How Is Spondylolisthesis Diagnosed?
T1 - Conservative management of spondylolysis and spondylolisthesis
The most common type of spondylolisthesis in the younger population is Isthmic, whereas in the older population the degenerative type is more common. Some individuals may have a spondylolisthesis, but with no symptoms and others may have , made worse by extension of the spine.
T1 - A clinical study of degenerative spondylolisthesis
Data from the Spine Outcomes Research Trial (SPORT) study were analyzed to determine if duration of symptoms affects outcomes after treatment of spinal stenosis or degenerative spondylolisthesis. In spinal stenosis patients with symptoms for more than 12 months, outcomes were worse compared with spinal stenosis patients with symptoms for fewer than 12 months, who experienced significantly better surgical and nonsurgical treatment outcomes. On the same basis of symptom duration before treatment, no differences were noted in outcomes for degenerative spondylolisthesis patients.
Pathologic spondylolisthesis; ..
The building blocks of a human spine are bones called vertebra. A human spine is made up of 33 vertebrae; 24 are mobile and 9 are fused.
A spondylolisthesis is the forward or backwards displacement of one of these mobile vertebrae, in relation to the one below.
Forward slippage of one vertebra on another is referred to as anterolisthesis, while backward slippage is referred to as retrolisthesis. The most common level for a spondylolistheis in the spine is the fifth and lowest lumbar vertebra.
The most widely used classification system of spondylolisthesis was developed by Wiltse et al in 1976. This system described five distinct types of spondylolisthesis:
forefront in clinical research and treatment of Spondylolisthesis
AB - Spondylolysis and spondylolisthesis are pathologic defects that can cause low back pain. While they are often asymptomatic, a thorough radiologic evaluation and correlation with the clinical presentation is necessary to guide appropriate intervention. The physician[U+05F3]s role in these cases is a timely diagnosis, treatment, and follow-up given the risk of progression that accompanies this type of pathology. Conservative management is currently the first-line for many instances of mild-to-moderate spondylolysis and spondylolisthesis, with the goal of pain relief and return of function.