Understanding Spondylolisthesis

Spondylolisthesis is a degenerative spine condition that can sometimes occur in the neck or back. Specifically, spondylolisthesis describes an instance where a vertebra has slid out of position (in any direction) and come to rest on the vertebra below it, causing the misalignment of the spine. Treatment of spondylolisthesis is varied but in the event that the stability of the spinal column is at risk, spinal fusion is almost always the best option. Additionally, while this condition can conceivably happen anywhere along the spinal column, it is far and away most common in the lumbar spine of the lower back.

The Spinal Anatomy

To understand spondylolisthesis fully, it is important to have a basic understanding of the spinal anatomy. In the back and the neck, vertebrae are stacked one on top of another, and serve two basic purposes. For starters, the spinal column must be flexible enough to allow for the full range of motion that we all require for daily activity. Additionally, the spine must also be extremely strong because a tremendous burden is put on the region from supporting the weight of the body. In order to fulfill these responsibilities a number of anatomical components must work together in close proximity in the spinal column. For instance, intervertebral discs cushion and separate the vertebrae, vertebral joints connect adjacent vertebrae, and ligaments and muscles support the back and neck.

The problem is that over time, wear and tear can take its toll on the spinal anatomy as a result of years of regular use. This deterioration is mostly normal and accounts for the reduction in mobility and the minor aches and pains that most of us understand to be part of the aging process. However, for some individuals, degeneration can advance to the point where spinal stability is at risk, which will require medical attention to effectively treat.

Spondylolisthesis Causes

When the anatomical elements of the spine degenerate, spondylolisthesis may develop, causing a vertebra to become misaligned. The most common way for this to happen is to have a lumbar vertebra slide forward and come to rest on the vertebra below. That said, spondylolisthesis is also described in degrees of severity, and minor cases can often be managed before the overall integrity of the spine is at risk. These grades include:

– Grade I – 0-25 percent slippage

– Grade II – 26-50 percent slippage

– Grade III – 51-75 percent slippage

– Grade IV – 76-99 percent slippage

– Grade V – 100 percent, complete slippage

While the leading cause of this condition tends to be nothing more serious than the natural aging process, there are other extenuating factors that can make an individual more likely to experience the problem to varying degrees. For starters, an impact injury or trauma can lead directly to spondylolisthesis.

Additionally, a number of lifestyle factors often can accelerate or exacerbate the deterioration of the spine. For example, individuals who suffer from obesity tend to be at a higher risk of spine problems later in life. This is because the burden of supporting excess body fat further strains the spine, which can make the anatomy deteriorate prematurely. Similarly, having a line of work that requires frequent lifting, bending, or repetitive movements can accelerate deterioration.

Treatment Options

While spondylolisthesis can be a significant problem, if it is caught early enough it can sometimes be treated without surgery. Strengthening the back with a variety of low-impact exercises, for example, can alleviate some of the pressure placed on the spinal column.

Fusion

In the event that surgery is required, there are a number of options that may be considered. In most cases, spinal fusion is the surgery of choice because it removes the intervertebral disc and stabilizes the affected region of the spine with a bone graft and surgical hardware. Additionally, recent advancements in endoscopic technology have made minimally invasive stabilization procedures a possibility. To learn more, speak with a specialist in your area.

Patrick Foote is the Director of eBusiness at Laser Spine Institute, the leader in endoscopic spine surgery. Laser Spine Institute specializes in safe and effective outpatient procedures for the treatment of spondylolisthesis and several other spinal conditions.

Patrick Foote is the Director of eBusiness at Laser Spine Institute, the leader in endoscopic spine surgery. Laser Spine Institute specializes in safe and effective outpatient procedures for several spinal conditions. http://www.laserspineinstitute.com/back_problems/spondylolisthesis/

Author Bio: Patrick Foote is the Director of eBusiness at Laser Spine Institute, the leader in endoscopic spine surgery. Laser Spine Institute specializes in safe and effective outpatient procedures for the treatment of spondylolisthesis and several other spinal conditions.

Category: Medicines and Remedies
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