Over 10 million scientific documents at your fingertips
This publication is available upon request in alternate formats.
Smoking significantly decreases the chance for a successful fusion. Some surgeons prefer that a patient commit to smoking cessation up to one month before the surgical procedure.
The level of the Spondylolysis/Spondylolisthesis must be identified.
Mayfield Certified Health Info materials are written and developed by the Mayfield Clinic. This information is not intended to replace the medical advice of your health care provider.
Monday to Friday, 8:30 to 4:30, EST
The facet joints, also known as zygapophysial joints are synovial joints which help support the weight and control movement between individual vertebrae of the spine.
Brain And Spine Institute of California ®
Patients with lumbar disk disease canpresent with back pain or a radicular painsyndrome. The classic sciatic syndrome consists of stiffness in the back and pain radiating down tothe thighs, calves and feet, associated with paresthesias, weakness, and reflex changes. The pain fromintervertebral disk disease is exacerbated by coughing, sneezing, or physical activity. Pain is usuallyworse when sitting, and with straightening or elevating the leg. Disk herniations occur most oftenat the lower lumbar levels - 90% at L4-5 and L5-S1, 7% at L3-4, and remaining 3% at the upper 2levels.
- a bulging disk that is eccentric toone side but
Although the use of spinal instrumentation in skeletally immature patients is considered optional by some surgeons for some patients with isthmic-type spondylolisthesis, most spinal surgeons believe that rigid fixation is needed to achieve a solid fusion reliably. For degenerative-type slips, fixation has been shown to achieve higher rates of solid arthrodesis.