Doctor insights on:
Can You Tell Me What Is Spondylolisthesis And Its Management
Slippage: One bone slips forward on top of the one underneath it. Sometimes it is silent (no symptoms) so no treatment is necessary. Many people with it have pain that responds to exercise, physical therapy and mild medication. A few are severe enough for surgery. ...Read moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
Great indication: 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
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 moreSee 1 more doctor answer
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
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