What is Isthmic Spondylolisthesis? Isthmic spondylolisthesis is a type of spinal disorder characterized by the forward displacement of one vertebra over the one below it. This displacement occurs due to a defect or fracture in a small bridge of bone connecting the facet joints at the back of the spine. This defect is called the pars interarticularis, and when it fails to maintain stability, it can lead to slippage of the vertebra.
Causes
Several factors can contribute to the development of isthmic spondylolisthesis. One primary cause is a defect in a small bridge of bone known as the pars interarticularis, which connects the facet joints at the back of the spine. This defect, often referred to as a pars defect or pars fracture, can occur due to various reasons:
Symptoms
Symptoms of isthmic spondylolisthesis can vary depending on the severity of the condition. Common symptoms include:
Diagnosis
Diagnosing isthmic spondylolisthesis typically involves a combination of medical history, physical examination, and imaging tests such as X-rays, CT scans, or MRI scans. These tests help to assess the extent of vertebral slippage and identify any associated nerve compression.
Treatment Options
Treatment for isthmic spondylolisthesis depends on the severity of symptoms and the degree of vertebral slippage. Conservative treatments may include:
For severe cases or those that do not respond to conservative measures, surgical intervention may be necessary. Surgical options may include decompression of nerve roots, spinal fusion, or a combination of both.
Dr Sharan has been a pioneer of a less invasive approach to performing surgery on isthmic spondylolisthesis called Awake Spinal Fusion. By avoiding general anesthesia, using a less invasive approach, along with the integration of pre-operative IV infusions – patients who undergo surgery experience a rapid recovery. Listen to Kathy’s story here.
Conclusion
Isthmic spondylolisthesis can significantly impact an individual’s quality of life, but with proper diagnosis and management, most people can find relief from their symptoms. It’s essential to work closely with healthcare professionals to develop a treatment plan tailored to your specific needs and circumstances. By understanding the causes, symptoms, and available treatment options, individuals can take proactive steps to manage this condition effectively and improve their overall spinal health.
Stay Up to Date on News and Education
Copyright Spine Performance Institute 2023 | Privacy Policy