Isuzuma ryagaragaye ryerekeranye no gutinda kwimuka kwumugongo kwimuka yerekeza mu cyuho cya thoracic, hibandwa ku mashusho, uburyo bushoboka bwo kunanirwa, gutegura igenamigambi, gukurikirana no kugarukira ku bishobora kugerwaho bivuye mu rubanza rumwe rwatangajwe.