What is Spondylolisthesis?
Spondylolisthesis is a spinal condition where one vertebra slips forward over the vertebra below it, causing misalignment of the spine. This slippage can lead to back pain, stiffness, and nerve compression, resulting in symptoms such as nerve pain, numbness, or weakness in the legs. Spondylolisthesis can be caused by various factors. Depending on the severity, treatment options range from conservative approaches such as physical therapy and pain management to surgical intervention to stabilize the spine and relieve symptoms.
What Causes Spondylolisthesis?
Spondylolisthesis can be caused by several factors, each leading to the forward slipping of a vertebra over the one beneath it. Congenital spondylolisthesis results from a defect present at birth, while isthmic spondylolisthesis occurs due to a stress fracture in a vertebra. Degenerative spondylolisthesis is most common in older adults, arising from the gradual wear and tear of spinal discs and joints. Traumatic spondylolisthesis is caused by acute injuries, such as fractures or dislocations, that disrupt the vertebral alignment. Lastly, pathological spondylolisthesis results from diseases like osteoporosis or tumors that weaken the spine. Each cause can contribute to varying degrees of spinal instability and associated symptoms.
Symptoms of Spondylolisthesis?
Symptoms of spondylolisthesis can include:
- Muscle spasms
- Back stiffness
- Difficulty walking
- Difficulty standing for long periods of time
- Pain when bending over
- Numbness, weakness, or tingling in the foot
Dr. Cammisa studies the surgical versus nonsurgical treatment for lumbar degenerative spondylolisthesis.
Read MoreHow is Spondylolisthesis Diagnosed?
Diagnosing spondylolisthesis involves a comprehensive evaluation that starts with a detailed medical history and physical examination. The physician assesses symptoms such as back pain, leg pain, and any signs of nerve compression. Imaging studies are crucial for a definitive diagnosis, with X-rays typically used to visualize the alignment of the vertebrae and identify any slippage. Advanced imaging techniques, such as MRI or CT scans, may be employed to evaluate the extent of nerve involvement and any underlying structural issues. This thorough diagnostic approach helps determine the severity of the condition and guides the development of an effective treatment plan.
How is Spondylolisthesis Treated?
At SpineCare of NY, the treatment for spondylolisthesis is tailored to each patient’s specific condition and needs. Initial management often involves conservative approaches such as physical therapy to strengthen the muscles supporting the spine, pain management with medications, and lifestyle modifications to reduce strain on the back. For patients with severe symptoms or significant vertebral slippage, advanced interventions may be considered, including minimally invasive surgical options to stabilize the spine and decompress nerves. With access to cutting-edge technology and the expertise of our world-renowned specialists affiliated with the Hospital for Special Surgery, SpineCare of NY ensures a comprehensive, individualized treatment plan to effectively address spondylolisthesis and improve patient outcomes.
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