Signs and Symptoms of Lumbar Spondylosis

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 Spondylosis | Bone and Spine

The following is a classification of Spondylolisthesis and Spondylolysis according to cause:

There are five major types of lumbar spondylolisthesis

In patients with degenerative spondylolisthesis (10a,11a), the underlying abnormality is intersegmental instability caused by facet arthropathy. These patients will not have horizontal neural foramina, and the associated facet arthropathy, not a feature of isthmic spondylolisthesis, is readily apparent on axial scans.

Spondylolysis and Spondylolisthesis of the Lumbar …

(9a) T1- and (9b) T2-weighted sagittal images in a patient with spondylolisthesis reveal clear pars defects (arrows). A horizontal configuration of the L5 neural foramina is readily apparent (red outline), with resultant foraminal stenosis. Compare this configuration with the normal keyhole appearance of the L4-5 foramina (blue outline). This horizontal configuration is typical in patients with spondylolisthesis due to spondylolysis.

Repetitive trauma in clinical onset or aggravation of Spondylolisthesis and/or Spondylolysis

Lumbar Spinal Stenosis - OrthoInfo - AAOS

Spondylolysis is an osseous defect found in both symptomatic and asymptomatic individuals. It predisposes to pathologic intervertebral subluxation or spondylolisthesis, most commonly occurring at the L5-S1 level. The pars defects are thought to represent chronic stress related injuries. Although these often occur during the first decade of life, accompanying vertebral problems develop somewhat later in life. It is important for the interpreter of MR to recognize both the primary and ancillary findings of spondylolysis, and in patients with spondylolisthesis, characteristic MR findings allow differentiation of degenerative versus isthmic causes. MR’s ability to grade disease severity and directly visualize nerve root involvement assists in treatment decisions.

Lumbar spinal stenosis - Wikipedia

After failure of nonoperative management, surgical intervention can be considered. Surgical treatment is more likely in patients with neurologic deficits or spondylolisthesis of Grade III or greater. Various surgical techniques have been utilized, including decompressive laminectomy, posterolateral fusion, interbody fusion, and direct pars repair.10 The patient can usually return to activities once they are pain-free and any fusion has healed.

Lumbar Spondylosis is a common cause of back pain condition as people increased age.

The Diagnosis and Management of Degenerative Lumbar Spondylolisthesis

Spondylosis, also known as spinal osteoarthritis, can affect the lumbar, thoracic, and/or the cervical regions of the spine. The intervertebral discs and facet joints are affected with this degenerative disorder. The biochemical changes that occur as an individual ages affects tissue throughout the body and may have a detrimental effect on the structure of the discs.

Medical attention sought for the signs/symptoms, and X-rays conducted which demonstrate Spondylolisthesis and/or Spondylolysis.

Lumbar Spondylosis - Physiotherapy Treatment

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.

12 Wiltse LL, Newman PH, Macnab I. Classification of spondylolysis and spondylolisthesis. Clin Orthop. 117:23, 1976.

Spondylosis is the stiffening of the spine as a result of disease

3 Fredrickson BE, Baker D, McHolick WJ, Yuan HA, Lubicky JP. The natural history of spondylolysis and spondylolisthesis. J Bone Joint Surg Am. 66:699, 1984.