How to do adolescent lumbar spondylolisthesis?
Treatment of lumbar spondylolisthesis (1) Conservative treatment is suitable for all patients, and most patients have different degrees of efficacy. In conservative treatment, it is necessary to review the X-ray films of lumbar spine regularly to understand the situation of lumbar spondylolisthesis. If you have low back pain and leg discomfort, the symptoms can usually be relieved after rest. Conservative treatment includes manipulation, bed rest, forbidding lifting heavy objects, bending over and other activities to increase waist load, strengthening back muscle function exercise, protecting waist circumference, combining physical therapy such as microwave, infrared ray and hyperthermia, and taking oral anti-inflammatory painkillers. (2) Surgical treatment If patients with lumbar spondylolisthesis have symptoms of nervous system, but the symptoms have not been significantly relieved after regular conservative treatment, or the relief is not ideal, they still have long-term low back pain and other symptoms associated with spondylolisthesis, that is, conservative treatment is ineffective and affects their lives and work, so surgical treatment should be considered. There are many surgical methods for lumbar spondylolisthesis, such as posterior spondylolisthesis reduction, pedicle screw internal fixation and intervertebral bone graft fusion. (3) Rehabilitation Whether it is conservative treatment or surgical treatment, rehabilitation is very important. Try to avoid lifting heavy objects, bending over or strenuous exercise such as football and high-intensity training (running, aerobic exercise). Functional exercise of back muscles is very important. You can take part in swimming exercise if possible. Also, keep a proper weight and do proper exercise.