Increasingly younger population with lumbar spondylolisthesis

  I. Younger and younger people with lumbar spine slippage With the increasing pressure of school and work, the “sedentary” lifestyle has become the norm for modern young people, however, this lifestyle may accelerate the degeneration of the lumbar spine, leading to the occurrence of lumbar spine diseases. Many young people have lumbar pain, of which lumbar spine slippage is one of the important reasons. The most common complaint is lumbar back pain, sometimes with radiating pain in the hip, mild slipped vertebrae in young people will be relieved once they stop exercising, some serious lumbar spine slipped with abnormal gait, which is due to the imbalance of their spine in the sagittal plane, if not paid attention in time, it easily lead to serious consequences.  Second, what is vertebral slippage?  Vertebral slippage, also known as degenerative lumbar slippage, refers to the slippage of a vertebra in the human spine relative to its neighboring vertebrae, and is a common and frequent disease of the lumbar spine. The spine carries the body’s full body weight, and the pressure on the spinal isthmus when standing or exercising may lead to microfractures of the isthmus, eventually causing the isthmus to fracture and causing the vertebral body to slip forward.  Third, how is vertebral slippage graded?  The Meyerding classification is usually used to assess the degree of vertebral slippage. The upper edge of the inferior vertebral body is divided into 4 equal parts, and the superior vertebral body is divided into 4 degrees according to the degree of forward slippage of the inferior vertebral body.  Ⅰ degree: the degree of forward slippage of the vertebral body does not exceed 1/4 of the mid-sagittal diameter of the vertebral body Ⅱ degree: the degree of forward slippage of the vertebral body exceeds 1/4 of the mid-sagittal diameter of the vertebral body, but does not exceed 2/4 Ⅲ degree: the degree of forward slippage of the vertebral body exceeds 2/4 of the mid-sagittal diameter of the vertebral body, but does not exceed 3/4 Ⅳ degree: the degree of forward slippage of the body exceeds 3/4 of the mid-sagittal diameter of the vertebral body Fourth, how should vertebral slippage be treated?  Lumbar slippage is not serious, no compression of the nerve can be conservative treatment, lumbar belt fixed, no weight bearing, not frequent bending, lying on a hard bed; if the slippage is more than II degrees, MRI shows that the compression of the nerve is obvious, the disease continues to develop, you need surgery, the dislocated vertebral body reset, and at the same time take internal fixation treatment, so that the vertebral body to restore the normal physiological state.