Slipped vertebrae, which some scholars refer to as “vertebral subluxation”, is one of the lumbar spondylolisthesis disorders. Lumbar spondylolisthesis is like a five-story building, which after an earthquake is not collapsed, but is less stable. The exact cause of lumbar spondylolisthesis is unknown. The lumbar spine generally has five segments, which are held in place by multiple sets of ligaments between the anterior and posterior margins of the lumbar vertebrae and the small joints. Pseudo lumbar spondylolisthesis may be the ligament laxity, so that the lumbar spine is in a long time of continuous instability, so that the corresponding vertebrae of the small joints of the degenerative changes, coupled with intervertebral disc degeneration, and the gradual occurrence of lumbar spondylolisthesis. Li Wenhua, Minimally Invasive Intervention Department, Huangdao Hospital of Traditional Chinese Medicine, Qingdao City, China Lumbar spondylolisthesis is divided into VI degrees: according to the degree of different degrees can be divided into I to IV degrees; common for I degree of spondylolisthesis; II degree of spondylolisthesis or above may appear cauda equina symptom, and severe lower limb paralysis may occur. Direction of vertebral body slippage: the direction of slippage can be determined by the vertebra below; it can slip in four directions: forward, backward, left and right. For example, if the L4 vertebra slips, the L5 vertebra will be used as a reference to determine the direction of the L4 slip. In the lumbar spine, the L4 vertebra is the most common vertebra, and the direction is forward. Between men and women, it is more common in women, especially middle-aged and elderly women. The incidence of lumbar spondylolisthesis is 3~7% in Europe, and there is no authoritative statistics in China. Lumbar spondylolisthesis is divided into: pseudo, true spondylolisthesis two kinds; pseudo spondylolisthesis may be the age of the degenerative lumbar spondylolisthesis, to the people for the most common; true spondylolisthesis may be with sports injuries, congenital or unknown causes lumbar spondylolisthesis isthmus collapsed, also known as the true spondylolisthesis, to the athletes, the children for the incidence. Clinical manifestations: Many patients with lumbar spondylolisthesis can have no symptoms of low back pain. When lumbar spondylolisthesis with disc degeneration can appear; obvious low back pain, lumbar soreness, unilateral lower extremity radiating pain, more patients show for the two lower extremity radiating pain, soreness, numbness, can be alternating, this is because of the disc’s annulus fibrosus degeneration, the annulus fibrosus appeared to be cracked, the nucleus pulposus of the chemical material overflow, resulting in the disc back of the canal within the sciatic nerve aseptic inflammation. These patients are usually over 50 years old, more women than men, some patients can also be accompanied by intermittent claudication (with walking distance increases and walking difficulties), lumbar drop feeling, squatting, bending and other lumbar weight-bearing activities and pain after exertion, soreness and numbness symptoms significantly aggravated by bed rest after the lumbar and leg pain symptoms have been relieved. It was difficult to stand up after sitting on a short stool or sofa due to lumbar pain. Imaging manifestations of vertebral body slippage: patients suspected of vertebral body slippage imaging examination preferred to take lumbar spine X-ray film: 1, positive lateral position, 2, lumbar spine power position; 3, position forward bending backward, backward bending each shoot a. In the lumbar spine positive lateral position, bending forward, backward bending each shot. In the lumbar spine in the front and side position, especially in the power position filming, can be clearly diagnosed from the imaging point of view of whether there is a vertebral body slippage; lumbar intervertebral disc CT examination, you can see the disc bulging, spinal stenosis, some patients with small joints of the arch root of the collapsed, in the CT examination can be diagnosed easier than the X-ray examination and MR examination. Treatment of vertebral body slippage: According to the patient’s clinical low back pain symptoms of different degrees, the choice of treatment is also different. 1. Patients who have vertebral body slippage on imaging but have no clinical low back pain symptoms do not require any treatment. Some patients do not have low back pain symptoms but like to do a massage, massage, or traction and other aspects of the treatment, sometimes instead of the clinical symptoms of low back pain. 2, when patients with mild lumbar pain, but there is no two lower extremity radiating pain, available conservative treatment, pain may be slipped parts of the disc fibrous annulus mild rupture, the nucleus pulposus of the chemical substance of a small amount of overflow, caused by the lumbar aseptic inflammation, at this time the inflammation is relatively mild, you can do hot compresses, acupuncture, plasters and other conservative treatments, these treatments through the role of the heating as well as the drug in the lumbar region of the local penetration, can help accelerate the blood circulation of the lumbar region. These treatments can help accelerate blood circulation in the lumbar region through the heating effect and local penetration of drugs in the lumbar region. With bed rest during the treatment period, the clinical symptoms of lumbar and leg pain in some patients can be relieved and eliminated. 3, when the effect of conservative treatment is not good, lumbar pain, soreness and swelling of the clinical symptoms of aggravation, and the emergence of unilateral limb or bilateral lower limb radiating pain, soreness, numbness, indicating that the patient’s inflammation has worsened. Vertebral body slippage can make the intervertebral disc degeneration, the intervertebral disc’s annulus fibrosus rupture, the nucleus pulposus chemical substance from the ruptured annulus fibrosus overflowed to the vertebral canal behind the vertebral body, causing the sciatic nerve in the vertebral bones of the aseptic inflammation, the patient appeared lumbar pain, the radiating pain of the two lower extremities, soreness, numbness. The intervertebral disc is like a car tire, the tire has a rupture, outward leakage of air, for the human body, the intervertebral disc leakage is not gas, is the nucleus pulposus contains chemical substances. Intervertebral disc of the annulus fibrosus rupture location is very deep, the anatomical site is very complex, and the blood supply of the intervertebral disc is not much, the traditional heat, acupuncture, physiotherapy, fumigation, and other conservative treatments can not be effected to the deep annulus fibrosus of the rupture, which is the reason that many lumbar herniation patients with poor results of conservative treatments. Tong’s non-invasive intervention; is a non-invasive, non-destructive intervertebral disc, completely different from the current traditional concept of treatment. Under CT guidance, anti-inflammatory drugs can be injected into the disc rupture, as if watering a flower, directly on the root of the flower, the drugs can act directly on the inflammation of the rupture and sciatic nerve root, to help the healing of the fibrous annulus rupture. During the treatment period, patients are required to take absolute bed rest. Reptiles are seldom heard of lumbar intervertebral disc herniation, which is because their spine and intervertebral discs are seldom subjected to pressure and gravity, whereas human beings are different. Every day, from the stage of getting up in the morning to lying down in the bed in the evening, human beings begin to be subjected to pressure and gravity on the spine and intervertebral discs, and the intervertebral discs are subjected to varying pressures in different positions, and when the spine of the human body is in the horizontal position. When the human spine is in a horizontal state, the pressure and gravity on the intervertebral discs are minimized, and the lumbar intervertebral discs can get sufficient rest at this time. Don’t forget that the human body’s tissues have the function of repair, in the case of the lumbar region is not weight-bearing, the fibrous annulus rupture mouth inflammation eliminated, the disc can be self-repairing. Slipped vertebrae lumbar maintenance; slipped vertebrae patients, the lumbar spine is like a loose mortise and tenon chair, if you do not go to shake the wooden chair, you can sit down for life! So how can lumbar maintenance not to shake the wooden chair; 1, do not do traction and massage; 2, do not do lumbar exercise (who let you exercise is harmful to you!) ; 3, do not squat and bend; 4, do not sit on short stools and sofas; 5, lumbar warmth; 6, with a waist cushion (except for sleeping); 7, usually sit on a high stool, sit for 45 minutes to change the position. Lumbar maintenance is not only for patients with slipped disc, including disc herniation, bulging disc, disc herniation, disc herniation, free disc, disc surgery after recurrence of clinical symptoms caused by low back and leg pain, CT-guided interventional therapy cured by drugs, the above 7 lumbar maintenance is very important. Patients with lumbar disc herniation, even if it is surgical plate fixation, only patients to change their own bad work and life habits, lumbar and leg pain will not find you!