SPONDYLOLISTHESIS TREATMENT FROM SPINE CARE EXPERTS IN FREEHOLD, NJ

Reviewed by AOSMI’s Fellowship Trained, Orthopedic Spine Surgeon, Dr. Justin Elkrief

WHAT IS SPONDYLOLISTHESIS?

Spondylolisthesis is a spine condition in which one vertebra (spinal bone) slips out of alignment with the vertebrae immediately above and below it. Most often, it occurs in the lower back. While this condition is sometimes present at birth, spondylolisthesis can also be caused suddenly through trauma or gradually with repeated stress fractures, which often affect gymnasts.

What are the symptoms of spondylolisthesis?

Spondylolisthesis does not always cause discomfort or require spine care from an orthopedic doctor or surgeon; in fact, some people who have this condition are completely unaware of it. When symptoms of spondylolisthesis do occur, it is usually because the out-of-place vertebra is pressing on nearby nerve tissue. A compressed spinal nerve may produce pain that spreads across the lower back, much like a muscle strain. The pain may be accompanied by numbness and tingling sensations that travel down the length of one leg to the foot. Spondylolisthesis can also cause symptoms such as spasms in the hamstring muscles at the back of the thighs.

If you’re experiencing any of these common spondylolisthesis symptoms, you are encouraged to consult with a medical professional who can provide a proper diagnosis and spine care recommendations. The spine specialists at Advanced Orthopedics and Sports Medicine Institute in Freehold, NJ, can help you feel better and return to your active lifestyle as quickly as possible.

WHAT IS THE TREATMENT FOR SPONDYLOLISTHESIS?

Treatment for spondylolisthesis can vary based on a number of factors, including the extent of the vertebral slippage, the severity of the symptoms, and the patient’s age, overall health, and performance goals. After confirming the presence of a slipped vertebra, we may recommend the following treatment options :

• A break from sports and other activities that worsen the pain
• An over-the-counter non-steroidal anti-inflammatory drug (NSAID), such as ibuprofen or naproxen, to help reduce pain and inflammation
• A prescription-strength pain reliever or NSAID to address symptoms that do not respond to over-the-counter remedies
• An epidural steroid injection to reduce severe inflammation and ease discomfort
• Physical therapy focused on strengthening the core muscles that support the spine

While surgery for spondylolisthesis is usually unnecessary, we may discuss surgery to address a vertebra that continues to slip or pain that interferes with daily activities. For instance, one of our board-certified, fellowship-trained spine surgeons may suggest a minimally invasive spinal fusion procedure to help stabilize the spine at the point where the vertebra has slipped out of place.

If you’d like to learn more about the spine care and treatment options we offer for spondylolisthesis, contact AOSMI today.

Frequently Asked Questions about Spondylolisthesis

What is the main cause of spondylolisthesis?
What are the 5 stages of spondylolisthesis?
What happens if spondylolisthesis is left untreated?
What aggravates spondylolisthesis?
Does spondylolisthesis ever go away?

Frequently Asked Questions about Spondylolisthesis

What is the main cause of spondylolisthesis?

Spondylolisthesis is primarily caused by a structural defect or instability in the spine. The most common cause is a fracture or stress fracture (spondylolysis) in the pars interarticularis, a portion of the vertebra. This defect can result in one vertebra slipping forward over another, leading to spondylolisthesis. Other causes may include congenital abnormalities, degenerative changes, or traumatic injuries.

What are the 5 stages of spondylolisthesis?

Spondylolisthesis is often categorized into five grades based on the severity of the slippage. These grades are commonly referred to as the Meyerding classification:

1. Grade 1: 0-25% slippage
2. Grade 2: 25-50% slippage
3. Grade 3: 50-75% slippage
4. Grade 4: 75-100% slippage
5. Grade 5: Over 100% slippage (spondyloptosis)

What happens if spondylolisthesis is left untreated?

If spondylolisthesis is left untreated, it can potentially lead to worsening symptoms and complications. These may include persistent back pain, radiating leg pain, spinal instability, nerve compression, spinal stenosis, and loss of spinal function. Severe cases of spondylolisthesis may result in neurological deficits and decreased quality of life. Timely and appropriate management is important to prevent these outcomes.

What aggravates spondylolisthesis?

Activities or factors that involve repetitive stress, excessive spinal flexion (forward bending), and poor body mechanics can potentially aggravate spondylolisthesis. These may include heavy lifting, improper lifting techniques, excessive bending, certain sports, and activities that place strain on the lower back. Maintaining proper posture, using proper body mechanics, and avoiding activities that exacerbate symptoms can help reduce the risk of aggravating spondylolisthesis.

Does spondylolisthesis ever go away?

Spondylolisthesis itself typically does not go away on its own. However, the symptoms and progression of spondylolisthesis can be managed through various treatments. Non-surgical approaches such as physical therapy, pain management, and lifestyle modifications can help alleviate symptoms and improve spinal stability. In some cases, surgical intervention may be considered to stabilize the spine and alleviate symptoms, especially for those with severe slippage or neurological deficits.