Spondylolisthesis is treated according to the Grade. For grades 1 and 2, conservative treatment, including physical therapy, home exercises, stretching and the use a brace are often given.
Multilevel intervention is often necessary to repair degenerative disc damage to obtain pain relief. Degenerative disc disease affects the entire spine as the discs begin to deteriorate and stress on the spinal canal increases. The pressure on the spinal nerves as a result of this deterioration can lead to unbearable pain in the lower body--hips, legs, and feet.
Degenerative Spondylolisthesis | Jeffrey R McConnell, M.D.
For most cases of degenerative spondylolisthesis (especially Grades I and II), treatment consists of temporary bed rest, restriction of the activities that caused the onset of symptoms, pain/ anti-inflammatory medications, steroid-anesthetic injections, physical therapy and/or spinal bracing.
Feb 03, 2017 · In degenerative spondylolisthesis, ..
Some people with spondylolisthesis are symptom free and only discover the disorder when seeing a doctor for another health problem. However, the forward slip of the vertebral body in severe cases of degenerative spondylolisthesis often leads to spinal stenosis, nerve compression, pain and neurological injury.
Spondylolisthesis, lumbar region
The most common surgical procedure used to treat spondylolisthesis is called a laminectomy and fusion. In this procedure, the spinal canal is widened by removing or trimming the laminae (roof) of the vertebrae. This is done to create more space for the nerves and relieve pressure on the spinal cord. The surgeon may also need to fuse vertebrae together. If fusion is done, various devices (like screws or interbody cages) may be implanted to enhance fusion and support the unstable spine.
Spondylolisthesis (acquired) (degenerative) M43.10.
Degenerative spondylolisthesis, usually occurs in the lumbar spine, especially at L4-L5. It is the result of degenerative changes in the vertebral structure that cause the joints between the vertebrae to slip forward. This type of spondylolisthesis is most common among older female patients, usually those over the age of 60.
Degenerative Spondylolisthesis - New York Treatment
One of the earliest signs of disk degeneration is loss of water content or desiccation, mostnoticeable in the nucleus pulposus. MR can detect early disk degeneration because, as the disks losewater, the MR signal decreases on gradient-echo and T2-weighted images. With more advanceddegeneration, the disk collapses and gas may form within the disk. Calcification is not uncommonin chronic degenerative disk disease.
L5-S1 Grade 1 Degenerative Spondylolisthesis
Spondylolisthesis is the actual slipping forward of the vertebral body (the term "listhesis" means "to slip forward") (Fig. 3). It occurs when the pars interarticularis separates and allows the vertebral body to move forward out of position causing pinched nerves and pain. Spondylolisthesis usually occurs between the fourth and fifth lumber vertebra or at the last lumbar vertebra and the sacrum. This is where your spine curves into its most pronounced "S" shape and where the stress is heaviest.