Medication Spondylolisthesis treatment depends heavily upon the amount of slippage that has occurred in the spine. The level of slippage is graded on a scale from grade 1 to grade 5, with grade 5 being the most severe. When considering treatment for grade 1 spondylolisthesis, the options are typically less intensive than in cases with greater slippage because the associated symptoms are often not as intense. Addressing symptoms The usual symptoms of spondylolisthesis include pain and nerve problems, so managing these issues is often a top priority in spondylolisthesis treatment.
Written by Jason M. Highsmith, MD Spondylolisthesis occurs when one vertebra slips forward over the vertebra below it.
The term is pronounced spondy-low-lis-thesis and is derived from the Greek language: There are several types or causes of spondylolisthesis; a few are listed below. Spondylolisthesis usually develops in the spine's low back; your lumbar spine. Congenital spondylolisthesis means the disorder is present at birth.
Isthmic spondylolisthesis occurs when a defect, such as a fracture occurs in a bony supporting vertebral structure at the back of the spine. Degenerative spondylolisthesis is more common and is often associated with degenerative disc disease, wherein the discs eg, due to the effects of growing older lose hydration and resilency.
How spondylolisthesis may develop The lumbar spine is exposed to directional pressures while it carries, absorbs, and distributes most of your body's weight at rest and during activity.
In other words, while your lumbar spine is carrying and absorbing body weight, it also moves in different directions eg, rotate, bend forward. Who may be at risk If a family member eg, mother, father has spondylolisthesis, your risk for developing the disorder may be greater. Some activities make you more susceptible to spondylolisthesis.
Gymnasts, linemen in football, and weight lifters all put significant pressure and weight on their low backs. Think about gymnasts and the positions they put their body in: They practically bend in half backwards—that's an extreme arched back. They also twist through the air quickly when doing flips and then land, absorbing the impact through their legs and low back.
Those movements put substantial stress on the spine, and spondylolisthesis can develop as a result of repeated excessive strains and stress. X-ray view of spondylolisthesis The x-ray below shows you a good example of a lumbar spondylolisthesis.
Look at the area the arrow is pointing to: You can see that the vertebra above the arrow isn't in line with the vertebra below it. It's slipped forward; it's spondylolisthesis.
Arrow points to a lumbar spondylolisthesis Grading spondylolisthesis Doctors "grade" the severity of a spondylolisthesis using five descriptive categories. Although there are several factors your doctor considers when evaluating your spondylolisthesis, the grading scale below is based on the far forward a vertebral body has slid forward over the vertera beneath.
Often, the doctor uses a lateral side view x-ray to examine and grade a spondyloisthesis. The vertebra that has fallen forward off the vertebra below it. This is the most severe type of spondylolisthesis and is termed spondyloptosis.Traumatic spondylolisthesis, in which an injury leads to a spinal fracture or slippage.
Pathological spondylolisthesis, which happens when the spine is weakened by disease — such as osteoporosis — an infection, or tumor.
Anterolisthesis is a spine condition in which the upper vertebral body, the drum-shaped area in front of each vertebrae, slips forward onto the vertebra below.
The amount of slippage is . Spondylolisthesis treatment depends heavily upon the amount of slippage that has occurred in the spine. The level of slippage is graded on a scale from grade 1 to grade 5, with grade 5 being the most severe.
Sounds like injections maybe worth a try. for topic: Grade 1 Anterolisthesis Of L4 On L5. Doctor answers on Symptoms, Diagnosis, Treatment, and More: Dr. Hellman on grade 1 anterolisthesis of l4 on l5: Symptoms guide treatment. Sounds like injections maybe worth a .
In cases of degenerative spondylolisthesis, the degenerated facet joints tend to increase in size, and enlarged facet joints then encroach upon the spinal canal that runs down the middle of the spinal column, causing lumbar spinal stenosis.
The vertebrae are the bones that protect the spinal cord. Each vertebra has a thick drum-shaped area in front called a vertebral body.
Between the vertebrae are spaces that allow nerves (nerve roots) to go from the spinal cord to other parts of the body.