Slipped vertebrae are referred to by some scholars as “vertebral subluxation”, which is one of the lumbar synostosis diseases. Lumbar spondylolisthesis is like a five-story building, which did not fall down after the earthquake, but is less stable. The specific cause of lumbar spondylolisthesis is not known. The lumbar spine generally has five segments, which are held in place by multiple sets of ligaments between the anterior and posterior edges of the lumbar spine and the small joints. Pseudolumbar spondylolisthesis may be the result of ligamentous laxity, so that the lumbar spine is in a long period of continuous instability, so that the small joints of the corresponding vertebrae undergo degenerative changes, coupled with intervertebral disc degeneration, and gradually occur lumbar spondylolisthesis. Shanghai Ruijin Hospital Department of Radiology Tong Guohai Lumbar spine slippage is divided into VI degrees; according to the degree can be divided into I to IV degrees; common for I degree slippage. II degree or more slippage may appear cauda equina symptoms, serious may appear lower limb paralysis. The direction of vertebral slippage; the direction of slippage is determined by the lower vertebral body; it can be slipped in four directions: forward, backward, left and right. For example, if the L4 vertebral body is slipped, the L5 vertebral body is used to determine the direction of the L4 slippage. The lumbar spine is best to develop the L4 vertebrae, and the good direction is forward. Between men and women, it is more likely to occur in women, especially in middle-aged and elderly women. The incidence of lumbar spondylolisthesis is 3-7% in Europe, and there is no authoritative statistical information in China. Lumbar spondylolisthesis is divided into pseudo and true spondylolisthesis; pseudo spondylolisthesis may be a degenerative lumbar spondylolisthesis that occurs with increasing age, and is more common in people; true spondylolisthesis may be caused by sports injury, congenital or unknown causes of lumbar spondylolisthesis, also known as true spondylolisthesis, and is more common in athletes and children; clinical manifestations; many patients with lumbar spondylolisthesis may have no symptoms of lumbar pain. When lumbar spondylolisthesis is accompanied by disc degeneration, there can be significant lumbar pain, lumbar swelling, unilateral lower extremity radiating pain, and more patients show radiating pain, swelling, and numbness in both lower extremities, which can be alternating, due to degeneration of the intervertebral disc’s annulus fibrosus, fissures in the annulus, and chemical spillage of the nucleus pulposus, resulting in aseptic inflammation of the sciatic nerve in the posterior spinal canal of the disc. These patients are usually over 50 years old, more women than men, and some patients may also have intermittent claudication (difficulty walking as the walking distance increases), lumbar drop, pain after squatting, bending and other lumbar weight-bearing activities and exertion, soreness and numbness are significantly increased, and the symptoms of lumbar pain are relieved after resting in bed. The patient has difficulty standing after sitting on a low stool or sofa due to low back pain. The imaging performance of vertebral slippage; patients suspected of having vertebral slippage have the first choice for imaging examination: 1; radiographs of the lumbar spine, 1, frontal and lateral, 2, power position of the lumbar spine; one in the lateral bending forward and one in the backward bending. In the frontal and lateral positions of the lumbar spine, especially in the dynamic position, the diagnosis of vertebral slippage can be clearly made from the imaging point of view.2; CT examination of the lumbar intervertebral disc can be seen as disc bulging, spinal stenosis, and in some cases, the collapse of the arch root of the small joint, which can be more easily diagnosed in CT examination than in X-ray examination and MR examination.3; MR examination of the lumbar spine. Treatment of vertebral slippage; the treatment chosen differs according to the degree of the patient’s clinical low back pain symptoms. 1. Patients have vertebral slippage on imaging, but do not need any treatment if they do not have clinical low back and leg pain symptoms. Some patients do not have symptoms of low back pain but like to do a massage, massage, or traction and other aspects of treatment, which sometimes leads to clinical symptoms of low back pain instead. 2, when the patient has mild lumbar pain, but no radiating pain of the two lower extremities, available conservative treatment, pain may be a mild rupture of the intervertebral disc fibrous ring at the site of slippage, a small amount of chemical substances of the nucleus pulposus overflow, causing aseptic inflammation of the lumbar region, the inflammation at this time is light, you can do some conservative treatment such as hot compresses, acupuncture, plastering, these treatments through the heating effect and local penetration of drugs in the lumbar region, can help accelerate the lumbar blood circulation. can help accelerate the blood circulation of the lumbar region. During the treatment period, patients can rest in bed, and the clinical symptoms of low back pain can be relieved and eliminated in some patients. 3. When the conservative treatment is not effective, the clinical symptoms of pain, soreness and swelling in the lumbar region are aggravated, and there is unilateral limb or bilateral lower limb radiating pain, soreness and swelling, numbness, it means that the patient’s inflammation is aggravated. Vertebral slippage can degenerate the intervertebral disc, the fibrous ring of the disc ruptures, and the chemical substance of the nucleus pulposus overflows from the ruptured fibrous ring into the posterior spinal canal of the vertebral body, causing aseptic inflammation of the sciatic nerve in the vertebrae, and the patient develops low back pain, radiating pain, soreness, and numbness in both lower extremities. The intervertebral disc is like a car tire, the tire has a rupture and leaks air outward, for the human body, the disc leaks not air, but the chemical substances contained in the nucleus pulposus. The location of the intervertebral disc’s fibrous ring rupture is very deep, the anatomical site is very complicated, and there is not much blood supply to the disc, so the traditional conservative treatments such as hot compresses, acupuncture, physiotherapy and medicine fumigation cannot work to the deep fibrous ring rupture, which is the reason why many patients with lumbar herniation have poor conservative treatment results. Tong’s non-invasive interventional therapy is a non-invasive treatment method that does not destroy the intervertebral disc and is completely different from the current traditional concept. Under the guidance of CT, anti-inflammatory drugs can be injected into the disc rupture, which is like watering a flower and pouring it directly on the roots. The drugs can directly act on the inflammation of the rupture and the sciatic nerve root and help the healing of the fibrous ring rupture. During treatment, the patient needs absolute bed rest. Reptiles are seldom heard of lumbar disc herniation, this is because their spine and discs are rarely subjected to pressure and gravity, while humans are different. Every day, from the stage of getting up in the morning to lying in bed at night, the human spine and discs begin to be subjected to pressure and gravity, different positions, the pressure on the discs varies, when the human spine is in a horizontal state, the The pressure and gravity on the intervertebral disc is the smallest, when the lumbar disc can get sufficient rest. Do not forget that the human tissue has a repair function, in the case of lumbar non-weight-bearing, fibrous ring rupture mouth inflammation eliminated, the disc can repair itself. Vertebral slippage lumbar maintenance; vertebral slippage patients, lumbar spine is like a loose tenon wooden chair, if not to shake the wooden chair, 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 to harm you!) 3, do not squat and bend 4, do not sit on low stools and sofas 5, lumbar warmth 6, with waist circumference (except for sleeping) 7, usually sit on a high stool, sit for 45 minutes to change position The maintenance of the lumbar not only slipped patients, including herniated discs, bulging, severe herniated discs, herniated discs free, recurrence of disc surgery caused by clinical symptoms of lumbar pain, after healing by CT-guided drug interventions The above 7 articles are very important for the maintenance of the lumbar region. Patients with lumbar disc herniation, even with surgical plate fixation, only if patients change their usual bad work and life habits, lumbar pain will not find you!