Spondylolisthesis is a condition in which a bone (vertebra) in the lower part of the spine slips forward and onto a bone below it.
Causes, incidence, and risk factorsIn children, spondylolisthesis usually occurs between the fifth bone in the lower back (lumbar vertebra) and the first bone in the sacrum area. It is often due to a birth defect in that area of the spine.
In adults, the most common cause is degenerative disease (such as Arthritis). The slip usually occurs between the fourth and fifth lumbar vertebrae.
Other causes of spondylolisthesis include stress fractures (commonly seen in gymnasts) and traumatic fractures. Spondylolisthesis may occasionally be associated with bone diseases.
SymptomsSpondylolisthesis may vary from mild to severe. A person with spondylolisthesis may have no symptoms.
The condition can produce increased lordosis (also called swayback), but in later stages may result in kyphosis (roundback) as the upper spine falls off the lower spine.
Symptoms may include:
Nerve damage (leg weakness or changes in sensation) may result from pressure on nerve roots and may cause pain radiating down the legs.
Signs and testsThe doctor will perform a physical exam. A straight leg raise may be uncomfortable or painful.
X-ray of the spine can show if a vertebra is out of place, and whether there are any fractures.
TreatmentTreatment varies depending on the severity of the condition. Most patients get better with strengthening and stretching exercises combined with activity modification, which involves avoiding hyperextension of the back and contact sports.
Some health care providers also recommend a rigid back brace.
Surgery to fuse the slipped disc may be needed if you have severe pain that does not get better with treatment, a severe slip of the vertebra, or any neurological changes. Such surgery has a higher rate of nerve injury than most other spinal fusion surgeries. A brace or body cast may be used after surgery.
Expectations (prognosis)Conservative therapy for mild spondylolisthesis is successful in about 80% of cases.
When necessary, surgery leads to satisfactory results in 85 - 90% of people with severe, painful spondylolisthesis.
ComplicationsCall your health care provider if:
People with marked lordosis should avoid back hyperextension (leaning way back), weight lifting, and contact sports.
Lower back pain, although common in preadolescent and adolescent children, should be evaluated, especially in the presence of marked lordosis.
ReferencesSpiegel DA, Hosalkar HS, Dormans JP. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 678.
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Spondylolisthesis occurs when a bone from the lower spine (a vertebra) slips out of position.
Anterolisthesis is another name for spondylolisthesis. This condition causes one vertebra to slide down onto the vertebra below it. If the condition is congenital, use 756.12 (Spondylolisthesis) as your diagnosis code; if the condition is degenerative or acquired, report 738.4 (Acquired spondylolisthesis).
Spondylolisthesis
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spondylolisthesis
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There is no direct established relationship between Multiple Sclerosis (MS) and Grade 1 Spondylolisthesis at the L4-L5 level. MS is an autoimmune disease affecting the central nervous system, while spondylolisthesis is a spinal condition often related to mechanical issues such as degeneration or injury. However, individuals with MS may experience various musculoskeletal issues, and the presence of spondylolisthesis could potentially exacerbate symptoms related to mobility or pain in those with MS. Always consult a healthcare professional for personalized medical advice.
Spondylolisthesis primarily affects the musculoskeletal system, particularly the spine, as it involves the displacement of one vertebra over another. This condition can lead to nerve compression, impacting the nervous system and potentially causing pain, numbness, or weakness in the legs. Additionally, it can affect the muscular system due to altered posture and movement patterns, leading to muscle strain and discomfort. Overall, spondylolisthesis can have a significant impact on mobility and quality of life.
Cervicogenic Headache is the type of headache most likely triggered by spondylolisthesis, however, Migraine can sometimes be triggered by cervicogenic headache and the muscle tension it may cause. For proper diagnosis and treatment of your headache, seek the help of a headache specialist or other physician.
Spondylolisthesis is measured in grades or degrees of slippage.There are 4 grades., each accounting for 25% slippage. if a Person is said to have a Grade 2 Spondylolisthesis, it means that the 2 adjacent vertebra maintain a 50% contact with one another, If things were correct there would be no contact. Grades are measured by taking a side view X-Ray. Other diagnostic methods, such as CT scans or MRIs might be used to determine the damage to surrounding tissues.
Yes, spondylolisthesis of the spine is always considered a serious problem. This is true because spondylolisthesis by definition is a problem of instability and misalignment, and as such always has the potential to suddenly worsen. Spondylolisthesis the forward movement or slippage of one spinal bone (vertebra) in relation to the position of the vertebra that is immediately below it. The forward movement is theoretically possible in any area of the spine, but is more common in cervical spine (neck) and the lower spine (low back). Spondylolisthesis occurs either as a result of weakness of the structure of a spinal bone when a part (pars interarticularis) is not formed correctly, or as a result of violent trauma to the spine that causes fracture of the spinal bone that allows for this abnormal movement. This abnormal alignment problem can at times be minimal and hard to detect even with careful measurement, and at other times the amount of forward movement can be considerable in which the two vertebrae almost lose contact from each other. Any degree of forward movement in a case of spondylolisthesis represents instability to the spinal column where it occurs and thus a serious threat to the spinal cord, as well as cause pain and reduced spinal movement. Pain is the first symptom that alerts to a developing spondylolisthesis, sometimes mild and occasional, or sometimes constant and severe. Even if a spondylolisthesis causes slight pain or even no pain, it should be considered serious because every case of forward slippage of a vertebra has the potential to suddenly become worse as a result of a sudden fall, automobile accident or simply the advancement of the spinal spondylosis (aging of the spine).