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At the 4th and 5th lumbar levels, great pressure is said to be exerted on the posterior aspect of each vertebra and transferred from the vertebra to the disc. Williams specified that in most cases the 5th lumbar disc ruptures and the nuclear material of the disc moves into the spinal canal causing pressure on the spinal nerves.
A patient with high grade spondylolisthesis may present with a posterior pelvic tilt, causing a loss in the normal contour of the buttocks. [24] An antalgic gait, rounded back and decreased hip extension can result from severe pain. [25] While standing, the patient should be observed from the front, back, and sides.
Traction is offered as a non-surgical method of spinal decompression. [4] A 2021 meta-analysis showed physiotherapy was an effective method of managing prolapsed lumbar intervertebral discs; [ 5 ] but was unable to establish the source of the pain relief reported.
Buck's traction, involving skin traction. It is widely used for femoral fractures, low back pain, acetabular fractures and hip fractures. [2] Skin traction rarely causes fracture reduction, but reduces pain and maintains the length of the bone. [2] Dunlop's traction – humeral fractures in children; Russell's traction; Halo-gravity traction
About 90% of sciatica is due to a spinal disc herniation pressing on one of the lumbar or sacral nerve roots. [4] Spondylolisthesis, spinal stenosis, piriformis syndrome, pelvic tumors, and pregnancy are other possible causes of sciatica. [3] The straight-leg-raising test is often helpful in diagnosis. [3]
Herniated disc pressing on spinal nerves. Spinal fusion can be used to treat a variety of conditions affecting any level of the spine—lumbar, cervical and thoracic. In general, spinal fusion is performed to decompress and stabilize the spine. [4] The greatest benefit appears to be in spondylolisthesis, while evidence is weaker for spinal ...
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