spondylolisthesis…

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spondylolithesis is forward slippage of a lumbar, lower back, vertebra on the vertebra below it, spine is divided into 5 anatomical sections, cervical, neck, thoracic, thorax, rib cage, lumbar, lower back from bottom, the thoracic spine, top of pelvis, sacral, pelvis, coccygeal, tail, spondylolisthesis, a vertebra slips forward on the vertebra below it, in children this, occurs between the fifth lumbar vertebra, first sacral vertebra, due to a congenital malformation of that region, the spine, in adults, most common cause is degenerative disease, arthritis, slip, occurs between the fourth, fifth lumbar vertebrae, spondylolisthesis include stress fractures, repetitive hyper-extension, the back, commonly seen in gymnasts, traumatic fractures, spondylolisthesis, occasionally be associated, bone diseases, spondylolisthesis, from mild to severe, produce increased lordosis, abnormal convexity, the spine, swayback, in later stages, kyphosis, roundback, the upper spine "falls off" the lower spine, lower back pain, pain, in the thighs, buttocks, stiffness, muscle tightness, tenderness, in the slipped area, neurologic damage, leg weakness, changes in sensation, result from pressure on nerve roots, pain radiating down the legs, marked lordosis, lower back pain, localized tenderness over the spine, above the pelvis, pain in thighs, pain in buttocks, tight hamstrings, stiffness in back, , x-ray, the spine, demonstrates misalignment of lumbar vertebra, fracture, a straight leg raise uncomfortable, painful, spondylolisthesis, have no symptoms, treatment, depending on the severity, the spondylolisthesis, most patients, require only strengthening, stretching exercises combined, activity modification, avoiding hyperextension, the back, contact sports, practitioners also use a rigid brace, severe pain not responding to therapy, slip is severe, neurologic changes, slipping vertebra might be surgically fused, surgery has a higher incidence of nerve injury than most other spinal fusion surgeries, a brace, body cast used after surgery, conservative therapy, mild spondylolisthesis is successful in, 80% of cases, surgery produces satisfactory results in 85 to 90% of people, severe, painful spondylolisthesis, , compression, temporary/permanent damage of spinal nerve roots, sensation changes, weakness, paralysis, the legs, chronic back pain, call health care provider, child's back appears to curve excessively, child complains of back pain, stiffness, pain, in the thighs, buttocks, people, marked lordosis should avoid back hyperextension, leaning way back, weight lifting, contact sports, lower back pain, common in preadolescent, adolescent children, evaluated, marked lordosis.