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采用 CBP 矫正胸腰椎和腰骶椎脊柱滑脱后,疼痛和生活质量得到改善:病例研究和 1 年随访。

Improved Pain and Quality of Life with Corrected Thoracic and Lumbosacral Spondylolisthesis Subluxations Using CBP: A Case Study and 1-Year Follow-Up.

机构信息

Institute for Spinal Health & Performance, Cumming, GA, USA.

出版信息

J Radiol Case Rep. 2022 Feb 1;16(2):21-38. doi: 10.3941/jrcr.v16i2.4413. eCollection 2022 Feb.

Abstract

OBJECTIVE

Discuss non-surgical spinal rehabilitation for a 27-year-old male with thoracic and lumbosacral spondylolistheses. A selective literature review and discussion are provided.

CLINICAL FEATURES

A 27-year-old male presented with severe, 8/10 mid and low back pain. Initial lateral thoracic and lumbar x-rays revealed grade 1 spondylolistheses at T9-T10 and L5-S1 measuring -5.3 mm and -6.8 mm.

INTERVENTIONS AND OUTCOMES

The patient completed 60 sessions of Mirror Image® spinal adjustments, exercises, and traction over 30 weeks. Post-treatment x-rays showed correction in translations at T9-T10 and L5-S1 from -5.3 mm to 0.0 mm and -6.8 mm to -1.0 mm, within normal limits. 1-year follow-up x-rays showed maintained correction.

CONCLUSIONS

This case is the first documented evidence of non-surgical or chiropractic treatment for thoracic and lumbosacral spondylolistheses where spinal alignment was corrected. More research is needed to investigate the clinical implications and applications.

摘要

目的

讨论 27 岁男性胸腰椎滑脱的非手术脊柱康复治疗。提供选择性文献回顾和讨论。

临床特征

一名 27 岁男性出现严重的 8/10 中下段背痛。初始的侧位胸椎和腰椎 X 光片显示 T9-T10 和 L5-S1 的 1 级脊椎滑脱,分别为-5.3mm 和-6.8mm。

干预和结果

患者在 30 周内完成了 60 次镜像®脊柱调整、锻炼和牵引。治疗后的 X 光片显示 T9-T10 和 L5-S1 的平移矫正,从-5.3mm 到 0.0mm 和-6.8mm 到-1.0mm,均在正常范围内。1 年随访 X 光片显示持续矫正。

结论

这是首例经非手术或脊骨神经医学治疗胸腰椎滑脱的记录在案的证据,其中脊柱排列得到了纠正。需要进一步研究以探讨其临床意义和应用。

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