Spondylolisthesis

Isthmic Spondylolisthesis

spine-health — Tue, 11 Dec 2007 21:16:20 -0800

Degenerative Spondylolisthesis

spine-health — Tue, 11 Dec 2007 21:16:20 -0800

Every level of the spine is composed of a disc in the front and paired facet joints in the back. The disc acts as a shock absorber in between the vertebrae, whereas the paired facet joints restrain motion. They allow the spine to bend forwards (flexion) and backwards (extension) but do not allow for a lot of rotation.

Isthmic Spondylolisthesis Multi-Specialty Case Review

spine-health — Tue, 11 Dec 2007 21:56:33 -0800

Chief complaint

Right leg pain while walking.

History of present Illness

Isthmic spondylolisthesis: chiropractor viewpoint

spine-health — Tue, 11 Dec 2007 21:56:33 -0800

More Spondylolisthesis Info

Degenerative Spondylolisthesis

Isthmic Spondylolisthesis

Spondylolysis

Spondylolysis Treatment

Chief complaint

Intermittent right lower extremity radiating pain exacerbated through walking 100 feet, standing extension and relieved with sitting/forward flexion.

Isthmic spondylolisthesis: physical therapist viewpoint

spine-health — Tue, 11 Dec 2007 21:56:33 -0800

This patient's subjective history and physical exam both point to the fact that placing his lower lumbar spine in a relatively forward flexed position tends to relieve symptoms. Although we know he has a disc bulge present at L4-L5 on MRI, we have found symptoms to be more consistent with his spondylolisthesis at L5-S1 and will treat accordingly.

Isthmic Spondylolisthesis: Surgeon Viewpoint

spine-health — Tue, 11 Dec 2007 21:56:33 -0800

This patient presents a long-standing isthmic spondylolithesis. His pain is well described as occurring in the L5 nerve root-pain and weakness in his big toe. An important part of his history is the extent to which this limits his activities. It is unreasonable for a healthy 43-year-old to be only able to walk 100 feet, when there are means to treat the underlying problem.

As in most instances, one can either entertain non-operative or surgical options. The nonsurgical treatments however are less likely to have long term benefit.

Profile and Diagnosis of Spondylolysis

spine-health — Tue, 11 Dec 2007 21:56:33 -0800

Spondylolysis develops most commonly in adolescents, most typically in 10 to 15 year olds. The majority of adolescents with spondylolysis do not have symptoms, or their symptoms are mild and are often overlooked. If the spondylolysis is not correctly identified and managed, there is a chance that the affected area may heal incorrectly, resulting in the possibility of continued stress that can lead to the slippage of spondylolisthesis and recurrent low back pain.

Spondylolisthesis: Doctor Responses to Patient Questions

spine-health — Tue, 11 Dec 2007 21:56:33 -0800

Peter Ullrich, MD

The following explanations, insights and advice about spondylolisthesis are provided by Peter F. Ullrich, Jr., MD, an orthopedic spine surgeon and Medical Director for Spine-health.com.

Spondylolysis and Spondylolisthesis

spine-health — Tue, 11 Dec 2007 21:56:33 -0800

Spondylolysis is a condition in which the there is a defect in a portion of the spine called the pars interarticularis (a small segment of bone joining the facet joints in the back of the spine). With spondylolisthesis, the pars interarticularis defect can be on one side of the spine only (unilateral) or both sides (bilateral). The most common level it is found is at L5-S1, although spondylolisthesis can occur at L4-5 and rarely at a higher level.

Spondylolysis Treatments

spine-health — Tue, 11 Dec 2007 21:56:33 -0800

More Spondylolisthesis Info

Degenerative Spondylolisthesis

Isthmic Spondylolisthesis

Spondylolysis