PATHOPHYSIOLOGY
- The resulting imbalance can lead to an unstable spine and can considerably worsen the quality of life of the patients, preventing them from carrying out their daily activities.
- The most frequent cause of spinal instability in adults is degeneration or early wear of the intervertebral disc. Patients may have a genetic predisposition to it and those whose bodies are subject to overexertion.
- The resulting imbalance can lead to an unstable spine and can considerably worsen the quality of life of the patients, preventing them from carrying out their daily activities.
- These degenerative problems are increased by poor posture, poor physical condition, muscular insufficiency, sedentary life, excess body weight, injury, etc.
- People complains of Back pain that typically worsens after short period of sitting, standing, bending, or turning on bed .
- Dynamic spinal instability may sometimes impinge spinal cord or nerves casuing radicular leg pain or claudication.
INVESTIGATIONS
- Dynamic xrays are usually diagnostic of spinal instability.
- MRI helps in assessing intervertebral disc and nerves.
NON SURGICAL TREATMENT
- Patients should avoid over-exertions or strain, prolonged standing, sitting or lifting heavy objects.
- Lumbar brace and physiotherapy may help in reducing symptoms.
- Surgery is indicated when conservative measures fails and patient finds difficulty managing day to day activities.
MESSAGE
Patients with chronic or recurrent back pain should rule out spinal instability.
Young patients with spinal instability should opt for surgery as they completely recover and can resume all their personal and professional activities.