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Congenital for Spondylolysis or Spondylolisthesis
For posterior spinal decompression surgery to aggravate Spondylolysis or Spondylolisthesis, signs/symptoms of Spondylolysis or Spondylolisthesis should occur within 10 years of the surgery.
Spondylolisthesis is most often caused by spondylolysis. The cause of spondylolysis is not as clearly defined. Most believe it is due to a genetic weakness of the pars interarticularis. Both spondylolysis and spondylolisthesis can be present at birth or occur through injury. Repeated stress fractures caused by hyperextension of the back (as in gymnastics and football) and traumatic fractures are also causes. The most common cause in adults is degenerative arthritis.
spondylolisthesis: when one vertebra slips forward on another.
Although this subtype has a strong hereditary tendency, it makes up only half of the dysplastic group. The elongated pars (subtype b) is believed to result from micro fractures that heal with an elongated pars rather than from a lytic lesion. Acute pars fractures (subtype c) always result from significant trauma; these are rare and most frequently occur with Spondylolysis rather than with Spondylolisthesis.
Those who play sports, especially gymnasts and football players, are more likely to have spondylolisthesis. The condition most often affects people over 40 years of age. About 5% of Americans have this structural deficiency and don't know it. Just because it appears on an X-ray doesn't mean you'll have pain.
We treat more than 600 patients with spondylolisthesis each year.
The lytic (subtype a) results from the separation or dissolution of the pars. The incidence of this type of Spondylolisthesis increases from less than 1 percent in children 5 years of age to 4.5 percent in children 7 years of age. The remaining 0.8 to 1 percent increase occurs between the ages of 11 to 16 years, presumably because of stress fractures caused by athletic activity. Extension movements of the spine, with lateral flexion, can increase the shearing stress at the pars interarticularis and result in Spondylolysis.
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.
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Spondylolysis and Spondylolisthesis - OrthoInfo - AAOS
For posterior spinal decompression surgery to cause Spondylolysis or Spondylolisthesis, the surgery may occur any time before clinical onset of either condition.
Learn more about spondylolisthesis ..
Posterior spinal decompression surgery, at the level of the involved vertebra, prior to clinical onset or aggravation of Spondylolysis or Spondylolisthesis
Spine surgery for spondylolisthesis is a much-debated topic
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.
Spondylolisthesis Treatment | Back Braces & Surgery …
Recovery from this condition is much like nonsurgical treatment mentioned earlier. Once you have rested your back to allow it to heal, your doctor may recommend that you work with a physical therapist a few times each week for four to six weeks. In severe cases, patients may need a few additional weeks of physical therapy.
Spondylolisthesis - PhysioWorks
Severe trauma to the lumbar spine means a major, high impact, direct injury to the lumbar spine which produces immediate lumbar pain and precludes unaided ambulation for a period of at least 2 weeks, and is associated with other fractures and/or significant soft tissue injuries. Examples are as follows:
Spondylolisthesis: Article by John Miller
For severe trauma to the vertebral spine to cause or aggravate Spondylolysis or Spondylolisthesis, the following criteria should be met:
Spondylolisthesis: MedlinePlus Medical Encyclopedia
Doctors often begin by prescribing nonsurgical treatment for spondylolysis. This is because symptoms from these stress fractures often resolve with rest or bracing. In some cases, doctors simply monitor their patients' condition to see if symptoms improve. An X-ray may be taken every few months to check how well the area is healing.
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