椎体移位 - 脊椎滑脱

紧急程度低
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参考文献
  • Sairyo K, Goel VK, Vadapalli S, et al. Biomechanical comparison of lumbar spine with or without spina bifida occulta. A finite element analysis. Spinal Cord 2006; 44:440.
  • Sairyo K, Katoh S, Komatsubara S, et al. Spondylolysis fracture angle in children and adolescents on CT indicates the fracture producing force vector: a biomechanical rationale. Internet J Spine Surg 2005; 1.
  • Terai T, Sairyo K, Goel VK, et al. Tensile stress at the ventral aspect of the pars interarticularis causes the initial defect of the pediatric lumbar spondylolysis. 38th annual meeting of the Japanese Society for Spine Surgery and Related Research. J Bone Joint Surg Br 2009; 20:390.
  • Terai T, Sairyo K, Goel VK, et al. Spondylolysis originates in the ventral aspect of the pars interarticularis: a clinical and biomechanical study. J Bone Joint Surg Br 2010; 92:1123.
  • Hu SS, Tribus CB, Diab M, Ghanayem AJ. Spondylolisthesis and spondylolysis. J Bone Joint Surg Am 2008; 90:656.
  • Kobayashi A, Kobayashi T, Kato K, et al. Diagnosis of radiographically occult lumbar spondylolysis in young athletes by magnetic resonance imaging. Am J Sports Med 2013; 41:169.
  • Masci L, Pike J, Malara F, et al. Use of the one-legged hyperextension test and magnetic resonance imaging in the diagnosis of active spondylolysis. Br J Sports Med 2006; 40:940.
  • Hirano A, Takebayashi T, Yoshimoto M, et al. Characteristics of clinical and imaging findings in adolescent lumbar spondylolysis associated with sports activities. J Spine 2012; 1:5.
  • Janda V. Muscles and motor control in low back pain: Assessment and management. In: Physical Therapy of the Low Back, Twomey LT (Ed), Churchill Livingstone, New York City 1987. p.253.
  • Miller R, Beck NA, Sampson NR, et al. Imaging modalities for low back pain in children: a review of spondyloysis and undiagnosed mechanical back pain. J Pediatr Orthop 2013; 33:282.
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版权
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症状

    臀部和腿后部的刺痛


    背痛


    腰痛


    站立时腰痛更严重


    腰部疼痛从腿侧往下到脚

需要考虑的症状

止痛药无法消除的疼痛
发烧(温度大于 38ºC)
难以控制括约肌并且无法到达厕所

个人护理

服用非处方止痛药或抗炎药。
相对休息,休息至症状消退。
尽量不要举重物
使用紧身胸衣固定脊柱
每周进行 3 次有规律的体育锻炼