SpineHasung Seoul Orthopedic Clinic
Spondylolisthesis
Spondylolisthesis
Spondylolisthesis occurs in all age groups
Spondylolisthesis is when a bone in the spine (vertebra) slips out of place, usually forward relative to the one below it.
It is divided into 5 stages and the pain becomes more severe as you move toward the higher stage.
Spondylolisthesis
What are the causes of Spondylolisthesis?
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Congenital spondylolisthesis
Congenital spondylolisthesis is more common in women than men and usually occurs during puberty.
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Isthmic spondylolisthesis
Isthmic spondylolisthesis is twice as likely in men as in women. The incidence of the disease increases between the ages of 11 and 15 years and does not increase by age 20. It is presumed to be due to genetic factors, posture, and repetitive movement.
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Degenerative
spondylolisthesisDegenerative spondylolisthesis most commonly occurs in the lower back (lumbar spine) and is graded on a numerical scale from 1 to 4, with 1 being the least severe. It is also more common in people over age 50 and women are two times as likely as men to be diagnosed.
Spondylolisthesis
Why does spondylolisthesis occur?
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01
Congenital / Isthmic spondylolisthesis
It usually occurs in late childhood or puberty doing excessive exercises and adults often complain of low back pain but children do not. The main symptoms are stiffness, posture change, and gait disturbance mainly due to the stiffness of the hamstring muscles.
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02
Degenerative spondylolisthesis
The patiently initially complains of low back pain. As the disease progresses, symptoms of radiating pain to lower extremity and intermittent lameness appear. As with stenosis, bending your back forward will relieve it, causing you to walk stiffly. Symptoms appear slowly, and symptoms may recur over a long period of time.
Spondylolisthesis
How to treat it?
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Conservative treatment
For non operative treatment, traction physical therapy and muscle strengthening exercises, flexion exercises are recommended and abdominal strengthening exercises are also effective.
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Wearing a brace
It is helpful by wearing a brace.
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Minimal Invasive treatment
Non-surgical treatment such as prolotherapy and neuroplasty can be performed.