| Introduction to Spondylolisthesis |
Spondylolisthesis is a condition in which a vertebra is displaced forward of the one below it in the spine. This problem can cause both back pain and leg symptoms.
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| Symptoms of a Spondylolisthesis |
 There are different causes of spondylolisthesis. The congenital form
(being born with abnormalities which contribute to the displacement)
is a rare cause. Other causes include trauma (sudden falls, accidents,
etc.), degenerative changes in the spine (like arthritis), or destruction
by tumors.
Spondylolisthesis is characterized by the percentage of displacement
of one vertebra over another). Displacement of over 50% is considered
high grade.
| Treatment Options for Spondylolisthesis |
The treatment of spondylolisthesis is usually non-surgical. Physical
therapy to strengthen the back and abdominal muscles is the primary
mode of treatment. Medication such as NSAIDS (aspirin, Aleve, etc.),
steroids or narcotics can help with the pain and inflammation. Epidural
injections can also be effective, especially with leg symptoms. Surgical
treatment becomes necessary when conservative management fails. Surgery
is especially effective for patients with leg symptoms.
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