How Is Spondylolisthesis Diagnosed?

How Is Spondylolysthesis Treated?

Common procedures for Spondylolysthesis include:

Degenerative changes in the spine (those from wear and tear) can also lead to spondylolisthesis. The spine ages and wears over time, much like hair turns gray. These changes affect the structures that normally support healthy spine alignment. Degeneration in the disc and facet joints of a spinal segment causes the vertebrae to move more than they should. The segment becomes loose, and the added movement takes a additional toll on the structures of the spine. The disc weakens, pressing the facet joints together. Eventually, the support from the facet joints becomes ineffective, and the top vertebra slides forward. Spondylolisthesis from degeneration usually affects people over 40 years old. It mainly involves slippage of L4 over L5.

Adults with spondylolisthesis rarely have progression of the slipping of the vertebrae.

spondylolisthesis: when one vertebra slips forward on another.

Mild cases of spondylolysis and spondylolisthesis usually cause minimal pain. In fact, the conditions are often found by accident when a person has a pre-employment exam or an X-ray of the back for an unrelated reason.

spondylolisthesis: when one vertebra slips forward on another.

is a sensitive diagnostic tool used to analyze blood flow to an organ which may help determine how that organ is functioning. It involves the injection of a small amount of radioactive substance into a vein. As the substance is circulated in the blood, it is absorbed by the tissues and then gives off energy. This energy is captured by a special camera that transfers the information to a computer. There the information is converted into a 3-dimensional picture. This picture can detect stress fractures, spondylolysis, infection, and tumors by the differences in how the radioactive substance is absorbed by normal healthy tissue vs. diseased tissue.

We treat more than 600 patients with spondylolisthesis each year.


Spondylolisthesis - PhysioWorks

Usually the pain is relieved by extension of the spine and made worse when flexed. The degree of vertebral slippage does not directly correlate with the amount of pain a patient will experience. Fifty percent of patients with spondylolisthesis associate an injury with the onset of their symptoms.

Spondylolysis and spondylolisthesis - Mayfield Clinic

Many patients with spondylolisthesis will have vague symptoms and very little visible deformity. Often, the first physical sign of spondylolisthesis is tightness of the hamstring muscles in the legs. Only when the slip reaches more than 50 percent of the width of the vertebral body will there begin to be a visible deformity of the spine.

Degenerative Spondylolisthesis - Spine - …

To determine if spondylolysis is the cause of your symptoms, your doctor may, in addition performing a physical exam, recommend a diagnostic test such as an x-ray, computed tomography (CT) scan or magnetic resonance imaging (MRI). The diagnosis of spondylolisthesis is confirmed by noting the forward position of one vertebral body on another.

Spondylolysis & Spondylolisthesis - USC Spine Center

Normally, the bones of the spine (the vertebrae) stand neatly stacked on top of one another. Ligaments and joints support the spine. Spondylolisthesis alters the alignment of the spine. In this condition, one of the spine bones slips forward over the one below it. As the bone slips forward, the nearby tissues and nerves may become irritated and painful.

Spondylolisthesis Treatment | Back Braces & Surgery …

, pathologic spondylolisthesis, occurs because of a structural weakness of the bone secondary to a disease process such as a tumor or other bone disorder.

Spine surgery for spondylolisthesis is a much-debated topic

A spondylolisthesis also is graded according to the amount that one vertebral body has slipped forward on another. A grade I slip means that the upper vertebra has slipped forward less than 25 percent of the total width of the vertebral body, a grade II slip is between 25 and 50 percent, a grade III slip between 50 and 75 percent, a grade IV slip is more than 75 percent, and in the case of a grade V slip, the upper vertebral body has slid all the way forward off the front of the lower vertebral body, a condition called spondyloptosis.