The sliding of one vertebral body forward or backward on the other vertebral body is called lumbar slip. If there is pressure on the nerve roots due to this disease, low back pain and additionally thigh and leg pain, weakness and numbness may occur. This slippage sometimes occurs with the progression of a developmental crack between the lower lumbar spine and the tailbone (sacrum), and one vertebra slips over the other, creating an adult-type lumbar slip (istmatic spondylolisthesis). Apart from this type of lumbar slippage, there is also a degenerative type of lumbar slippage caused by arthritis of the intervertebral joints and disruption of the intervertebral disc structure.
In addition to low back pain, patients also have unilateral or bilateral hip pain, leg pain, tingling in the leg, difficulty in walking, shortening of walking distance, and weakness in the leg in more advanced cases. In case of suspicion of lumbar dehiscence, firstly, 4-way x-ray films can be taken, then bone scintigraphy and/or computed tomography (CT) examination and finally magnetic resonance imaging (MR) examination can be performed. As a result of these examinations, the degree of slippage is calculated as the percentage of slippage of one vertebra on the other, and is calculated as 1.,2.,3.,4. classified as degrees.
If there is only low back pain and no nerve root compression is detected, if there is no loss of strength, if there is no mobility or instability in X-ray films, non-surgical treatment methods are used. These methods are rest, painkillers or anti-inflammatory drugs, movement restriction program, corset use, physical therapy and pain science (algology science) applications. Surgical treatment should be planned for patients with low back pain that cannot be controlled by non-surgical treatment methods, loss of leg strength and/or foot weakness, urinary incontinence and/or stool incontinence. In this case, in order to relieve the nerve root under pressure, the procedure called decompression, that is, the removal of the bone pressure on the nerve root, should be performed, and then the fixation of the spine, which is called the platinum placement procedure by the people, and which we call the fusion procedure, should be performed.
