vertebral slippage) kwakungavamile kakhulu kulo mphakathi owodwa (4%) kodwa kunciphisa ukusebenza komsebenzi kwabahlanganyeli.
Ucwaningo olunyatheliswa emagazini ka-Mashi 2015 we- Journal of the Korean Neurosurgical Society luthi i-retrolisthesis iyinxephezelo eshukumisela i-vertebra emuva uma umgogodla wakho nesigqoko sezinyawo zakho zihambela phambili phambili emhlane. Abacwaningi bathi i-lumbar lordosis encane kanye / noma i-angle encane ye-pelvic i-angle incinci ingabangela ukubunjwa kwe-retrolisthesis.
Ukwelapha Emuva Ne-Retrolisthesis
Esicwaningweni sika-2007 eshicilelwe ku- Spine Journal, abacwaningi bahlola iziguli ezingu-125 ezathola i-discectomy ye-L5-S1. Umgomo wabo kwakuwukubheka ukutholakala kwe-retrolisthesis. Bathole ukuthi cishe i-1/4 yeziguli ekucwaningweni kwakune-L5 ngaphezulu kwe-S1.
Uma une-retrolisthesis, le miphumela ayisho ukuthi uzothola ubuhlungu obukhulu kunomuntu ongekho. Abacwaningi bathola ukuthi ngaphambi kwe-discectomy, izimpawu ezitholwa yizo zombili amaqembu (okungukuthi, ngaphandle nangaphandle kokubuyisela emuva) zazilingana.
Abacwaningi baphinde bahlola izinguquko emagcekeni omgogodla ahambisana nama-retrolisthesis amacala.
Ngokuvamile, bathole ukuthi ukutholakala kwe-retrolisthesis akuhambisani nezimo eziphakeme ze-diseneral disorder noma izinguquko ezishintshashintshayo endandeni yebony ngemuva kwe-vertebra.
I-retrolisthesis ingenzeka ngenxa yokuhlinzwa. Esinye isifundo, eshicilelwe ku- Spine Journal ngo-2013 sathola ukuthi ngemva kweminyaka engu-4 i-discectomy, ubuhlungu be-retrolisthesis buziveza okokuqala noma bubi nakakhulu. Kuyafana nokusebenza ngokomzimba.
Ngokufana nokucwaninga kukaDartmouth, imiphumela yeziguli ezine-retrolisthesis ezithola i-discectomy zazifaniswa neziguli ezingenawo. Kodwa-ke, lesi sikhathi, imiphumela yabandakanya isikhathi sokuhlinzwa, inani lokulahleka kwegazi, isikhathi esichithwa esibhedlela noma esibhedlela, izifo, izinkinga zokuhlinzwa okwenziwe umgogodla kanye / noma ukukhishwa kwama-disc okuphindaphindiwe.
Kodwa esinye isifundo (eshicilelwe encwadini kaDisemba 2015 ye- Journal of Neurosurgery: Isihlwathi) sathola ukuthi ukuhlinzwa kungase kungalungele iziguli ezazingaphezu kuka-7.2% wokubuyisela emuva ngesikhathi kuvuliwe (emuva kokuvula). Isizathu sasiwukuthi ukubuyisela emuva kwamathambo kulezi zimo kwandisa izingozi zabagulayo ze-disc lumbar disc herniation. (Ukuhlinzwa okukhulunywe ngakho kwakuyi-laminectomy ephakathi kwamanye amazwe, kanye nokususwa kwe-posterior ukwesekwa ligament.)
Ubani othola ukubuyisa kabusha?
Ngakho hlobo luni lwesiguli oluthola kabusha? Ucwaningo lwango-2007 olukhulunywe ngenhla lithole ukuthi ukutholakala kwe-retrolisthesis kwakungaguquguquki kuzo zonke izinhlobo zeziguli - kungakhathaliseki ukuthi bebedala, basha, besilisa, besifazane, ababhemayo noma cha, bafundiswe noma bangaphansi kwalokho, futhi kungakhathaliseki ukuthi bunjani.
Lokho kusho ukuthi abantu abane-retrolisthesis babekwazi ukuthola izisebenzi. Futhi ubudala kwakuyisici kulabo ababenezinguquko ze-vertebral endplate kanye / noma isifo se-disenerative disy (kokubili ngaphandle kokubuyisela emuva). Lokhu kungaba ngoba, ngokuvamile, lezo zinguquko zihlobene nobudala.
Futhi ekugcineni, abathintekayo abafundela ama-vertebra changeplate izinguquko bavame ukubhema futhi bebengenaso umshwalense.
> Imithombo:
> Jeon, I., MD, Kim, Rettististhesis ye-SMD njengeMikhawulo Yokunciphisa E-Degenerative Lumbar Spine. J Korean Neurosurg Soc. Mashi 2015. Kufinyelelwe ngo-Feb 2016.
> Kang KK, Shen MS, Zhao W, Lurie JD, Razi AE. I-retrolisthesis ne-lumbar disc herniation: ukuhlolwa kokulandela kokusebenza kwesiguli. I-spine J. 2013 Apr; 13 (4): 367-72. doi: 10.1016 / j.spinee.2012.10.017. Epub 2012 Nov 30.
> Moore RJ. I-end-plate plate: yini esiyaziyo? I-Eur Spine J. 2000 Apr; 9 (2): 92-6.
> Shen M, Razi A, Lurie JD, Hanscom B, Weinstein J. Retrolisthesis kanye ne-lumbar disniation: ukuhlolwa kwangaphambili kokusebenza kwesiguli. I-Spine J. 2007 Jul-Aug; 7 (4): 406-13. Epub 2007 Jan 2.
> Takenaka S., Tateishi K., Hosono N., Mukai Y., Fuji T. Ukubuyisela kabusha kwe-Preoperative njengengozi yengozi yokudlula ukucindezela ukuxoshwa. J Neurosurg Spine. Dec 2015.
> Vogt MT, uRubin DA, uPalermo L, Christianon L, Kang JD, Nevitt MC, uCauley JA. Uhlu lwama-Lumbar we-spin kumama amadala ase-Afrika aseMelika. I-spine J. 2003 uJulayi-Aug; 3 (4): 255-61. A