Magora A
Clin Orthop Relat Res. 1976 Jun(117):74-9.
Spondylolisthesis occurs mainly at the L5-S1 interval, thus involving the dynamic segment. The general incidence is between 2 and 5 per cent, but about half of these patients are asymptomatic. The conservative therapy for the asymptomatic patients includes preventive measures such as correction of poor posture, elimination of stressful occupational requirements, avoidance of certain spine movements, and special sport activities. The mild to moderate low back pain syndrome requires alleviation of anxiety, analgesics and muscle relaxants, deep heat and relaxation and range of movement exercises. The severe low back pain which may prevent neurological deficit as well, should include a brief period of bed rest with strong analgesics and then gradual mobilization. In most instances, corsets are not required. Paravertebral blocks may be administered in special recalcitrant cases.
腰椎滑脱主要发生在L5-S1间隙，从而累及动态节段。总体发病率在2%至5%之间，但这些患者中约有一半无症状。无症状患者的保守治疗包括预防措施，如纠正不良姿势、消除压力大的职业要求、避免某些脊柱运动以及进行特殊的体育活动。轻至中度下腰痛综合征需要缓解焦虑、使用镇痛药和肌肉松弛剂、深部热疗、放松以及进行活动范围锻炼。严重的下腰痛若也可能导致神经功能缺损，则应包括短期卧床休息并使用强效镇痛药，然后逐渐恢复活动。在大多数情况下，不需要使用束腹带。在特殊的顽固病例中可进行椎旁阻滞。
