Doctor insights on:
Can You Tell Me The Difference Between Scoliosis And Spondylolisthesis
Curve vs slip: Spondylolisthesis means one spine bone has shifted forward on the one below it. It is seen on a side view x-ray (or other imaging study). Scoliosis is a curve seen on the frontal view x-ray (a straight line is normal). In reality though, scoliosis is a rotational deformity; the individual bones are rotated from the normal position, affecting the shape in the front view mainly, but also in others. ...Read more
Is the subluxation or slippage of one vertebral body over another, usually with the more superior body slipping forward relative to the body below. This can be due to to etiologies such as ligamentous laxity or an abnormality of the bone (spondylolysis). If mild, it may be asymptomatic. If severe or unstable, it could cause kinking/compression of the spinal cord ...Read more
Not really: Rigid braces are used in scoliosis in growing children and can be used to lessen the progression of a curve, thereby reducing the likelihood of surgery. They really don't have benefit in a adult. They don't improve the curve and to cover the whole curve means they are cumbersome and can lead to stiffness and atrophy. A lumbar corset may be helpful to with the symptoms of a spondylolisthesis. ...Read more
Scoliosis progressing, L5 compression, EMG changes, lumbar spondylolisthesis, c4-6 narrow, PAIN. What are my options?
Options: A good Orthopedic eval is needed to go over all you have done already. Generally, conservative Treatment first with medication, Physical therapy, possible pain management with epidurals, and then if needed and no relief, a Neurosurgical evaluation may be needed to discuss surgical options. Best wishes. ...Read more
Mild scoliosis; grade 1 spondylolisthesis l5-s1; l4-5 prom l paracentral disc extrusion; mild ligamentous & facet hypertrophy. Treatments?
Inflammatory v degen: Ankylosing spondylitis (AS) is an inflammatory arthritis that affects the spine, pelvis, and sometimes the peripheral joints as well. Spondylolisthesis is a degenerative change in the spine that allows one vertebra to slide out of alignment with the one next to it. These conditions are treated differently. ...Read more
Slight slip: Grade I spondylolisthesis is slippage of up to 25% of one vertebral body with regards to the adjacent one. A mild grade I slip would suggest that the displacement is on the lower side of the range. However, it is more of a descriptive term and does not specifically mean a particular percentage. ...Read more
Most nonop care: Common types: congenital which occurs in 6% of the population ; is treated without surgery 90% of the time with occasional use of otc medication, bracing ; activity modification along with core strengthening exercises, flexibilty routines ; cardio ones-other common type is the acquired usually seen in females over 50 with 70% getting same treatment. Surgery is a fusion +/-a laminectomy for both. ...Read more
Listhesis means slip:
A spondylolisthesis refers to a relative slip of one vertebra over another. L4/5 is the most common level and is usually a degenerative process (whereas when at l5/s1 is commonly associated with a pars defect- a fracture that occurs in childhood).
Retrolisthesis means L4 is slipping back over L5 which is undoubtedly degenerative (most slips are forward and called anterolisthesis). ...Read more
Spondylolisthesis is generally considered a great indication for surgery (especially if there is excess motion at that segment on flexion vs extension xrays or if accompanied by leg symptoms) and most (>85%) are considered "successful" (50% improvement is common definition in studies).
With that said, surgery is not "needed" unless there is instability or neurological deficits. ...Read more
Lots!: Just about any exercise is potentially okay. Use common sense. If a given exercise is uncomfortable, decide if it is mild discomfort from doing something new, or something that you will pay for later. People with painful joints and back problems ofter can do exercises in water, so look into water aerobics, swimming, water walking (but obviously you need pool access). ...Read more
Several: Acetaminophen (brand name tylenol) is a good one to try unless you have liver problems. Anti-inflammatory medications like Ibuprofen (nuprin, motrin, medipren) and Naproxen (aleve) are over the counter. They should not be used if you have high blood pressure or stomach ulcers (have or have had). The most common side effect is upset stomach. Always follow instructions & note the precautions inside. ...Read more
Majority non op: Common types: congenital which occurs in 6% of the population & is treated without surgery 90% of the time with occasional use of otc medication, bracing & activity modification along with core strengthening exercises, flexibilty routines & cardio ones-other common type is the acquired usually seen in females over 50 with 70% getting same treatment. Surgery is a fusion +- laminectomy for both. ...Read more
Up to 25%: Grade 1 means that the forward slippage of L4 is up to one quarter (25%) of the top of the L5 vertebra. So if the top of L5 front to back is 50 mm, the forward slip of L4 is more than zero and less than 12.5 mm. ...Read more
Many: Spondylolisthesis is the slipping of 1 vertebral body on the other. This is not always painful. When it is, it can often be treated like any other form of back pain with exercise, nonnarcotic pain medication, and bracing. When the slippage results in the pinching of a nearby nerve, surgery usually with fusion of the bones may be helpful. ...Read more
Depends!: One common type occurs during childhood and adolescence. It seems to be caused by repeated extension (leaning backward), so gymnasts and interior linemen (football) are at risk. But it is common among the general population. Another common type is part of the aging process; it normally is seen after age 50 and is slightly more common in women. ...Read more
Several things: Many folks will do well, but surgery does not always get rid of all symptoms that motivate people to consider surgery. You may have persistent pain, continued or new weakness, numbness, tingling; difficulty emptying or controlling bladder or bowels, numbness in the private area, spinal fluid leakage, failure of fusion, problems relating to any implants used. Some of these may improve, but may not. ...Read more
2 broad a?: So many variations as to where, how : front, back or both. Who is performing it, , how many levels, what grade is the slip ; more.....B more specific. ...Read more
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