Spondylolisthesis

Orthopedic Treatment For Spondylolisthesis

Spondylolisthesis is a spinal condition in which one vertebra slips forward over the one below it, often leading to pain and instability in the lower back. This condition can be caused by various factors, including congenital defects, spinal injuries, or degenerative changes. Spondylolisthesis can affect people of all ages and may result in symptoms that range from mild discomfort to severe pain, impacting daily activities and quality of life.

Common Symptoms

  • Lower back pain
  • Stiffness and tightness in the back and hamstrings
  • Pain that radiates to the buttocks or legs (sciatica)
  • Muscle weakness in the legs
  • Difficulty walking or standing for long periods
  • Numbness or tingling in the legs
  • Multiple Types: There are different types of spondylolisthesis, including congenital, isthmic, degenerative, traumatic, and pathological.
  • Common in Athletes: Athletes involved in sports that require repetitive hyperextension of the spine, such as gymnastics and football, are at higher risk.
  • Age Factor: Degenerative spondylolisthesis is more common in older adults due to wear and tear on the spine.
  • Non-Surgical Treatments: Many cases can be managed effectively with non-surgical treatments such as physical therapy, bracing, and medications.

Frequently Asked Questions About Spondylolisthesis

Spondylolisthesis can be caused by congenital defects in the spine, stress fractures from repetitive movements, spinal injuries, degenerative changes from aging, or diseases that weaken the bones.
Diagnosis involves a physical examination, review of symptoms, and imaging tests such as X-rays, MRI, or CT scans to determine the extent of vertebral slippage and assess the condition of the spine.
Treatment options include physical therapy to strengthen the muscles supporting the spine, pain relief medications, anti-inflammatory drugs, bracing to stabilize the spine, and in severe cases, surgical interventions such as spinal fusion to correct the vertebral alignment.
Recovery varies depending on the severity of the condition and the treatment approach. Conservative treatments may relieve symptoms within a few weeks to months. Surgical recovery can take several months, with physical therapy playing a crucial role in restoring strength and mobility.
While congenital and degenerative forms cannot be prevented, maintaining a healthy lifestyle can reduce the risk of stress fractures and injuries. Regular exercise, proper technique during physical activities, and avoiding excessive strain on the spine are beneficial practices.
If you experience persistent back pain, numbness, tingling, or weakness in your legs, or if the pain interferes with daily activities, it is important to seek medical advice for an accurate diagnosis and appropriate treatment. Early intervention can help manage symptoms and prevent further complications.

Our Doctors that Specialize in Spondylolisthesis

Dr. Kyle A. Casadei

Dr. Michael P. Donahue