Medication If you or someone you love is diagnosed with spondylolisthesis, treatment options vary from simple at-home measures to surgery.
Print Spine surgery for spondylolisthesis is a much-debated topic. While most surgeons agree that decompression of the nerves may benefit the patient, the question is whether the slipped vertebra needs to be realigned at all. It depends on what caused the spondylolisthesis.
Spondylolisthesis affecting L4-L5Traumatic spondylolisthesis ie, Grade 2 can generally be easily realigned with surgery. The spine hasn't yet readjusted to accommodate the slip, so not as many spinal structures have been compromised that's doctor speak—not as many parts of your spine have been affected or had to readjust how they're working to make up for the slipped vertebra.
To help restore your spinal alignment, your doctor may recommend surgery. However, for other types of spondylolisthesis, spine surgery is seldom the first treatment, and this is where the debate comes in.
Type I spondylolisthesis, for example, is congenital, meaning it's present at birth. The rest of the spine has usually readjusted to work around the deformity, so fixing the spondylolisthesis may actually lead to other problems.
This is also the case with Grade III spondylolisthesis, which is caused by the gradual process of degeneration. Decompression taking pressure off the nerves and fusion may be needed, but reducing or realigning the slippage is the area of concern.
For patients with a more long-term spondylolisthesis, suddenly restoring alignment with spinal instrumentation may lead to bone fractures, increase the possibility of nerve injury, and increase the risk of instrumentation failure you can find more details on spinal hardware further on in this article.
In most cases of spondylolisthesis, nonsurgical treatments are tried for several months. If nonsurgical treatments do not relieve your pain, your doctor may recommend surgery. It's completely acceptable at this point for you to request a second opinion.
Surgery is a very serious decision to make, so you should feel as informed as possible. Your spine surgeon will decide which procedure is best for you and how the surgery will be performed. Ask as many questions as you want about the procedure: You should know as much as you can about the surgery before heading to the operating room—that's part of being an informed patient.
Types of Surgery for Spondylolisthesis Typical surgical procedures for spondylolisthesis include: The "LIF" in each abbreviation stands for lumbar interbody fusion.
The first letter in each abbreviation designates the approach to the vertebral fusion: By using these kinds of surgery, the surgeon typically has 3 main goals: In the decompression part of the surgery, the surgeon will remove anything that's pressing on a nerve and causing pain.
What kind of decompression surgery you have is dependent on what spinal structure is interfering with a nerve. Nerve compression with a spondylolisthesis can come from 4 main sources: Bulging or herniated disc: The surgeon will do a discectomy to remove the part of the disc that's compressing the nerve Narrowed foramen: At the foramen, the spinal nerves exit the vertebra and head out to various parts of the body.
Spondylolisthesis can narrow the foramen when the vertebra shifts forward. To make more room, the surgeon may do a laminectomy, removing the lamina think of it as the roof over the back part of your spine.
Part of the facet joint can break off in spondylolisthesis—it's then called a Gill fragment.
It can press on nerves, so the surgeon will do a facetectomy to remove the Gill fragment. If the surgeon were to leave that "gap" in your spine, your vertebral column couldn't function properly.Spondylolithesis, which can cause pain and numbness in the neck, can typically be treated with non-surgical or minimally invasive surgical techniques.
The word spondylolisthesis comes from the Greek words “spondylo,” meaning spine, and “listhesis,” meaning slippage. Spondylolisthesis Surgery; Non-Surgical Treatment Options; treatment options vary from simple at-home measures to surgery.
Spondylolisthesis is a condition in which one or more spinal vertebrae have destabilized, for any number of reasons, and slipped out of place. our minimally invasive procedures offer a safer and effective. 15 Facts on Spinal Fusion for Low Back Pain.
Get a second (or third) opinion before surgery and explore other options before you proceed.
Nov 22, · However, the procedures are associated with a risk of injury to the nerves in the spinal canal, and the benefits of surgery should be balanced against the risks before proceeding.5/5(2).
For patients with spinal stenosis, a laminectomy, or surgical removal of some soft bone and tissue, is a reasonable value, according to new research. However, for patients with spinal stenosis. May 28, · spondylolisthesis surgery hey guys I have been thinking about getting surgery for my stage 1 spondylolisthesis.
Im am 29 years old and due to this condition I have been afraid to workout.