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Spine surgery for spondylolisthesis is a much ..
In Spondylolisthesis with a significant slip, a step-off at the lumbosacral junction is palpable, motion of the lumbar spine is restricted, and hamstring tightness is evident on straight leg raising. As the vertebral body displaces anteriorly, the individual assumes a lordotic posture above the level of the slip to compensate for the displacement. Adults may have objective signs of nerve root compression, such as motor weakness, reflex change, or sensory deficit. These signs are seldom seen in children.
Ikuta K, Tono O and Oga M: Clinicaloutcome of microendoscopic posterior decompression for spinalstenosis associated with degenerative spondylolisthesis - minimum2-year outcome of 37 patients. Minim Invas Neurosurg. 51:267–271.2008.
Does Your Spondylolisthesis Require Spinal Fusion Surgery?
For posterior spinal decompression surgery to aggravate Spondylolysis or Spondylolisthesis, signs/symptoms of Spondylolysis or Spondylolisthesis should occur within 10 years of the surgery.
For posterior spinal decompression surgery to cause Spondylolysis or Spondylolisthesis, the surgery may occur any time before clinical onset of either condition.
Know your options for spondylolisthesis surgery, ..
Since the main methods of the traditional PLIFtechnique are based on laminectomy or nerve root decompression torelieve the compression of the dural sac and nerve roots, the facetjoint has often been removed with the lamina to ensure a fulldecompression, and damage to the stability of the spine isinevitable (). The lack ofprotection for the lamina following decompression results inadhesion between the dural sac and nerve roots, which leads to moresevere hyperostosis and re-stenosis of the spinal canal, andeffects the long-term clinical outcomes. Denervation due toextensive stripping of the paraspinal muscle is also a major causeof prolonged lower back pain following surgery ().
Spine Surgeons, Dr. Ravi K. Ponnappan, MD and Dr. Jonathan D. Bussey have been serving the South Jersey & Philadelphia community for over nine years specializing primarily in spinal surgery including the , mid-back, and regions. Dr. Ponnappan is fellowship trained in complex spine reconstructive techniques as well as minimally invasive spinal surgery approaches. Dr. Bussey completed his neurosurgical trauma fellowship training at Cooper University Hospital, Camden, New Jersey, with additional complex spine surgery training.
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What are your treatment options for Spondylolisthesis
Spondylolysis and Spondylolisthesis usually cause no symptoms in children; however, many seek medical evaluation because of a postural deformity or gait abnormality. Pain most often occurs during the adolescent growth spurt and is predominantly backache, with only occasional leg pain. Symptoms are exacerbated by high activity levels or competitive sports and are diminished by activity restriction and rest. The back pain probably results from instability of the affected segment, and the leg pain is usually related to irritation of the L5 nerve root.
Spinal Fusion Surgery | Lumbar Fusion - Back pain
In Spondylolysis, symptoms are often absent. Defects are then discovered only incidentally on x-ray made for other purposes. In Spondylolisthesis, injury may aggravate (permanently worsen) any symptoms, but rarely does a single injury cause symptoms in a person who previously had none. Symptoms generally begin insidiously during the second or third decade as an intermittent dull ache in the lower back, present with increasing frequency during walking and standing. Later, pain may develop in the buttocks and thighs, and still later unilateral sciatica may develop.
Spondylolisthesis Treatment | Back Braces & Surgery …
Posterior spinal fusion means a surgical procedure involving immobilization of the posterior elements of two or more vertebrae by the use of bone grafting, in the absence of immobilization of the lateral elements, of the same vertebrae. This type of surgery produces an abnormality in the functional loading of the adjacent vertebrae, and can result in either Spondylolysis or Spondylolisthesis.
Lumbar Spinal Fusion; Revision Spine Surgery;
Posterior spinal decompression surgery, at the level of the involved vertebra, prior to clinical onset or aggravation of Spondylolysis or Spondylolisthesis
Spinal Fusion Surgery | Lumbar Fusion - Back Pain …
With aging of the population, degenerative lumbarspinal stenosis (DLSS) is becoming an increasingly common spinaldisease. DLSS is often characterized by radiological findings ofmultilevel disc herniation and lumbar spondylolisthesis and isdifficult to treat. Although there has been a series ofimprovements in surgical technique, the traditional laminectomywith interbody or posterolateral fusion from the posterior approachcontinues to be widely used. However, multilevel fusion causesgreat damage to the normal structure, prolongs recovery time andmay result in chronic lower back pain (). In the current study, we evaluated thecombined use of microendoscopic discectomy (MED) and minimallyinvasive transforaminal lumbar interbody fusion (MI-TLIF) for thetreatment of multilevel DLSS with spondylolisthesis, which hadsatisfactory short-term clinical outcomes, and compared thecombined surgery with the traditional lumbar interbody fusion fromthe posterior midline approach (PLIF).
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