Lumbar spondylolisthesis

Lumbar Spondylolisthesis Overview:

• Lumbar spondylolisthesis is a spinal condition where one vertebra slips forward over the vertebra below it in the lumbar (lower) spine.

Causes of Lumbar Spondylolisthesis:

• Degenerative Spondylolisthesis:

  • Typically occurs due to aging and degeneration of the spinal discs and joints.

• Isthmic Spondylolisthesis:

  • Result of a stress fracture in the pars interarticularis, a small piece of bone connecting the facet joints.

Signs and Symptoms:

• Lower Back Pain:

  • Common, especially during movement.

• Leg Pain (Sciatica):

  • Radiating pain into the buttocks and legs.

• Muscle Tightness:

  • Often in the hamstrings.

• Changes in Gait:

  • Altered walking pattern due to pain and instability.

Diagnosis and Evaluation:

• Clinical Examination:

  • Assessment of symptoms, physical function, and neurological signs.

• Imaging Studies:

  • X-rays, MRI, or CT scans to visualize the degree of slippage and assess spinal stability.

Treatment Approaches:

• Conservative Measures:

  • Physical therapy and exercises to improve core strength and stability.

  • Medications for pain management.

  • Bracing to provide support.

• Interventional Procedures:

  • Epidural steroid injections for pain relief.

  • Facet joint injections to alleviate inflammation.

  • Physical therapy for targeted rehabilitation.

• Surgical Options:

  • For severe cases or when conservative measures are ineffective.

  • Procedures may include spinal fusion or laminectomy.

NYPMD Specialists for Lumbar Spondylolisthesis:

• Specialized evaluation by NYPMD neurosurgeons and orthopedic surgeons outside New York.

• Expertise in managing lumbar spondylolisthesis through various treatment modalities.

• Collaborative approach with physical therapists and other specialists for comprehensive patient care.

What You Can Expect at NYPMD for Lumbar Spondylolisthesis:

• Thorough assessment to determine the degree of spondylolisthesis and associated symptoms.

• Personalized treatment plans based on diagnostic findings and individual needs.

• Conservative or interventional interventions for effective pain relief and stabilization.

• Comprehensive care and support for improved lumbar function and overall well-being.