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Это может происходить в любом отделе позвоночника, но чаще всего поражает поясничную область [1](https://yusupovs.com/clinics/vertebrologiya-lechenie-zabolevaniy-pozvonochnika/spondilolistez/). \n\n**Виды спондилолистеза**: \n- **Антелистез** — смещение позвонка вперёд [7](https://nevaclinic.ru/uslugi/neyrokhirurgiya/lechenie-spondilolisteza/)[8](https://www.Spina.ru/inf/states/2265); \n- **Ретролистез** — смещение позвонка назад [7](https://nevaclinic.ru/uslugi/neyrokhirurgiya/lechenie-spondilolisteza/)[8](https://www.Spina.ru/inf/states/2265); \n- **Латеролистез** — боковое смещение [7](https://nevaclinic.ru/uslugi/neyrokhirurgiya/lechenie-spondilolisteza/). \n\nСпондилолистез может быть стабильным (положение позвонков постоянно) и нестабильным (меняется при смене положения тела) [2](https://www.gmshospital.ru/diseases/spondilolistez/)[3](https://www.fdoctor.ru/poliklinika/hospital-center/depart-vertebrologiya/disease-spondilolistez/).\n\n\n\n## Причины\nНекоторые причины спондилолистеза: \n* **Травмы позвоночного столба** (вывихи, переломы, повреждения мягких тканей) [7](https://nevaclinic.ru/uslugi/neyrokhirurgiya/lechenie-spondilolisteza/). \n* **Дегенеративно-дистрофические процессы** (связаны с возрастными изменениями или являются следствием других заболеваний) [7](https://nevaclinic.ru/uslugi/neyrokhirurgiya/lechenie-spondilolisteza/). \n* **Аномалии развития позвонков** (врождённые и наследственные) [7](https://nevaclinic.ru/uslugi/neyrokhirurgiya/lechenie-spondilolisteza/). Например, спондилолиз — несращение дуги позвонка в области ножки или межсуставной области [7](https://nevaclinic.ru/uslugi/neyrokhirurgiya/lechenie-spondilolisteza/). \n* **Опухоли позвоночного столба** (спондилолистез может быть следствием доброкачественных или злокачественных новообразований) [7](https://nevaclinic.ru/uslugi/neyrokhirurgiya/lechenie-spondilolisteza/).\n\n## Симптомы\nПроявления спондилолистеза зависят от степени смещения позвонков и локализации проблемы [1](https://yusupovs.com/clinics/vertebrologiya-lechenie-zabolevaniy-pozvonochnika/spondilolistez/). Некоторые признаки: \n* **Боль в спине**, которая может усиливаться при нагрузке или длительном пребывании в одном положении [1](https://yusupovs.com/clinics/vertebrologiya-lechenie-zabolevaniy-pozvonochnika/spondilolistez/). \n* **Ограничение подвижности** — трудности с наклонами, поворотами и прямостоянием из-за боли или нестабильности позвоночника [1](https://yusupovs.com/clinics/vertebrologiya-lechenie-zabolevaniy-pozvonochnika/spondilolistez/). \n* **Неврологические расстройства** — в случае серьёзного сдавления нервных корешков могут возникать онемение, покалывание, слабость в конечностях [1](https://yusupovs.com/clinics/vertebrologiya-lechenie-zabolevaniy-pozvonochnika/spondilolistez/). \n* **Хромота** — из-за боли и слабости в ногах пациент может испытывать трудности при ходьбе [1](https://yusupovs.com/clinics/vertebrologiya-lechenie-zabolevaniy-pozvonochnika/spondilolistez/).\n\n## Диагностика\nДиагностика спондилолистеза включает: \n* **Клинический осмотр** — врач оценивает симптомы и проводит физическое обследование [1](https://yusupovs.com/clinics/vertebrologiya-lechenie-zabolevaniy-pozvonochnika/spondilolistez/). \n* **Рентгенографию** — позволяет визуализировать позвоночник и определить степень смещения позвонков [14](https://smartclinicspb.ru/zabolevaniy/89-spondilolistez/). \n* **МРТ** — позволяет визуализировать не только костные структуры, но и мягкие ткани, включая межпозвоночные диски, связки и нервные корешки [14](https://smartclinicspb.ru/zabolevaniy/89-spondilolistez/). \n* **КТ** — позволяет получить трёхмерное изображение позвоночника, что помогает более точно определить степень и локализацию смещения позвонков [14](https://smartclinicspb.ru/zabolevaniy/89-spondilolistez/).\n\n## Лечение\nЛечение спондилолистеза зависит от степени смещения позвонков и тяжести симптомов [1](https://yusupovs.com/clinics/vertebrologiya-lechenie-zabolevaniy-pozvonochnika/spondilolistez/). **В начальных стадиях** часто применяется **консервативная терапия** — физиотерапия, лекарства для уменьшения боли и воспаления, лечебная физкультура [1](https://yusupovs.com/clinics/vertebrologiya-lechenie-zabolevaniy-pozvonochnika/spondilolistez/). \n\n**В случае более выраженных нарушений** может быть показано **хирургическое вмешательство**, направленное на стабилизацию позвоночника и устранение давления на нервные корешки [1](https://yusupovs.com/clinics/vertebrologiya-lechenie-zabolevaniy-pozvonochnika/spondilolistez/).","linksData":[{"sourceId":1,"url":"https://yusupovs.com/clinics/vertebrologiya-lechenie-zabolevaniy-pozvonochnika/spondilolistez/","shownUrl":"https://yusupovs.com/clinics/vertebrologiya-lechenie-zabolevaniy-pozvonochnika/spondilolistez/","title":"Спондилолистез позвоночника - 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