Development of the spondylolisthesis
Disease development of spondylolisthesis
The degenerative Form of spondylolistesis is related to others degenerative spinal diseases to see.
The wear and tear of the Band washers begins as early as the 20s of a person. It can be used for Intervertebral disc bulge (Protrusio) or to the herniated disc (Nucleus pulposus prolapse) come. The increasing water loss of the intervertebral discs leads to a decrease in height of the intervertebral body section (Osteochondrosis).
The consequences / emergence are one Overload of the small vertebral joints, a malfunction of the spinal ligaments and a creeping instability of the spinal column movement segment, each consisting of two vertebral bodies and the one in between Intervertebral disc.
The base and cover plates of the vertebral bodies are more stressed by the lowered intervertebral disc. The body reacts to this with bone compression in the area of these structures (Sclerotherapy), which can be seen radiologically.
The creeping instability of the Spine the body tries to counteract that bony attachments to the Vertebral bodies (Osteophytes / exophytes) that are looking for something to hold on to in their surroundings.
If the instability is very advanced, the spine can become warped due to wear and tear, which further weakens the statics of the spine (degenerative scoliosis). The changed spine statics also changes the origin and attachment points of the muscles and the ligamentous apparatus of the spine, whereby some muscles and ligaments come too close and shorten and others are stretched too much. Both of these lead to the weakening of these structures through the loss of function.
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The spine is difficult to treat. On the one hand it is exposed to high mechanical loads, on the other hand it has great mobility.
The treatment of the spine (e.g. herniated disc, facet syndrome, foramen stenosis, etc.) therefore requires a lot of experience.
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Painful muscle hardening (Muscle tension / Myogelosis) can arise. An incongruent position of the vertebral body joints to one another leads to premature cartilage wear of the joint partners. The same processes then take place that are well known for knee or hip arthrosis.
It comes to Joint inflammation, capsule swelling and thickening, and even faster than with the large joints, to joint deformity.
The overall picture of a Vertebral joint arthrosis (Spondylarthrosis) was created. Instability-related displacements of the vertebral bodies (degenerative spondylolisthesis / pseudospondylolisthesis), thickening of the vertebral joint structures, bony spinal canals, protruding discs and thickening of the vertebral ligaments (ligamentum flavum) can ultimately lead to a considerable narrowing of the spinal canal (Spinal stenosis) and the Spinal cord press yourself or the outgoing nerve roots. Recess stenosis is the pressure on the nerve root in the lateral recess, usually caused by degenerative changes in the superior articular process.
In the child / adolescent form of the Spondylolisthesis It has been proven that, in addition to a constitutional weakness of the interarticular portion, an important reason for its development is an activity that puts stress on the spine in competitive sports.
These include:
- Weightlifting
- Spear throwing
- Gymnastics (triple jump, acrobatics)
- Trampoline jumping
- high jump
- Breaststroke and Dolphin Swim
- ballet
- Wrestling
- rowing
The reason for this is a particular hyperextension load (Hyperextensions) in combination with a rotational load or an axial compression load of the Spine in these sports. Recurring micro-injuries occur in the area of the vertebral arches and ultimately Spondylolysiswhich in turn can lead to spondylolisthesis. A spondylolysis brought about in this way is a type of fatigue fracture (Stress fracture), which as a rule no longer grows together spontaneously, but a kind of false joint formation (Pseudarthrosis) forms.
