ABOUT THE DISEASE
Spondylolisthesis is a condition in which a bone (vertebra) in the spine moves forward out of the proper position onto the bone below it. It can lead to a deformity of the spine as well as a narrowing of the spinal canal (central spinal stenosis) or compression of the exiting nerve roots (foraminal stenosis). It is most common in the low back (lumbar spine) but can also occur in the mid to upper back (thoracic spine) and neck (cervical spine).
SYMPTOMS
CAUSES
• Defective joint since birth (congenital).• Joint damaged by accident/infection/arthritis• Stress fracture of vertebra due to overuse of the joint.• Bone disease/ fractures
DIAGNOSIS
- Physical Examination- X-Ray of the Spine- MRI scan or PET scan
TREATMENT METHODS
The initial treatment for spondylolisthesis is conservative:
• Rest or avoiding activities such as lifting and bending• Physical therapy• Anti-inflammatory medications• Steroid (cortisone) injection• Use of hyperextension brace
If the symptoms fail to improve with conservative treatment even after 3-6 months, surgery may be an option. The type of procedure is based on the type of spondylolisthesis and can be in form of Laminectomy or Spinal fusion.
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