The lumbosacral spine plays a central role in sustaining the postural stability of the body. The two discs at the base of the spine called L5S1 and L4L5 are the most common to suffer herniation.
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For example the L5 vertebra may slip forward over the S1 vertebra.
. My son aged 20 years has operated for MISS LT L5S1 micro discectomy c LT S1 Foraminotomy MISS LT L3L4 micro discectomy on 24th July 2019. Only a small percentage of patients are candidates for artificial disc surgery. Spondylolisthesis occurs when a small stress fracture causes one vertebral body to slip forward on another.
If sitting is painful and lying down brings relief. In artificial disc surgery an incision is made through the abdomen and the affected disc is removed and replaced. Disc herniation usually occurs at a specific level.
The patient must have disc degeneration in only one disc between L4 and L5 or L5 and S1 the first sacral vertebra. You may also have a bulging slipped or herniated disc 2. After 40 days of operation he has developed Dorso Lumbar Scoliosis.
Sciatica may result from nerve compression following the disc space collapse fracture and forward slipping of the vertebral body. 1992To stabilize the lumbar vertebrae on the sacral base requires the assistance of a complex myofascial and aponeurotic girdle surrounding the torso. However the lumbar spine alone is not capable of sustaining the normal loads that it carries daily Crisco et al.
On the other hand if your pain is worse when youre standing or walking and you feel a radiating pain that is relieved by sitting down you have extension related pain. Youre likely suffering from flexion related L5S1 pain. For information on South Africas response to COVID-19 please visit the COVID-19 Corona Virus South African Resource Portal.
The spinal segments are extremely strong and if they become stiff over a long period of time it can be difficult to take the pressure off the disc and get the segment moving again. He is wearing a brace since last 5.
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