Doctor insights on:
How Do You Grade 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 ...Read more
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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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