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Sequestered herniation of the spine what it is, treatment without surgery

Sequestered disc herniation occurs as a result of bulging and rupture of the fibrous ring (disk), which is a kind of "padding" between the vertebrae. In the middle of the disk is a soft tissue of nucleus pulposus. Protrusion or bulging disc – the third stage of the disease herniated disc, which can last for several years. If left untreated, over time the cartilage shell of the disc cracks, which lead to rupture. In the end, through them flows the liquid drop part of the nucleus pulposus that leads to pinched nerves of the spinal channels. The dropped part (dead tissue) is called sequestration. Spina bifida goes into a sequestered stage.

sekvestrirovannaya gryzha

The reasons for sequestration

Sequestered herniation of the spine – the result of complications of intervertebral hernia, which in turn is influenced by such factors as curvature of the spine, degenerative disc disease, shock, trauma. Moreover, the female half of humanity suffers from this disease more often than men because in women the connective tissues are less dense in contrast to men.

Sedentary a sedentary lifestyle can provoke the development of sequestration of a herniated disc.

The intervertebral discs are not supplied with blood vessels, and therefore fed through the movement of dorsal muscles. In the absence of moderate load on the back muscles, fibrous ring do not receive the right amount of food and become brittle.

There is a whole list of factors that increase the risk of sequestered spinal herniations:

  • Older age of a person (the wear of bone tissue over time);
  • Frequent hypothermia (inflammation of tissue);
  • Obesity (increased load on the vertebrae);
  • Excessive physical load (lifting weights);
  • Smoking (eating disorders of all tissues, disks);
  • The constant driving of the transport (sedentary lifestyle, vibration);
  • Malnutrition (metabolic disorders);
  • Incorrect posture (slouching);
  • Genetic predisposition to sequestration of hernia, flat feet;
  • Amateur load on the spine (improper sports training);
  • Infectious diseases.

Sequestered complication can be the consequence of all these long-term processes that gradually cause the destruction of disks. And even with a small sudden movement longitudinal ligament of the ring can easily break and thus cause complications.

Types and symptoms

Sequestered herniation, the spine is divided into types depending on where it is localized:

  • In the cervical spine – rupture of the fibrous ring and loss of the nucleus between the sixth and seventh vertebra;
  • In the thoracic spine, the most rare species, due to the permanent loads;
  • In the lumbar – sekvestirovanii disc herniation occurs between the lumbar and sacral Department, is one of the dangerous forms of hernia, it is called the "cauda equina syndrome".

Patients can't always feel the development of the pathology of the prolapsed nucleus pulposus. In some patients, a similar phenomenon may occur unnoticed. In other cases, a hernia develops, from time to time appearing painful attacks, which the patient gradually becomes accustomed to.

pulpoznoe yadro

The result is pain in 80% education and loss of sequestration between the vertebrae that may be made for the next attack. Attacks and symptoms of hernia depend on which period of the spine is damaged disk:

  • Sequestered herniation of the lumbar spine causes the patient is experiencing unbearable lower back pain that radiates to leg and buttocks. Often there are muscle weakness throughout the body, loss of tendon reflexes, exhaustion and numbness leg muscles.
  • Sequestered herniated disc of the thoracic is determined by the chest pain when you cough or sneeze. Patients mistake the pain for heart.
  • Affected with hernia of the cervical spine accompanied by pain in the neck, shoulders, head. The patient has frequent attacks of dizziness, increased blood pressure, numb and tingling fingers, exhausted muscles.

Complications and consequences

Sequestered herniation is not a temporary phenomenon and not a simple disease, which can easily be cured. Without timely treatment of the patient with herniated discs may get serious complications and disability. Sequestration of the disc herniation is causing heart failure, violatesthe stomach and intestines, leading to chronic bronchitis, intractable sciatica, immune deficiency, inflammation of the pancreas.

Disc herniation can cause a stroke – the result of circulatory disorders of the brain.

If as a result of the injury or impact sequestration hernia occurred instantly, the complete destruction of the fibrous ring, the person has the following symptoms:

  • There comes a painful shock;
  • Stops the breath;
  • Lost sensitivity;
  • Paralyzed limbs.

Be sure to read: how dangerous is a hernia of the spine.

This is one of the serious cases of spinal injury, which can have the worst consequences. In this case the patient is not allowed to move, flip or change in "more comfortable" position. You need to call the ambulance and wait for her beside the sick, to shield his body from any physical impacts.

Is treatment possible?

To make a diagnosis and prescribe treatment can only specialist in this area, spine. The doctor conducts therapy based on the patient's condition and his spine, takes into account complications that threaten the patient. When the diagnosis of a sequestered herniated disc treatment should be administered immediately. Depending on the parameters and the neglect of the disease is applied to physical (conservative) method or operational.

Treatment sequestered hernia by conservative applies in the case when the kernel (purposea) went beyond the disk of the shells, but still keeps the jelly-like substance inside the ring.

The meaning of this treatment is to keep the core from complete loss, until the final tissues death. In positive cases, the treatment forms a callus, which will close the hole in a rigid sheath of the annulus.

Conservative treatment lasts for years, because recovery without surgical intervention consists of complex sequential steps:

  • The first week of the disease should be sick in bed, taking pain medications prescribed by a doctor;
  • Within six months, receive regular massage treatments, a skilled chiropractor;
  • At all times the patient must carry the bandage;
  • Are assigned a specialist exercises;
  • Prohibited physical exertion, lifting, bending;
  • After six months of rehab, doctors prescribe additional exercises

See also: endoscopic removal of hernias of a backbone.

Surgery is a last resort treatment sequestered hernia and was appointed physician in case of disease progression. Even considering the fact that after the operation there are no complications and re-formations.

Operaciya sekvestrirovannoj gryzhi

Experts have developed a list of features of the form of the disease that require surgical intervention:

  • Sequestration to 13 mm;
  • The frequent deterioration of the patient;
  • Inflammatory diseases on the basis of immunodeficiency;
  • Numbness of limbs;
  • Weakening of muscles;
  • If you want the separation of the cartilage from hernia;
  • The lack of effect of conservative treatment.

After the surgery the patient must undergo a rehabilitation course prescribed by the attending physician. It consists of a series of medication, massage and gentle treatment. After the end of the rehabilitation period comes preventive measures to prevent the occurrence of complications or relapse of the disease.