Case 29: how to determine lumbar instability and treatment

Zhang XX, female, 50 years old, Xingyang people, lumbar spondylolisthesis, lumbar disc herniation. History of 4 years, increased in February

Content

Zhang XX, female, 50 years old, Xingyang people, lumbar spondylolisthesis, lumbar disc herniation. History of 4 years, increased in February. Postoperative recovery was good.

According to panjabis method:

X-ray: power for a stage: before and after an angle greater than 11 degrees.

Vertebral displacement is greater than 4.5mm

Joint formation disappeared

The spinous process was widened and the rotation between spinous processes was greater than 8 degrees.

Facet joint loss is greater than 50%

CT: one facet joint open.

Summary of medical records:

Preoperative film:

Postoperative film:

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