Causes, diagnosis, treatment of globalizatsii vertebra s1
Globalizacija education additional lumbar vertebra is the first sacral vertebra (S1), lost contact with the sacrum. This pathology causes the formation of scoliosis (lateral curvature of the spine axis), and therefore requires early diagnosis.
If you globalizatsii S1 is separated from the sacrum and becomes L6, which normally never occurs. The anomaly clearly visualized on radiographs of the lumbosacral spine in lateral projection. Research is conducted only in the presence of pain in the lower back or the lower extremities.
Globalizacija in most cases, is congenital. Its early treatment will prevent serious complications, such as lumbago, scoliosis, and degenerative disc disease.
The Frequency of occurrence of the isolated S1 rare – about 2.3% of all cases of lower back pain. In some people, this developmental anomaly of the spine remains undiagnosed, as it not accompanied by certain clinical symptoms. In this situation treatment is not applied. Only after the first signs of lower back pain doctors prescribe anti-inflammatory drugs and other necessary treatments.
Anatomical basis of occurrence of lumbar vertebra 6
Physiologically, the sacral vertebra 1 (S1) is firmly connected with the other sacral vertebrae. In lumbosacral spine in normal is the most strong fixation between the individual segments of the spine – SYNDESMOS. As a result, the intervertebral discs presents a more solid fibrous tissue than in the lumbar spine. This anatomical structure of the sacrum is designed to perform a supporting function and not a compression (as in the lumbar spine).
what causes the s1 vertebra globalizacija:
- weakening of the functionality of the lumbar spine;
- the Offset of the sacrum posteriorly;
- to the Redistribution of the center of gravity of the body;
- the Curvature of the vertebral column.
Extra vertebrae (L6) often leads to the syndrome of "slipping". Under him, the weight lifting is accompanied by pain in the lower back as the load L6 is shifted to the side, and the spinous process puts pressure on the sacrum.
Types and diagnosis of globalizatsii
According To the nature of the separation from S1 sacral vertebrae identify the following types of pathology:
When you complete the form S1 completely separated from other sacral vertebrae and is a separate anatomical structure. On the radiograph in this case, a full 6 vertebrae in the lumbar spine.
Incomplete type is characterized by the cleavage of only parts of the first sacral vertebra with preservation of the connection between s1 and the rest of the sacrum. In such a situation creates a limitation of motion in the lumbar spine. Over time, bony growths appear along the articular processes of the lumbar vertebrae (spondylosis).
Principles of diagnosis of the presence of 6 vertebra in the lumbar spine:
- Visual picture of flattening or increasing lumbar lordosis;
- the patient's Complaint of pain in the lower back or lower extremities;
- the Presence of the additional x-ray shadow in the lumbar spine;
- Shortening of the spinous process of the last lumbar vertebra (separated from the sacrum s1 has a shorter spinous process than L5);
- reducing the size of the transition vertebra (reduced height and body).
The Main causes of back pain as additional lumbar vertebra:
- Secondary changes in the soft tissues;
- circulatory disorders of in the spine due to the increased load on the spine;
- pinching the nerve root spinous process of L5 or S1;
- Pressure S1 of the sacrum (forming the sciatic syndrome).
Depending on the localization of pain doctors distinguish the 2 forms of the disease:
Lumbar form of globalizatsii is characterized by pain in the lower back and along the spine. Most often they have a nagging and pass after taking anti-inflammatory drugs (diclofenac, Nise).
Acute pains (lumbago) in this pathology occur after additional injury of the spine. In this situation, the spinous process of S1 or L5 pressing on the sacrum as a result of their displacement with respect to anatomical position (torsion or rotation).
Sciatic form is characterized by radiating pain at the gluteal region and lower limbs. Occurs due to compression of the sciatic nerve (gluteal region from the pelvis and innervates the lower limb).
Sometimes pain syndrome combined with impaired skinsensitivity in the lower back or on the hip.
Specific is the pain arising in your lower back when you jump with your knees bent on your toes. This position is accompanied by the pressure of the sacrum on the lumbar region.
If there is an additional lumbar vertebra, the space is reduced, which increases the probability of nerve root compression of the soft tissues. Amid the pain there is a limitation of mobility of the spinal column to the sides and in the plane anteroposterior.
All of the above changes are observed in severe pathology, when there is an infringement of the nerve roots. In most cases, globalizacija s1 does not require treatment, as it does not cause any clinical symptoms.
Treatment of disease is carried out in the presence of symptoms. Pain in the area of the transverse processes of young people aged 21-25 years when this disease appears on a background of heavy lifting and requires medical relief of painkillers.
Other methods of treatment of globalizatsii:
- Massage lumbosacral region
- the Wearing of a supporting corset for the waist
- Ultrasound therapy
- Electrophoresis with novocaine;
- surgical treatment.
The Choice of treatment depends on the symptoms and their severity. If there is severe pain due to the high mobility of the S1, the surgery is performed by mobilization of the vertebrae and prevent its displacement. The vertebra is fixed to the sacrum, and between it and other vertebrae, the artificial disc is installed. In other cases are treated by conservative methods.
Thus, treatment of globalizatsii based on clinical features that occur in pathology.