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Retraites spine: l1, l2, l3, l4, l5 vertebra, what is it

A sharp pain, impossible to move, numb legs – so manifest themselves retraites retraites l4 and l5 vertebra. What is retraites? This displacement of the vertebra from the axis of the spine. Displacement of the vertebrae occur due to severe injuries and lead to serious consequences.

Retrolistez l5 pozvonka

What is retraites?

The spine in the human body performs a supporting and protective function. Thanks to him, people can take a stable position and to move freely. Inside the spine is the spinal cord and many nerve endings. The spine consists of the vertebrae of the cervical, thoracic and lumbar. Displacement of one vertebra relative to the axis of the spine and relative to the position of the neighboring vertebrae is called retraites spine. Most susceptible to retrolisthesis vertebrae l3-S1 and C3-C5.

L5 vertebra is a lumbar vertebra. It is located above the sacral, has minimal mobility, so on the l5 vertebra has a very heavy load when driving. Fifth, fourth vertebrae more susceptible to displacement. Less common retraites l3, l2, l1 vertebrae. The reason for the offsets l1, l2 or l3 vertebra are primarily physical injuries.

Causes of displacement

Retraites mostly occurs due to physical effects and increased load on the spine:

  • Damage, injuries to the spinal column;
  • Deformation of the intervertebral discs;
  • Tear the muscle tissue of the back or spine;
  • Compression fracture of the vertebrae.

Known cases when retraites occurs due to hereditary diseases (congenital weakness of the vertebral structures), the acquired chronic (low back pain, osteoporosis, arthritis) or the appearance of malignant tumors in the spine. Most susceptible to this disease people whose work is associated with forced physical loads (loaders, mechanics). The offset is found among the athletes of weightlifting or wrestling.

Symptoms retrolisthesis

As the l5 vertebra is located above the sacral, then the diagnosis retrolisthesis to focus on pain in the lumbar region. Pain in the lumbar region, which is enhanced by active movement and sharp turns, is the first sign of the offset. For the diagnosis of the disease focus on symptom Vasermana. You need to lie on your stomach and try to lift the legs. If there is pain in the groin area, it is necessary to go to the doctor.

Symptom of Lages can also help in the identification of the disease. Lie down on your back and lift legs up. If this situation arises the pains in the loins and in the rear region of the hips, while bending the legs at the knees the pain goes away, we can talk about the probability of occurrence retrolisthesis l5, l4 or l3 vertebra. The third vertebra of the lumbar can also be deposed as a result of a ladder retrolisthesis.

In order to recognize retraites l5 vertebra to focus on the following symptoms:

  • Pain in the lumbar region during a long stay in monotonous posture;
  • During extreme physical exertion there is a sharp pain in the lower back radiating to the leg;
  • The shortening of step – a person suffering from this disease, instinctively walking reduce step to not feel the pain when moving;
  • The dysfunction of nearby organs;
  • Reduced sensitivity in the lower back, numbness, sensation of crawling ants.

Retraites retraites l4 and l3 vertebrae may occur in conjunction with displacement of l5 or due to physical injury.

proyavleniya retrolisteza v poyasnice

Classification of displacement of the vertebrae

The longer it takes to pay attention and not treat retraites vertebra, the more it is prone to bias. Depending on how much has shifted, there are the following degrees:

  1. Offset up to 25%;
  2. 25-50%;
  3. 50-75%
  4. 75 - 100%.

The shape of the displacement distinguish retraites:

  • Full – simultaneous displacement of the back relative to the upper and lower vertebra (or the sacral division);
  • Partial – posterior displacement of a vertebra relative to the upper and lower vertebrae;
  • Stair – simultaneous displacement of the vertebra backwards in relation to the vertebra located above and offset anteriorly with respectto the vertebra below.

If we consider the displacement depending on its causes, can be classified into:

  • Nerve – occurs in cerebral palsy;
  • Diffuse pathological – as a consequence of the uncontrollable reductions of muscles of a back;
  • Degenerative, occurs in elderly people on the background of the modification of the tissue structure of spine of newsweekly nutrients;
  • Pokerengine as a result of surgical intervention;
  • Deforming – occurs at high physical loads on the back;
  • Spondylinae – displacement resulting from the fracture process of the vertebra.

vidy retrolisteza i ih prichiny

Diagnosis

Diagnosis displacement of lumbar vertebrae is carried out using computer research.

  • With the help of x-rays not only diagnose retraites vertebrae, but also determines the degree of displacement and the presence of osteophytes.
  • Magnetic resonance imaging in addition to detection of the offset determines the damage of the nerve endings, the spinal cord and ligaments.
  • With the help of electromyographic assess the condition and degree of damage of nerve fibers.

Examination in this disease should be comprehensive. In addition to identifying bias and determining its degree, the doctor needs to identify the factors that triggered this illness. In many cases retraites is a consequence of any disease. Treatment in this case is determined on the basis of comprehensive examination of the patient.

Treatment of spinal deformity

Treatment as well as examination should be comprehensive. Your doctor may prescribe conservative treatment, in the case that the degree of displacement does not exceed 25%.

Conservative treatment is represented as:

  • Limitation of physical activity;
  • Destination orthopedic corset;
  • Therapeutic massage, which takes the load off the vertebrae and muscle spasms;
  • Traction of spine;
  • Acupuncture, etc.

The wearing orthopedic corset is a mandatory measure. The duration is determined by a physician, as due to long wearing of corsets and belts can occur atrophic processes in the muscles of the back.

Therapeutic traction of the vertebrae necessary for a better physiological movement of fluid in the intervertebral tissues. Drug treatment is to alleviate pain and relieve muscle spasms.

If retraites is the result of diseases, the parallel prescribers, neutralizing the underlying cause of disease. For example, with concomitant arthritis additionally prescribe drugs for the joints.

Surgery is used in the case of retraite III or IV degree, the detection of neurological simptomatiki, as well as in cases where conservative treatment was not effective. After surgery followed by a long period of rehabilitation during a long period of time from 2 to 10 months.