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Lumbar Vertebrae Displacement

As with all living things, the most important basic structure that keeps the human body erect is the spinal bones. In the structure of the spine, the lumbar vertebrae bear the most load. Due to congenital structural differences, excessive strain on the lumbar vertebrae, wear and tear caused by advanced age and trauma, a shift in the lower back occurs when one of the spinal bones located in the waist is displaced over the other. In other words, it occurs when one of the L4 and L5 vertebrae shifts mostly forward and sometimes back. Lumbar vertebrae displacement, which first manifests itself with lower back pain, can cause unbearable leg pain if the nerve roots are compressed at the exit points from the spinal canal if not treated.

What are the symptoms of a lumbar vertebrae displacement?

Lumbar vertebrae displacement manifests itself with lower back pain in the initial periods. However, ignoring the lumbar vertebrae displacement disorder, meaning, being exposed to a long-term lumbar vertebrae displacement, can also result in leg pain as a result of the compression of the nerve roots at the exit points from the spinal canal. Although these complaints decrease with resting, they continue to increase due to actions such as standing, long walks, and weight lifting.

How is lumbar vertebrae displacement diagnosed?

After listening to the history of patients who come with the complaint of lumbar vertebrae displacement, x-rays are requested in patients who are thought to have lumbar vertebrae displacement as a result of clinic and examination. MRI and CT can be requested from the patient to make a definitive diagnosis. In patients with leg pain, it is of great importance to detect nerve entrapments with MRI images.

How is lumbar vertebrae displacement treatment done?

According to the degree of lumbar vertebrae displacement of the patient who consulted with the doctor with complaints of lower back pain and was diagnosed with lumbar vertebrae displacement, treatment is initially started with rest, painkillers, the use of corsets, physiotherapy and other palliative methods. Although patient's complaints can be relieved with these treatments, there are some patients that do not see any benefits.

If there is no result obtained from non-surgical lumbar vertebrae displacement treatments, surgery is recommended for the patient. Surgery is often required for the treatment of lumbar vertebrae displacement in patients with severe lumbar vertebrae displacement, that is, patients who come to the hospital with complaints of leg pain rather than lower back pain, and neurological loss of muscle strength or nerve function loss.

The patient who has undergone a lumbar vertebrae displacement operation should not miss any post-op follow up visits. With the recommendation of the doctor performing the surgery, it is necessary to start the treatment program planned by the physical therapy and rehabilitation specialists at the appropriate time in order to strengthen the back muscles. In addition, according to the surgical method used, it is necessary to follow the patient-specific recommendations of the doctor and protect the lower back from repetitive strain.

Fusion surgery in the treatment of lumbar vertebrae displacement

In patients, surgical procedures, which are usually called fusion surgery, in which the vertebrae are fixed by connecting them with screws or implants, can be performed. The vast majority of these operations are performed from the backside of the patient, that is, from the lumbar region. These operations are mainly divided into two as stabilization by screwing only (posterior stabilization (PLF)) and placing a cage from the back to the anterior of the vertebrae with screwing (TLIF/PLIF). In these stabilization procedures, if spinal cord compression is present in the patients, relieving the pressure is also performed under the microscope. This operation can be performed in previously unsuccessful lower back operations(in revision spinal surgery).

Endoscopic Surgery in the Treatment of Lumbar Vertebrae Displacement

Nerves can be relieved by endoscopic method without the need for fusion or screw surgery in patients with compression in the nerves leading to the leg due to lumbar vertebrae displacement and related pain. With this method, which requires serious experience, patients can be discharged on the same day by operating through a 7 mm incision without the need for major surgery.

Can the Endoscopic Method Be Used for All Lumbar Vertebrae Displacements?

This method can only be used for lumbar vertebrae displacements with leg pain. It cannot be used if there is accompanying lower back pain.

What should you be careful about after the lumbar vertebrae displacement treatment?

The patient who has undergone a lumbar vertebrae displacement operation should not miss any post-op follow up visits. With the recommendation of the doctor performing the surgery, it is necessary to start the treatment program planned by the physical therapy and rehabilitation specialists at the appropriate time in order to strengthen the back muscles. In addition, according to the surgical method used, it is necessary to follow the patient-specific recommendations of the doctor and protect the lower back from repetitive strain.

Why should I choose Memorial Health Group for the treatment of lumbar vertebrae displacement?

Memorial Health Group Spine Centers provide services with its experienced staff, modern technologies and multidisciplinary treatment approach. The experience of our lumbar vertebrae displacement treatment team and the advanced technology used (navigation systems) minimize the possibility of error when the surgeries are performed under neuromonitoring. In addition, patients are also evaluated for alternative minimally invasive surgical options.

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