About Isthmic Spondylolisthesis (Spondylolisthesis)
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Learn about the disease, illness and/or condition Isthmic Spondylolisthesis (Spondylolisthesis) including: symptoms, causes, treatments, contraindications and conditions at ClusterMed.info.
Isthmic Spondylolisthesis (Spondylolisthesis)
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Isthmic Spondylolisthesis (Spondylolisthesis) |
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Isthmic Spondylolisthesis (Spondylolisthesis) InformationSpondylolisthesis facts
How do doctors diagnose spondylolisthesis? How is the grading determined for spondylolisthesis?Usually, it is not possible to see visible signs of spondylolisthesis by examining a patient. Patients typically have complaints of pain in the back with intermittent pain to the legs. Spondylolisthesis can often cause muscle spasms, or tightness in the hamstrings.The diagnosis of spondylolisthesis is easily made using plain radiographs. A lateral X-ray (from the side) will show if one of the vertebra has slipped forward compared to the adjacent vertebrae. Spondylolisthesis is graded according the percentage of slip of the vertebra compared to the neighboring vertebra.
Is it possible to prevent spondylolisthesis?Spondylolisthesis cannot be completely prevented. Certain activities, such as gymnastics, weight-lifting, and football, are known to increase the stress on the vertebrae and increase the risk of developing spondylolisthesis. What are spondylolisthesis symptoms?The most common symptom of spondylolisthesis is lower back pain. This is often worse after exercise especially with extension of the lumbar spine. Other symptoms include tightness of the hamstrings, and stiffness and decreased range of motion of the lower back. Pain in the legs, thighs, and buttocks may worsen with standing. Some patients can develop pain, numbness, tingling, or weakness in the legs due to nerve compression. Severe compression of the nerves can cause loss of control of bowel or bladder function, or cauda equina syndrome. What are the complications of spondylolisthesis?Complications of spondylolisthesis include chronic pain in the lower back or legs, as well as numbness, tingling or weakness in the legs. Severe compression of the nerve can cause problems with bowel or bladder control, but this is very uncommon. What are the risk factors for spondylolisthesis?Risk factors for spondylolisthesis include a family history of back problems. People who are born with a defect in the pars interarticularis bone in the spine (a condition called spondylolysis) are at increased risk of isthmic spondylolisthesis. Other risk factors include a history of repetitive trauma or hyperextension of the lower back or lumbar spine. Athletes such as gymnasts, weight lifters, and football linemen who have large forces applied to the spine during extension are at greater risk for developing isthmic spondylolisthesis. What causes spondylolisthesis?There are five major types of lumbar spondylolisthesis.
What is spondylolisthesis?Spondylolisthesis (spon + dee + lo + lis + thee + sis) is a condition of the spine whereby one of the vertebra slips forward or backward in relation to the next vertebra. Forward slippage of an upper vertebra on a lower vertebra is referred to as anterolisthesis, while backward slippage is referred to as retrolisthesis. Spondylolisthesis 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). Spondylolisthesis 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). What is the prognosis for spondylolisthesis?The prognosis for patients with spondylolisthesis is good. Most patients respond well to a conservative treatment plan. For those with continued severe symptoms, surgery can help alleviate the leg symptoms by creating more space for the nerve roots. The back pain can be helped through a lumbar fusion. What is the treatment for spondylolisthesis? What type of surgery treats spondylolisthesis?The initial treatment for spondylolisthesis is conservative and based on the symptoms.
What types of doctors treat spondylolisthesis?Radiologists diagnose spondylolisthesis using X-rays, CAT scans, or MRI scans. Orthopedic surgeons, neurosurgeons specializing in the spine, physical medicine and rehabilitation doctors, neurologists, internists, primary-care providers, and rheumatologists commonly treat spondylolisthesis. Chiropractors and physical therapists also frequently treat patients with spondylolisthesis. |
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