Spondylolisthesis Treatment, Surgery & Symptoms

Clinical History: A 22 year-old man presents with right-sided back pain which radiates to his right hip and leg. His symptoms began while running. (1a) T1- and (1b) T2-weighted sagittal and (1c) T2-weighted axial images of the lumbar spine are provided. What are the findings? What is your diagnosis?

Learn about the types and symptoms of spondylolisthesis

The most common symptom of spondylolisthesis is lower back pain

Spondylolysis and Spondylolisthesis of the Lumbar …

In order to ensure the bone is sufficiently rested, some physicians will recommend a brace to limit the forces on the affected bone. Physical therapy can be a useful means to help improve mobility and increase strength. Medications such as , anti-inflammatory medications, can be helpful in relieving pain. Only in unusual circumstances is surgery needed to repair a stress fracture in the spine. Surgery is typically reserved for patients who develop a progressing slip, or spondylolisthesis, of the spinal column.

Looking for Congenital spondylolisthesis

If the fracture gap at the pars widens, then the condition is called Spondylolisthesis. Widening of the gap leads to the fifth lumbar vertebra shifting forward on the part of the pelvic bone called the sacrum. Standing lateral spine x-rays are measured to determine the amount of forward slippage.


Spondylolysis (spon-dee-low-lye ..

Imaging evaluation of a patient with low back pain typically begins with a series of lumbar spine radiographs. Spondylolysis is usually evident on lateral radiographs, although oblique projections may be useful. On frontal projections, fragmentation of the lamina may be identified.4 If spondylolisthesis is present, it should be graded according to the Myerding system,5 with grade I indicating anterior subluxation of less than 25%; grade II, 25% to 50%; grade III, 50% to 75%; and grade IV, 75% to 100%.

Lumbar Spinal Stenosis - OrthoInfo - AAOS

If routine radiographs in a symptomatic patient are unrevealing, further imaging evaluation can include a bone scan, computerized tomography, single-photon-emission computed tomography, or magnetic resonance imaging. As magnetic resonance imaging is one of the primary modalities used to evaluate the lumbar spine, it is important to recognize findings of lumbar spondyolysis.

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Spondylolisthesis is readily identified on the midline sagital images. However, as most cases of spondyolysis have normal lumbar vertebral alignment, other findings must be utilized to detect the pars defects. In addition to demonstrating cortical disruption of the pars (A,B), several ancillary findings have been described that may aid in the diagnosis of lumbar spondylolysis.6,7,8 These include a widened anteroposterior diameter of the spinal canal on sagittal images, reactive marrow changes in the posterior elements, and abnormal wedging of the posterior aspect of the vertebral body.

Synonyms for Congenital spondylolisthesis in Free Thesaurus



Treatment for spondylolisthesis is based on the diagnosis made by collecting medical & family history, physical examination, and radiographic scans.

spondylolisthesis explanation free

Many patients with spondylolysis are asymptomatic. Of those with symptoms, approximately one-quarter are associated with spondylolisthesis.3 Pain is usually limited to the low back. If the pain radiates, it is usually to the buttocks or the back of the thigh and is often from hamstring tightness rather than lumbar radiculopathy. With associated higher grade spondylolisthesis, however, radiculopathy becomes more common due to associated foraminal stenosis.

Spondylolysis & Spondylolisthesis - USC Spine Center

Spondylolysis can be asymptomatic, or it can be quite painful. When the condition is bilateral (occurs on both sides of the spine) it can cause a condition called . In this condition, a vertebral body can "slip" forward over the vertebrae directly below. The reason this occurs is that the normal structures that connect adjacent vertebrae are damaged from the stress fracture, and therefore the spinal column become unstable.