Study On The Regulation Of The Overall Balance Of The Spine And Pelvis In The Treatment Of Lumbar Disc Herniation

Objective: The concept of integrity of spine plays an important role in the treatment of spine related diseases.The balance of integrity of spine and pelvis has certain guiding value in the diagnosis and treatment of lumbar disc herniation.Under the guidance of the whole concept of traditional Chinese medicine,the spine and pelvis are regarded as a whole,and the significance of the temperature change and the improvement of the patients' symptoms before and after the treatment of the whole balance adjustment of spine and pelvis is discussed,so as to provide a new scientific basis for the clinical treatment of lumbar disc herniation.Methods: Spine temperature,lumbosacral triangle temperature,side length,area and height of lumbosacral triangle,name,age,clinical symptoms,medical history and imaging findings were recorded and observed before treatment,and patients were instructed to fill in VAS rating scale and lumbar JOA rating scale.To observe the spinal temperature and the temperature of the lumbosacral triangle,the side length and area of the lumbosacral triangle and the improvement of symptoms after the adjustment of the overall balance of the spine and pelvis.Results: A total of 30 patients with lumbar disc herniation were collected in this study,including 16 males and 14 females.There was no statistically significant difference in the basic data of patients' age,disease course,lumbar protrusion segment,and diagnosis distribution of TCM syndromes(P>0.05).There was no statistically significant difference between the three angles of the lumbosacral triangle,the length of the three sides of the lumbosacral triangle,the area of the lumbosacral triangle and the height of the lumbosacral triangle before and after treatment(P> 0.05).In the overall trend chart,the three angles,three side lengths and the area of the lumbosacral triangle all increased and decreased after treatment,and the occurrence frequency was roughly the same.There was no statistically significant difference in the data of lumbosacral triangle height before and after treatment(P>0.05).In whole temperature,lumbosacral spine triangle trilateral before and after the treatment temperature,the straight leg-raising,lumbar proneness activity,the baseline data,such as the low back pain score comparison,statistically significant difference(P<0.05),the trend of variation in the whole temperature,lumbosacral spine triangle trilateral behind a small number of lower temperature in the treatment of the trend,but the overall all showed a trend of rising temperatures,the straight leg-raising-proneness,lumbar mobility,low back pain score almost all tend to be overall state of growth,visual analogue scale all tend to be lower.In the process of spinal spinous process deviation trend map treatment,a lthough there is a small number of repeated trends,but the overall trend s hows a downward trend.Conclusion:1.The whole balance of spine and pelvis can improve the temperature of spine and the temperature of lumbosacral triangle.2.The whole balance adjustment of spine and pelvis can obviouslyimprove the straight leg elevation and lumbar activity flexion of patients with lumbar disc herniation.3.The VAS and JOA scores of patients with lumbar disc herniation can be improved by the whole balance adjustment of spine and pelvis.4.There was no significant correlation between the adjustment of the overall balance of the spine pelvis and the three angles of the lumbosacral triangle,the length of the three sides of the lumbosacral triangle and the area of the lumbosacral triangle in patients with lumbar disc herniation.5.There was no significant correlation between the adjustment of the overall balance of the spine pelvis and the height of the lumbosacral triangle in patients with lumbar disc herniation.6.The overall balance adjustment of spine and pelvis can significantly im prove the deviation of spinal spinous process in lumbar protrusion.The o verall balance adjustment of spine and pelvis can significantly improve t he deviation of spinal spinous process in lumbar protrusion.7.The change of spinal temperature is closely related to the improvement of patients' symptoms and signs.