BP Push, Spondylo PDF - 8/22/2011 Side Posture Adjusting:...

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8/22/2011 1 Side Posture Adjusting: Sacrum Base Posterior Base Posterior w/spondylolisthesis S/S Not always symptomatic! Paresthesia may occur/exacerbate in extension Distribution bilateral but more prominent on one side Generalized LBP, pain in gluteal region, possibly lower extremity radiation Always differentiate from disc involvement Ullmann’s Line Line drawn perpendicular to sacral promontory (anterior) will intersect anteroinferior L5 body Meyerding Classification Sacrum divided into 4 segments Conservative Management Chiropractic care Symptomatology typically associated with facet syndrome and/or SI fixation rather than being directly related to the presence of spondylolisthesis Normal sacroiliac joint mobility may decrease strain on lower lumbar spine 80% of patients responded favorably to specific manip of SI joint or joints superior to spondylolisthesis Management, continued
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BP Push, Spondylo PDF - 8/22/2011 Side Posture Adjusting:...

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