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Spinal instability

Spinal instability is a very general term that describes the problem of a structural relaxation between the vertebral bodies. In later life this arises when the vortices the vertebrae connections are weakened.

Here, wear means that vertebrae, intervertebral discs, joints, ligaments and muscles due to long term pressure and aging can no longer withstand the stress level. On this occasion, complex changes of the spine balance with shifting emphasis result.


However, the body tries to restore the balance. This can lead to deformations of the spine, such as the so-called degenerative scoliosis (lateral curvature come), kyphosis (bending forward with Humpback-formation) and spondylolisthesis (vertebral slippage).


Depending on the severity, the spinal canal is narrowed and the nerves coming from the nerve channels are affected, i.e. instability often results in addition to a narrowing of the spinal canal.

As the leading symptoms of back pain, patients often indicated pain in the legs, tingling or numbness or paralysis in the legs.

Treatment measures include conservative treatment with physiotherapy, if necessary to stabilize a brace or a corset but also minimally invasive techniques such as infiltration of facets or Facettendenervation(?). In more pronounced instability, which has led to nervous breakdowns, a discharge of the spinal canal with reduction (i.e. restoration of the normal curvature of the spine) and stabilization in that segment is often essential.The relevant vertebrae are connected with each other through a linkage of screws and rods (so-called internal fixator). For support the so-called Cages (place-maker) are introduced between the vertebrae.

See spinal fusion