SPONDYLOLISTHESIS

If you suffer from stiffness, muscle spasms or severe low back pain, please Schedule an appointment with one of our orthopedic specialists as soon as possible.

What is Spondylolisthesis?

In cases of Spondylolisthesis, one of the spinal vertebrae slips forward out of place. Moreover, this causes the offsetting the spinal column and puts pressure on the nerve. Spondylolisthesis usually occurs from injury or impact. Additionally, the most severe causs can also experience paresthesia in the legs and cauda equina syndrome.

Types of Spondylolisthesis

Spondylolisthesis presents itself in various forms, each with its own distinct causes and characteristics. Congenital spondylolisthesis arises from a birth defect, where abnormal development of the vertebrae makes them more prone to slippage. Isthmic spondylolisthesis, prevalent among adolescents and athletes engaged in activities involving repetitive hyperextension of the spine like gymnastics or football, originates from a defect or fracture in a small portion of the vertebra known as the pars interarticularis.

Degenerative spondylolisthesis, predominantly observed in older adults, stems from age-related degeneration of spinal structures such as intervertebral discs and facet joints, resulting in instability and vertebrae slippage. Lastly, traumatic spondylolisthesis occurs due to severe spinal injury, like fractures or dislocations, causing misalignment of the vertebrae. Understanding the distinct etiologies of each type facilitates tailored treatment approaches and management strategies for individuals affected by spondylolisthesis.

Indication Of Spondylolisthesis

The symptoms of spondylolisthesis can vary depending on the degree of slippage, the level of the spine affected, and the presence of nerve compression. Common symptoms include:

1. Pain in the lower back: Chronic or intermittent pain in the lower back, which may worsen with activity or certain movements.
2. Leg Pain: Radiating pain, numbness, tingling, or weakness in the buttocks and legs occur, especially when there is nerve compression due to the slippage.
3. Muscle Strain: Tightness or stiffness in the muscles at the back of the thighs (hamstrings).
4. Changes in Posture: A visible deformity or abnormal curvature of the spine may be present in more severe cases of spondylolisthesis.

The diagnosis of spondylolisthesis involves a comprehensive evaluation. This will include a medical history review, physical examination, and imaging studies such as X-rays, CT scans, or MRI scans. These tests help determine the severity of the slippage, identify any nerve compression, and rule out other potential causes of back pain.

Treatments For Spondylolisthesis

Additionally, treatment for spondylolisthesis depends on several factors. Some of which include the severity of symptoms, the degree of slippage, and the impact on daily activities. Conservative treatment options may include:

1. Rest and Activity Modification: Avoiding activities that exacerbate symptoms and adopting a more back-friendly lifestyle.
2. Medications: Over-the-counter pain relievers, nonsteroidal anti-inflammatory drugs (NSAIDs), or muscle relaxants to manage pain and reduce inflammation.
3. Physical Therapy: Specific exercises and stretches to strengthen the core muscles, improve flexibility, and promote proper spinal alignment and stability.
4. Back Bracing: In some cases, a brace may be recommended to provide support and stability to the affected area.
5. Epidural Steroid Injections: Injection of corticosteroids into the affected area to reduce inflammation and relieve pain, particularly if there is associated nerve compression.

Surgery may be considered if conservative measures fail to provide relief, there is severe slippage

If you would like to speak to a Spine Orthopedic Specialist, give us a call at 817-697-4038, or contact us over the web. Tele-medicine appointments are also available.