Doctor insights on:
Spondylolisthesis Surgery Recovery Time
Spondylolisthesis: Spondylolisthesis surgery usually involves stabilization through a fusion procedure. Assuming the surgery is done well by a qualified surgeon the success rates are very good. Approximately 85-90% of patients who have surgery for spondylolisthesis are happy with the results. ...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
More info please: Isthmic or degenerative dysplastic traumatic need to know what type of spondy and what type of procedure to be accurate and the target symptom leg pain or back pain generally my impression for the most common types is 90% good to excellent relief of leg pain with decompression and fusion if no otherlevels degenerative 60/40 for back pain I treated this condition for leg pain only wiltse pioneered ...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
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
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
I have bilateral degenerative changes at l5-s1 level w/a grade 1-2 spondylolisthesis found 9/2012 has become worse will I end up needing surgery?
Spine Surgery: Spine surgery is reserved for individuals that have unrelenting pain that has failed conservative care or who have a progressive neurologic condition due to the spinal changes. Many individuals with your radiographic finding are pain free. If worsening would followup with your doctor or see a surgical or nonsurgical spine specialist. ...Read more
Spondylolisthesis. .. Can it be cured completely and with out surgery? I've been having problems with back misalignment. Thought better it pops hard
May not need surgery: You may not need surgery. It depends on the degree of spondylolisthesis and the amount of "slippage" at the level of concern. It also depends on what level this occurs. You may be able to treat this conservatively with pain control and physical therapy. If there is progressive slippage and neurological symptoms (pain, numbness, weakness) then surgery is more of a consideration. ...Read more
I had spondylolisthesis 8 years which I had surgery to repair. Now my lower back and hips hurt where I had my survey is this normal or something wrong?
Depends: Pain after lumbar fusion is not unusual. Further work up is determined by the specifics of the case. How bad was your pain and symptoms before surgery? Did they improve after surgery and now is suddenly getting bad? How long ago was your surgery? Is pain different? The answer to these questions and your physical exam will determine the need for further imaging. Speak to your surgeon. Gl! ...Read more
Spondylolisthesis. Pictures before surgery showed l3, 4, 5 all slipped, but doctor's surgery only fixed l4, 5 but not l3. Doctor never explained why.
Ask him why.: I need 2 ask him why. I'm sure he has a good reason and will explain it 2 u. Don't b bashful. ...Read more
Spondylolisthesis. L3, 4-5 slipped off. Surgery fixed l4-5 but not l3.Was it done right? Now having pain on right leg. (had pain on left leg before surgery
Depends on multiple: Factors. It appears your symptoms are mainly leg pain, and hence a surgeon may have decided that the l45 was the only level with stenosis or pressure on nerve, and wanted to to do only what was needed at the time, and not what maybe needed in the future. Difficult to tell without seeing your prior images, but could be an okay decision. Now, you have to consult with a well trained spine surgeon. ...Read more
I have a stable L5 s1 grade 2 spondylolisthesis and it is causing me leg and back pain. Should I get a fusion surgery? Or just decompression surgery
46 yrs, female, runner Dx'd with grade 2 spondylolisthesis at L4-5 BUT due 2 cord compression @ C-5/6/7 insist asymptomatic c-spine surgery 1st. Idea?
C Spine first: The C Spine pathology is the most serious for long term disability. Once that is corrected the address the L-Spine issues ...Read more
Does spinal dysraphism surgery in newborn causes problems in later life. My son now 15 having pain in legs due to spondylolisthesis at l5-s1, ?
Talk to MD: This problem could have many causes. I would suggest an evaluation by a neurosurgeon. With mris and physical examination they would be able to offer a course of treatment. ...Read more
I have lytic anterior spondyolisthesis at L5 with radiating pain in right leg. My age is 26.It is lytic at the pararticular region. Wt shld I do surgery?
Orthopedic spine: Your condition is a slip of one vertebra over another. When this happens the nerves exiting your spine get "pinched" and that gives you the radiating pain. The lysis refers to the problem with a part of the spine responsible for stability keeping the vertebra in line. Most people do well with surgery. You should see and orthopedic spine surgeon as the next step. ...Read more
I'm having a hard time deciding on spinal fusion and a laminectomy. What is the long term prognosis if I don't? G1 spondylolisthesis, R&L foraminal sten
Gradual worsening: Gradual worsening with foot drops if you have significant neurologic symptoms peotecting the nervesc with reconstruction has a better long term out com if you have only axial backache surgical outcome is less obviously beneficial wiltze urged us to wait for the leg pain then intervene if you don't have leg pain then your nerves are ok. ...Read more
I had spondylolisthesis 4 times. I had a total of 7 fractures in my L5 and L4. I am 24 and have been told I am too young for fusion. What can I do?
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
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
These rarely: Progress if the isthmic or congenital type with less than 1% progressing in adulthood. They can progress during youth. The acquired or degenerative type can progress but rarely past grade 2. Weight control, not smoking and regular exercise including core strengthening is important in terms of symptom control. ...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
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