I-retrolisthesis yintlambo ebuyela emva kwe-vertebra yomlanjwane kwisihlobo se-vertebra phantsi kwayo. Ngokomlando, i-retrolisthesis ibonwe ingenalo ibaluleka. Kodwa njengoko imisebenzi yophando iqhubeka, inxulumano kunye nentlungu, yehla ukusebenza, kunye nokuguqulwa kokuguquka kwintsipho.
Ngokomzekelo, uphando olwenziwe ngo-2003 olupapashwe kwi- The Spine Journal lwafumanisa ukuba amabhinqa ase-Afrika aseMerika anamaxesha angama-2 ukuya kwezi-3 anterolisthesis (i-vertebral slippage) phambi kohlobo lwabo baseCaucasian.
I-anterolisthesis ayinakuchaphazela kakubi umsebenzi wabo wokubuya. Uphononongo olufanayo lufumene ukuba ukubuyiswa kwe-retrolisthesis (ukubuyela emva kwe-vertebral slippage) kwakungaphantsi kakhulu kuluntu olufanayo (4%) kodwa linciphisa ukusebenza kwabasebenzi.
Uphando olupapashwe kwiphepha le-Matshi ka-2015 leNcwadi ye-Korean Neurosurgical Society yafumanisa i-retrolisthesis njengembuyekezo ehambisa i-vertebra ngasemva xa umlenze wakho kunye neentloko zixhamla phambili phambili kwinqwelo eliphambili / elibuyela emuva. Abaphandi bathi inqanaba elincinane le-lordosis kunye / okanye i-angle encinci ye-pelvic angle ingabangela ukuba kwakhiwe i-retrolisthesis.
Ubuchopho Bokubuyela kunye neRetrolisthesis
Kwiphononongo ka-2007 eshicilelwe kwi- Spine Journal, abaphandi bavavanya izigulane ezingama-125 ezafumana i-L5-S1 discectomy. Injongo yabo kukujonga ubukho be-retrolisthesis. Bafumanise ukuba phantse i-1/4 yezigulane ekufundweni kwakukho ukubuyiswa kwe-L5 ngaphezulu kwe-S1.
Ukuba une-retrolisthesis, ezi ziphumo akuthethi kuthi uya kuba nentlungu engaphezu komntu ongenalo. Abaphandi bafumanisa ukuba ngaphambi kokungabonakaliyo, iimpawu ezifunyenwe ngamaqela amabini (okt, ngaphandle kunye ne-retrolisthesis) zazilinganayo.
Abaphandi baphinde bahlola utshintsho kwimizimba yomthambo ehamba kunye neemeko zokubuyela kwi-retrolisthesis.
Ngokubanzi, bafumanisa ukuba ubukho be-retrolisthesis abuhambelani nesiganeko esiphezulu se-disenerative disease okanye ukuguqulwa kokuguquka kwi-ring bony ngasemva kwe-vertebra.
I-retrolisthesis ingenzeka ngenxa yokuhlinzwa. Olunye uphando, olushicilelwe kwi- Spine Journal ngo-2013 lufumene ukuba emva kweminyaka engama-4 emva kwe-discectomy, intlungu evela kwi-retrolisthesis yenzeke okokuqala okanye ibe nzima. Kwakunjalo nokusebenza ngokomzimba.
Ngokufana nokufundwa kweDartmouth, iziphumo zezigulane ezine-retrolisthesis ezenza i-discectomy zifaniswa nezo zigulane ezingenazo. Ngeli xesha ke, iziphumo zibandakanya ixesha lokuhlinzwa, ukulahlekelwa kwegazi, ixesha elichithwe esibhedlele okanye kwisibonelelo sokugula, iingxaki, imfuneko yokuhlinzwa okwenziwe ngomthunzi kunye / okanye ukukhutshwa kwee-disc.
Kanti olunye uphando (olupapashwe kwiphepha likaDisemba 2015 leNcwadi ye- Neurosurgery: Isiqhamo) safumanisa ukuba ukuhlinzwa kungenako ukufaneleka kwezigulane ezazingaphezu kwe-7.2% yokubuyisela i-retrolisthesis ngelixa zandisiwe (emva kokubuya). Isizathu sokuba i-retrolisthesis kulezi ziko zandisa ingozi yezigulane kwi-lumbar disc. (Utyando olubhekiselwe kumbuzo lwalube lminectectomy ekhethekileyo, kunye nokususwa kwenkxaso yangemva.
Ngubani Ofumana I-Retrolistase?
Ngoko luhlobo luni lwesigulane sifumana ukubuyisela kwakhona? Ucwaningo luka-2007 olukhankanywe ngasentla lufumene ukuba ubukho be-retrolisthesis bezingqinelana kuzo zonke iintlobo zezigulane-nokuba ngaba bebekhulile, abatsha, abesilisa, abesifazana, ababhemayo okanye abangekho, abafundiswe okanye abangaphantsi koko, kwaye kungakhathaliseki ukuba luhlanga.
Oko kwathiwa, abantu abane-retrolisthesis babekwazi ukufumana abasebenzi ngokukodwa. Kwaye ubudala beyinto ebalulekileyo kulabo babenentshintsho ye-vertebral change and / okanye i-disenerative dis disease (zombini kunye ngaphandle kwe-retrolisthesis). Oku kunokuba kuba, ngokubanzi, olo tshintsho lunxulumene neminyaka.
Kwaye ekugqibeleni, abathathi-nxaxheba ababenesiguqulelo se-vertebra bavame ukutshaya kwaye babengafuni ukuba ne-inshorensi.
> Imithombo:
> Jeon, I., MD, Kim, i-SMD Retrolisthesis njengendlela yokuXhobisa iNkcazo kwiLumbar Spine. J Korean Neurosurg Soc. Matshi 2015. Kufumaneke ngo-Feb 2016.
> Kang KK, Shen MS, Zhao W, uLurie JD, uRazi AE. I-retrolisthesis kunye ne-lumbar disniation: i-postoperative yovavanyo lomsebenzi wesigulane. J. Spine 2013 2013; 13 (4): 367-72. i-doi: 10.1016 / j.spinee.2012.10.017. Epub 2012 Nov 30.
> Moore RJ. I-end-plate plate: siyazi ntoni? Eur Spine J. 2000 Apr; 9 (2): 92-6.
> Shen M, uRazi A, uLurie JD, Hanscom B, Weinstein J. Retrolisthesis kunye ne-lumbar disniation: ukuhlolwa kwangaphambili komsebenzi wesigulane. J. Spine 2007 2007-Julayi; 7 (4): 406-13. Epub 2007 Jan 2.
> I-Takenaka S., iTateishi K., Hosono N., Mukai Y., Fuji T. Ukubuyisela phambili kwe-preoperative njengengozi yokubeka ingcinezelo yokudityaniswa kwe-diskression. J Neurosurg Spine. Dec 2015.
> Vogt MT, uRubin DA, uPalermo L, Christianon L, Kang JD, uNevitt MC, uCauley JA. Uluhlu lwe-Lumbar eluhlaza kumabhinqa aseAfrika aseAfrika. J. Spine 2003 2003-Julayi; 3 (4): 255-61. A