Retrolisthesis musangano wokudzokera shure we vertebra yepelinara maererano ne vertebra pasi payo. Nhoroondo yekare, kudzokera shure kwakaratidzwa sekusava nekliniki inorehwa. Asi sezvo mabasa ekutsvakurudza achienderera mberi, kushamwaridzana nemarwadzo, kuderera kwehutano, uye kuchinja kunogadzirisa mumutsana uri kuitwa.
Somuenzaniso, chidzidzo che2003 chakabudiswa muThe Spine Journal chakaona kuti vakadzi veAfrica veAmerica vaiva nezvikamu zviviri kana zvitatu zve anterolisthesis (mberi vertebral slippage) kupfuura avo vanobva kuCaucasian.
Iyo anterolisthesis haina kuipa zvakanyanya basa ravo rekudzokera. Zvidzidzo zvakafanana zvakare zvakaona kuti kudzokera shure (kumashure kwekudzivirira kwemvura) kwakanga kwakanyanya kuderera munharaunda imwechete (4%) asi yakaderedza kushanda kwevatori vechikamu.
Chimwe chidzidzo chakabudiswa mumagazini yaMarch 2015 ye Journal of the Korean Neurosurgical Society yakatsanangura retrolisthesis semaripo inotungamirira vertebra kumashure apo musana wako nemapapu zvakanyanyisa zvikuru mberi mberi kwemhepo. Vatsvakurudzi vanoti nyeredzi shomanana ye lumbar lordosis uye / kana kuti duku yeplvic tilt angle inogona kukurudzira kuumbwa kwekudzorerazve.
Kudzoka Kudzoka uye Kudzokorora
Mutsvakurudzo ye2007 yakabudiswa muSpine Journal, vatsvakurudzi vakaongorora varwere 125 vakawana L5-S1 discectomy. Chinangwa chavo ndechekutsvaga kuvapo kwekudzorerazve. Vakaona kuti inenge chikamu chechina chevarwere vari muchidzidzo chacho chaiva nekuderera kwemashure kweL5 pane S1.
Kana uine retrolisthesis, izvi zvigumisiro hazvirevi kuti unenge uine marwadzo akawanda kupfuura munhu asingaiti. Vatsvakurudzi vakaona kuti vasati vadzika maziso, zviratidzo zvinowanikwa nemapoka ose (kureva,, uye pasina rekudzorera) zvakaenzana.
Vatsvakurudzi vakaongororawo kuchinja kwemasimba emumumapapiro pamwe chete nekudzoka kwekudzoka kwepamusoro.
Kakawanda, vakaona kuti kuvapo kwekudzorera shure hakukwirirana nechiitiko chepamusoro chechirwere chechirwere chinoderedza kana kushanduka kwechigodhi mumhino yebony mushure me vertebra.
Retrolisthesis inogona kuitika nekuda kwekuvhiyiwa. Chimwe chidzidzo, chakabudiswa muSpine Journal muna 2013 chakawana kuti makore mana mushure mekusaziva, kurwadziwa kubva kwekudzoka kwezvekudzoka kunogona kuzviratidza kwekutanga kana kuwedzera. Izvo zvakanga zvakafanana nekushanda kwepanyama.
Zvakafanana nekudzidza kweDartmouth, zviitiko zvevarwere vane retrolisthesis avo vakawana discectomy vakafanana neyavarwere vasina iyo. Panguva ino, kunyange zvakadaro, zviitiko izvi zvaisanganisira nguva mukuvhiyiwa, kuwanda kweropa kurasikirwa, nguva inoshandiswa kuchipatara kana kunze kwechirongwa, zvinetso, kudiwa kwekuwedzera chirwere chepfungwa uye / kana kuti maitiro ekudzoka kwenguva dzose.
Asi chimwe chidzidzo (chakabudiswa mumagazini yaDecember 2015 ye Journal of Neurosurgery: Spine) yakaona kuti kuvhiyiwa kunogona kunge kusina kukodzera kuvarwere vakange vane huwandu hunopfuura 7.2% hwekudzorera zvakare munguva yekuwedzera (kumashure kwekunamata). Chikonzero chacho ndechekuti kudzokera shure mumatambudziko aya kwakawedzera zvirwere zvevashandi zvemashure ekuvhima lumbar disc herniation. (Kuvhiyiwa mubvunzo kwakabatana kwemininectomy pamwe chete, pamwe nekubviswa kwekusimbiswa kwemashure.)
Ndiani Anowana Retrolisthesis?
Saka ndechipi chinonzi murwere anotorazve chetrolisthesis? Chidzidzo cha2007 chataurwa pamusoro apa chakaona kuti kuvapo kwekudzorerazve kwakashandura kune marudzi ose evarwere-angave vakwegura, vaduku, varume, vakadzi, vanoputa kana kwete, vakadzidziswa kana vashoma kudaro, uye pasinei nemarudzi.
Izvozvo zvakati, vanhu vane retrolisthesis vainyatsokwanisa kugamuchira vashandi comp. Uye zera raiva chiitiko kune avo vaiva nehutachiona hwekupedzisira uye / kana chirwere chechirwere chinoparara (zvose pamwe uye pasina retrolisthesis). Izvi zvingave nokuti, kazhinji, kuchinja kwakadaro kunobatana nemakore.
Uye pakupedzisira, vatori vechidzidzo vaive ne vertebra changeplate change vaitova kusvuta uye vaisada kuva ne inshuwarisi.
> Sources:
> Jeon, I., MD, Kim, SMD Retrolisthesis seMeanism Compensatory in Degenerative Lumbar Spine. J Korean Neurosurg Soc. March 2015. Yakawanikwa muna Feb 2016.
> Kang KK, Shen MS, Zhao W, Lurie JD, Razi AE. Retrolisthesis uye lumbar disc herniation: a postoperative kuongorora kwevarwere basa. Spine J. 2013 Apr; 13 (4): 367-72. doi: 10.1016 / j.pinei.2012.10.017. Epub 2012 Nov 30.
> Moore RJ. Mucheto wokupedzisira-ndiroti: chii chatinoziva? Eur Spine J. 2000 Apr; 9 (2): 92-6.
> Shen M, Razi A, Lurie JD, Hanscom B, Weinstein J. Retrolisthesis uye lumbar disc herniation: kuongorora kushandiswa kwehutano. Spine J. 2007 Jul-Aug; 7 (4): 406-13. Epub 2007 Jan 2.
> Takenaka S., Tateishi K., Hosono N., Mukai Y., Fuji T. Preoperative retrolisthesis sechinhu chinokonzera kukonzerwa nekudengenyeka kwepabonde rekunyorwa kwake. J Neurosurg Spine. Dec 2015.
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