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运用脊椎矫正生物物理学技术矫正腰椎二度椎体滑脱:1年随访病例报告

Correction of a double spondylolisthesis of the lumbar spine utilizing Chiropractic BioPhysics technique: a case report with 1 year follow-up.

作者信息

Fedorchuk Curtis A, Lightstone Douglas F, Oakley Paul A, Harrison Deed E

机构信息

Private Practice, USA.

Private Practice: Newmarket, ON, L3Y 8Y8, Canada.

出版信息

J Phys Ther Sci. 2021 Jan;33(1):89-93. doi: 10.1589/jpts.33.89. Epub 2021 Jan 5.

Abstract

[Purpose] To report on the reduction of a double lumbar spine spondylolisthesis by use of Chiropractic BioPhysics technique. [Participant and Methods] A 57 year-old male presented with severe chronic low back pains and sciatica. After playing hockey for 50 years, he was unable to continue and was forced to retire. Lumbar radiography showed an L3 retrolisthesis of -5.3 mm and an L4 anterolisthesis of 5.4 mm. Chiropractic BioPhysics technique including mirror image lumbar spine drop-table adjustments, corrective exercises and a unique pelvic extension traction was performed 50 times over 7-months. [Results] A radiograph after 3-months showed full reduction of the L3 retrolisthesis. A radiograph after 7-months showed full reduction of the L4 anterolisthesis. The patient reported full resolution of chronic back pains and was able to return to play hockey; a 1.75 year follow-up showed maintenance of the corrections and the patient remained injury-free while returning to play hockey. [Conclusion] A customized treatment program including Chiropractic BioPhysics lumbar spine traction, corrective exercises and drop-table spine manipulation resolved chronic back pains and fully reduced an L3 and L4 retro- and antero-listhesis, respectively. Further research may substantiate this treatment approach for reducing translational displacements in the lumbar spine. Routine upright radiography is required to diagnose spondylolisthesis.

摘要

[目的] 报告运用整脊生物物理学技术复位双节段腰椎滑脱的情况。[参与者与方法] 一名57岁男性,患有严重的慢性腰痛和坐骨神经痛。在打了50年曲棍球后,他无法继续,被迫退役。腰椎X线片显示L3椎体后滑脱5.3 mm,L4椎体前滑脱5.4 mm。在7个月内进行了50次整脊生物物理学技术治疗,包括镜像腰椎斜扳调整、矫正运动和独特的骨盆伸展牵引。[结果] 3个月后的X线片显示L3椎体后滑脱完全复位。7个月后的X线片显示L4椎体前滑脱完全复位。患者报告慢性背痛完全缓解,能够重返曲棍球运动;1.75年的随访显示矫正效果得以维持,患者在重返曲棍球运动时未再受伤。[结论] 一个定制的治疗方案,包括整脊生物物理学腰椎牵引、矫正运动和斜扳脊柱手法,解决了慢性背痛问题,并分别完全复位了L3椎体后滑脱和L4椎体前滑脱。进一步的研究可能会证实这种治疗方法对减少腰椎平移位移的有效性。诊断腰椎滑脱需要常规站立位X线片。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd67/7829569/2e9ea4c48131/jpts-33-089-g001.jpg

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