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It usually occurs in the lower lumbar and sacral spine.Pathologic: Erosion or damage to the back portion of the spine from tumors, bone conditions, or even previous spinal surgery, including the lamina, facet joints and connecting ligaments may also weaken the attachments between adjacent vertebrate and result in spondylolisthesis.
Abnormal movement or irritation at the level of the slippage may produce back pain.
The pain is usually worse with activities such as standing and walking and is typically relieved with rest.
Many people with spondylolisthesis have no symptoms.
However, symptoms may occur due to the weakness of the spine at the level of the spondylolisthesis.
A 54-year-old male management-consultant and fitness enthusiast presented to Dr. The patient had experienced low back pain for more than one year and graded it at a 10/10 at its worst and 7/10 on average.
Previous treatments include anti-inflammatory medications, Prednisone, Vicodin, muscle stimulation, formal physical therapy, therapeutic massage, and epidural steroid injections.Some examples are: Developmental Spondylolisthesis: This type of spondylolisthesis may exist at birth, or may develop during childhood, but generally is not noticed until later in childhood or even in adult life.Acquired Spondylolisthesis: Acquired spondylolisthesis can be caused in one of two ways: Many people with a spondylolisthesis will have no symptoms and will only become aware of the problem when it is revealed on an x-ray for a different problem. Spondylolisthesis describes the abnormal slipping or dislocation between two vertebrate.The causes, severity, and symptoms associated with spondylolisthesis are quite variable.These types are: Isthmic: This is the most common type of spondylolisthesis in adolescents and young adults.The slippage most commonly occurs in the lowest part of the spine, between the 5 sacral vertebrate, although it may occur at higher levels in the lumbar spine.Traumatic: Fractures arising from acute trauma to the spine may result in slippage of vertebrate.Dysplastic: This type of spondylolisthesis, also called congenital (present at birth) spondylolisthesis, is caused by abnormal development of the spine.Non-surgical treatment only provided limited relief. The patient underwent a minimally invasive L4-L5 direct lateral interbody fusion* with percutaneous posterior instrumentation (interbody device, screws, rods). So, a spondylolisthesis is a forward slip of one vertebra (ie, one of the 33 bones of the spinal column) relative to another.