Causes, symptoms, treatment and types of retrolisthesis vertebrae of the cervical spine
Retraites cervical spine – posterior offset vertebral bodies at vertebral levels C2, C3, C4, C5. It is accompanied by pain in the lower back and the cervical vertebrae. The causes of disease are numerous. The etiological factor depends on the treatment of disease.
Why is there a offset
Posterior displacement of C3-C5 occurs because of a violation of topographic or biomechanical changes in the spine.
What reasons lead to the displacement of the cervical vertebrae posteriorly:
- Degenerative diseases of the cervical spine;
- Traumatic injuries of the vertebral column;
- Palsy of the muscles of the neck;
- Rupture of muscle fibers.
The Above reasons over time lead to a gradual progression of the disease. If initially, the vertebral body was displaced posteriorly by 5-7 mm, over the years it can increase up to 8-11 mm. The changes Described are irreversible. At high physical loads, they quickly progress.
Biomechanically misaligned vertebra puts pressure on the surrounding tissue. For example, if the deformation is localized at the levels C2-C3, we can expect infringement of the spinal nerve at the level of C3-C4.
This pathological condition forms a gradual degradation of the facet joints. This leads to the appearance of osteoarthritis and arthritis of the spine. If the pain when the disease is not very pronounced and is eliminated anti-inflammatory drugs, the person does not seek help of experts. In this situation the symptoms are formed gradually.
Retraites C2 and C3 is often a result of traumatic effects on the spine. In most cases, if the damage of intervertebral disks with loss of nucleus pulposus (intervertebral hernia) is formed by deformation of the spinal segment.
Curvature of the spine shifts the multiple segments and damage to the paravertebral tissues. If an abnormal condition continues for a long time, there is a strong pain syndrome in the upper extremities and neck, which you cannot get rid of painkillers.
The Offset of the vertebrae C2-C3 is less common than C4-C5, which causes a rare complication of the disease by the brain. Recall that in the transverse processes of the vertebrae passes the spinal artery, supply blood to 25% of brain structures.
The Offset of the vertebrae posteriorly C3-C4 is more likely to occur in the following categories of people:
Irrespective of localization of pathological changes without adequate treatment over time, the pathology progresses and pain increases.
How to identify the symptoms
The Symptoms of posterior listesi:
- Muscle spasms
- Strain the cervical spine;
- Neurologic symptoms
- the Progression of degenerative disc disease
- dysesthesia of the upper extremities;
- Involuntary twitching of hands;
- Rapid breathing and heartbeat.
The students retraites C3 and C4 is accompanied by a curvature of the cervical spine in lateral projection. In this form, the following symptoms:
- numbness of the upper extremities;
- Pain in the right hypochondrium;
- Pain in the gallbladder;
- peptic Ulcer.
The Above described symptoms of posterior displacement of the vertebra are formed on the background of the complex anatomical structure of the cervical spine.
Triggers disease in children:
- Weakness of the muscle corset back;
- the Lack of intervertebral discs in the functional segment (a congenital condition);
- violation of the articulation between the head and neck Department;
- Atypical location of the vertebral arteries (outside holes in the transverse processes of the vertebrae);
- the Compression and irritation of the nerve root;
- cerebrovascular circulation
- High blood pressure.
The Choice of tactics of treatment of the disease is determined by the degree of severity, stage and pathological changes in the spine.
Treatment of listesi C3-C5 requires the elimination of the main causes of the disease. In older people the disease is degenerative. It appears on the background of expressed changes of the intervertebral discs. To resolve pathological changes in the cervical spine in the elderly, it is necessary first to treat concomitant diseases: osteochondrosis, spondylosis, scoliosis.
Young people Have instability in the segment of C2-C3-C4-C5 most often triggered by injuries. In this situation, you may need surgical treatment for the correction of deformities in the cervical spine.
Principles of conservative treatment of displacement of the vertebrae:
- wearing a brace and orthopediccorset;
- Therapeutic spinal traction
- the Use of pharmaceuticals.
In the presence of muscle spasms and expressed pain syndrome in the neck apply anti-inflammatory and painkillers. They also allow you to eliminate the nerve problems:
- Twitching of upper extremities
- Excessive hypertonicity of skeletal muscles;
- the Curvature of the cervical spine.
If the background is damaged the pathology sternocleidomastoid muscle, the muscle relaxants are used to relax the muscular fibres from both sides of the neck.
What medicines are used in posterior displacement of one vertebra:
- Painkillers and anti-inflammatory
- Muscle relaxants
- Neuropathic drugs;
- Epidural anesthesia
- Hormonal steroid the funds.
When surgical intervention
In severe disease used surgical techniques. When expressed symptoms of operational procedures help to eliminate the neurological manifestations of the disease.
In the elderly against the back of instability of the cervical vertebrae can develop bony growths. They can be eliminated quickly, but after the intervention will require a rehabilitation phase lasting 2-3 months. After the disease may disappear forever.
With the help of conservative methods rarely achieve positive results. With their help, eases pain and relieves inflammation only a minor infringement of the nerve roots. Unfortunately, to remove the cause of the disease medical drugs cannot.