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The exercise also tightens and strengthens the lower muscles of the abdominal wall and pelvis. Pull abdomen in toward the floor and slightly rock the top of the pelvis upward. Degenerative or de novo scoliosis is the Adult Scoliosis that is a sideways distortion of the lower or lumbar spine combined with the arthritic changes that come with age. Patients usually present at our center with their scoliosis combined with loss of lordosis (normal curve of the low back seen from the side), AND often have a shifting of the vertebrae due to degeneration of their spinal joints.Greater force is placed on the discs which then accelerates this degenerative disc disease.
Patient history also indicated discitis osteomyelitis at the L3-L4 level. Cystic soft tissue within the thecal sac at this level extends to the distal thecal sac. L4-L5: Subtle retrolisthesis of L4 on L5 with a shallow concentric spondylotic disc displacement.
Combination of these findings are compatible with discitis / osteomyelitis at L3-L4 with a prevertebral soft tissue collection, involvement of the epidural space along the left laminotomy site dorsal aspect of L3-L4, and an enhancing intradural abscess extending from L2-L3 to the sacrum. There is a loss of intervertebral disc space height at L3-L4 with active inflammation and edema. L2-L3: There is no focal disc herniation or spinal canal stenosis. L3-L4: Patient is post remote left laminotomy at this level. Irregular cystic soft tissue within the thecal sac is present without high grade spinal canal stenosis. Irregular soft tissue within the thecal sac extends towards the sacrum.
The discs and ligaments hold the vertebrae together, forming stable strong joints that allow slight movement between the vertebrae with the disc also functioning as a shock absorber.
As all people age the spine will experience decreased back support due to degenerative changes to the spine.
Retrolisthesis Situation: Retrolisthesis refers to damage to the ligaments of the spine that cause a vertebra to displace—or shift—backward in relationship to the vertebrae above or below it.
This condition is most commonly seen in the lower back and looks like stair steps on an X-ray.
Early treatment with a scoliosis specific exercise program and possibly adult scoliosis bracing is the best approach.
Surgery can be considered in more severe cases, but the benefits and risks to the patient must be carefully considered before that choice is made.
A retrolisthesis can often produce back pain and other neurological discomforts such as tingling or pain to buttocks, thighs, legs, and feet.
Often, the intervertebral disc is stretched and can contribute additional pain or other neurologic symptoms.