Spinal instability refers to the condition of failure of the spinal column to maintain its normal structure. Normally, the spine functions to protect and provide support to the body and its internal organs. An unstable spine is incapable of holding various spinal structures such as spinal muscles, ligaments, bones and discs in place. Mild spinal instability may resolve on its own, while a severe spinal instability may damage the spinal cord, nerve roots and lead to spinal deformity.
Causes of spinal instability include:
Signs and symptoms
Signs and symptoms of spinal instability include:
Your doctor may recommend a few laboratory tests to help diagnose spinal instability. These include:
Your doctor may also order imaging tests such as magnetic resonance imaging (MRI), X-rays, computed tomography (CT) scans or a CT with myelography for the diagnosis of spinal abnormalities including displacements, nerve compressions, tumors or fractures. A bone density scan may be suggested to diagnose a suspected osteoporosis. Your doctor may order electromyography to confirm nerve root compression.
Treatment varies depending on the severity and cause of spinal instability. Pain and vertebral slippage in cases of mild spinal instability can be relieved with physical therapy. However, trauma to the spinal column or congenital instability requires surgical treatment.
Your surgeon may recommend the following surgical procedures depending on your condition.
Spinal lumbar fusion involves joining 2 or more vertebrae in the lower back region to relieve lower back and leg pain. Cervical fusion is indicated to relieve neck and arm pain. The procedure involves making an incision in the abdomen or back over the area to be fused and inserting bone graft to join the vertebrae to resolve the symptoms.
After the spinal fusion, your surgeon will fix various instruments to help stabilize the spine.
These procedures are used to treat the injured or collapsed vertebral column. During Kyphoplasty, your surgeon inflates a small balloon into the vertebral space to lift the vertebra. The space created is then filled with an acrylic mixture which hardens and stabilizes the vertebra. In vertebroplasty, the acrylic liquid mixture is injected into the vertebral fracture.