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Doctor insights on: How Do You Grade Spondylolisthesis

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What causes spondylolisthesis?

What causes spondylolisthesis?

Spondylolisthesis: Spondylolisthesis is the slippage of one vertebrae over another. Causes can be degenerative arthritis, trauma/fracture, congenital, or stress fracture of the pars intraarticularis which is often caused by sports involving hyperextension of the back. ...Read more

Dr. Michael Bolesta
317 Doctors shared insights

Spondylolisthesis (Definition)

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


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What causes spondylolisthesis?

What causes spondylolisthesis?

Bad back: Spondylolisthesis is a forward sliding of a vertebra, typically in the low back. It is caused by a number of things including chronic poor posture and obesity. Congenital defects, osteopenia and osteoporosis can also make you more susceptible. ...Read more

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Anyone diagnosed spondylolisthesis?

Anyone diagnosed spondylolisthesis?

What is the question: Spondylolithesis is diagnosed by flexion and extension xrays but may also be picked up on mri. ...Read more

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Spondylolisthesis -- is there a cure?

Spondylolisthesis -- is there a cure?

No: It is due to degeneration of disc and joints, occasionally from a type of fracture. Surgery can be used to correct it, but usually exercise, weight control and otc medication can control symptoms without anything more drastic needing to be done. ...Read more

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What are the tests for spondylolisthesis?

What are the tests for spondylolisthesis?

Exam, radiographs: A careful physical may pick it up, but in most cases the deformity is not visible to the eye. Plain radiographs (x-rays) show the slip (spondylolisthesis). If done standing, they can show subtle slips that go away while lying down. Mri and ct are helpful if there are nerve symptoms (like leg pain, numbness, weakness) and if surgery is being considered. Bone scan is sometimes used too. ...Read more

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What are the symptoms of spondylolisthesis?

What are the symptoms of spondylolisthesis?

None to varied: There are several types of spondylolisthesis these can have no symptoms to varying types of back &/or leg pain with or without any numbness, tingling or weakness in the legs. 70% of the degenerative or acquired type & 90% of the congenital type are treated non operatively, the pain is usually worse with activity & better with rest. ...Read more

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What can help people with spondylolisthesis?

What can help people with spondylolisthesis?

A lot: This condition can be sucessfully treated a variety of ways seek the help of an orthopedic spine surgeon as a guide. Read dr. Wiltse work, classic on spondy. ...Read more

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What will help people with spondylolisthesis?

Varied: The natural history of spondylolisthesis is somewhat difficult to predict and may be somewhat dependent on the underlying causes of the misalignment. Also the current degree of misalignment and if there is instability also play a part. Core stabilization exercises, physical fitness and weight management are important in maintaining he issue and potentially preventing progression. ...Read more

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Does hula hooping help with spondylolisthesis?

Does hula hooping help with spondylolisthesis?

Interesting question: I am not aware of any specific data on the subject, but if you can do it, and it doesn't make you feel worse, I say knock yourself out. ...Read more

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What are the known symptoms of spondylolisthesis?

Pain: Usual symptoms include pain, numbness, tingling of both the low back as well as the legs. ...Read more

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What are the best ways to treat spondylolisthesis?

What are the best ways to treat spondylolisthesis?

Exercises: Spondylolisthesis is often found on x-ray examination as an incidental findings. Just because it is there, does not mean that it is the cause of your symptoms. When is established that this is the cause of your symptoms, then exercises, bracing and nsaids such as tylenol, (acetaminophen) advil and Aleve make help. If not prescription pain medication may be prescribed. If all fail then surgical intervention. ...Read more

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What are common complications of spondylolisthesis?

What are common complications of spondylolisthesis?

Pain: Back pain is the most common symptom. Nerve symptoms can also occur: numbness, tingling, pain in the legs. Rarely it can affect the ability to empty the bladder or bowels. ...Read more

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Can spondylolisthesis worsen even if I have no pain?

Yes: The most common type of spondylolisthesis will rarely progress to a severe slip. Most of the time, the progression stops when a person reaches adulthood. The other common kind occurs in middle life and beyond, and rarely progresses beyond grade 1 or 2 (mild). The process of slippage is not something people feel. ...Read more

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Can you tell me what is mild grade 1 spondylolisthesis?

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

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Spondylolisthesis is painful and depressing, any advice?

Consult a specialist: Spondylolisthesis is a spinal deformity which can be something you were born with or be acquired. It is correctable with surgery. You should consult either a spine orthopedic surgeon or a spine neurosurgeon. Research the specialists available to you on line by going to the scoliosis research society or ask your primary health care provider. ...Read more

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Can you explain the different grades of spondylolisthesis?

Grading: Defined by how much the bone has shifted (translated) compared with the bone next to it. Grade 1- 0-25% translation, 2-25-50% translation, 3-50-75% translation, 4-75-100% translation. Greater than 100% is called spondyloptosis. ...Read more

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My spondylolisthesis is painful and depressing, any advice?

Agree w Dr Linville: Determine if this is the cause of your pain. If yes, then find out all your treatment options -so that you can work on improving this. Don't give in to pain & depression if improvment is possible. Take care. ...Read more

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What are some exercises for someone with spondylolisthesis?

Core stabilization: Physical fitnes weight management and core stabilization as well as pelvic floor strengthening are likely important. Furthermore most people are worse in either spine extension or flexion so strengthening in the opposite direction is helpful. See a physical therapist who specializes in the spine. ...Read more

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What is the definition or description of: Spondylolisthesis?

Spondylolisthesis: 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 or nerve root compression. ...Read more

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Can you tell me what is spondylolisthesis and its management?

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 more

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I had have spondylolisthesis. What will happen over the course of my life?

Depends: The natural history of spondylolisthesis is somewhat difficult to predict and may be somewhat dependent on the underlying causes of the misalignment. Also the current degree of misalignment and if there is instability also play a part. Core stabilization exercises, physical fitness and weight management are important in maintaining he issue and potentially preventing progression. ...Read more

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Usually at What grade of spondylolisthesis does a step off become palpable?

How to answer that -: It depends upon your body habitus. If you if you are overweight and are on the stock a side it will not be as helpful as someone who is very thin. So the ability to palpate it does not necessarily give you an idea of how far the vertebra has slipped. ...Read more

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What are some safe and pain-free exercises for someone with spondylolisthesis?

What are some safe and pain-free exercises for someone with spondylolisthesis?

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

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I was diagnosed with spondylolisthesis grade 2. Which exercises are safe to perform?

All: All are safe to perform but some may aggravate symptoms and may need to be modified or avoided if too painful. Most exercise programs for people with this condition aim at core strengthening, flexibility and cardiovascular routines. Generally, if weight lifting, squats and deadlifts should be avoided. ...Read more

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My sister says she has spondylolisthesis. Are family members more likely to get the same thing?

Perhaps: There are several types or causes of spondylolisthesis (slippage forward of one spinal bone on top of the one below it). It is not strictly inherited (as in a single gene), but the tendency toward it probably is influenced genetically. ...Read more

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Just find out that I have been diagnosed with spondylolisthesis. What are the next steps I should take?

6% of the US: Population have this issue with 50% going undiagnosed & asymptomatic with the other 50%, 90% of the remaining group managed non surgically with bracing, exercise & medication. 10% end up with a fusion with 90% of them doing well. This is the isthmic variety. Another type is degenerative related with 70 % treated non operatively. ...Read more

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What is retro-spondylolisthesis of the spine?

What is retro-spondylolisthesis of the spine?

A backward spinal sl: Your spine vertebra don't line up front back and one has slipped back this is a different condition than the commonly treated anterior slipping they have different treatment algorithms and prognosis general part of segmental degeneration a levels higher than l3. ...Read more

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What kind of treatments are there for spondylolisthesis?!?

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

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How are spondylolysis and spondylolisthesis generally evaluated?

How are spondylolysis and spondylolisthesis generally evaluated?

Xrays: Xrays can make the diagnosis of spondylolisthesis. Xrays can show the relationships of the vertebrae (bones) in your spine and determine if one is slipped relative to the neighboring vertebrae. Ct or MRI scans can confirm or make the diagnosis as well. ...Read more