This is more common in athletes who perform hyperextension motions, such as linemen in football and gymnasts.
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Degenerative spondylolisthesis is the most common form, and occurs due to arthritic changes and cartilage degeneration in the joints of the vertebrae. Degenerative spondylolisthesis commonly occurs in those over age Spinal Cord Injury SCI is damage to the spinal cord that results in a loss of function below the level of the injury or wound. SCI most commonly occurs following trauma. However, there are other causes including pathologic fractures i. Current estimates indicate that between , and , people in the U.
Spinal trauma typically results from motor vehicle accidents, violent acts and falls.
Spinal Trauma & Injury - Advanced Neurosurgery Associates
SCI can be divided into two types: complete and incomplete. The type of SCI is important in the prognosis and return of function. This means the absence of any sensation and no voluntary movement. With an incomplete injury, a person may be able to feel parts of the body even if they cannot be moved or move a limb. Complete injuries tend to have little recovery, while incomplete injuries usually have some degree of improvement.
Surgery to treat spinal cord injury SCI may be performed immediately after the injury, or at a later time. Urgent surgery is more common with an incomplete SCI. Surgery is indicated when there is significant instability of the spine or if there is compression of the spinal cord with an incomplete SCI. Decompression is used to address conditions compressing the spinal cord such as a herniated disc, fracture, infection, blood or fluid build-up, or a tumor.
Spinal stabilization is done if the spine needs to be re-aligned or stabilized, meaning that instrumentation such as rods, screws and cages and fusion is necessary. Spinal Fractures The spine, which serves as the weight-bearing structure of the body, is comprised of segments of bones vertebrae surrounding protective discs.
- Retrolisthesis Opposite of Spondylolisthesis.
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Flexion compression and burst fractures Extension vertebrae pulled apart distraction Rotation extreme sideways movement; fracture-dislocation. Less common types of spondylolisthesis include: Traumatic spondylolisthesis, which is due to direct trauma or injury to the vertebrae. The complexity of the spinal region means that a wide range of possible conditions exist to confound diagnosis.
Spinal Trauma & Injury
In the presence of back and leg pain and spondylolisthesis or retrolisthesis the surgeon will tend to focus upon this evident pathology and treat this. The patients body had adapted to the slippage and surgery at this level would not have modified the pain. Aware state surgical examination enables the patient to give the surgeon feedback, guiding him or her to the point that is responsible for the pain.
In this way, neural anomalies and strange nerve combinations can be detected and diagnostic errors regarding the disc level responsible for the pain, avoided.
Thus, the surgeon is guided to the precise source of pain at that specified inter-vertebral point and the understanding of the actual mechanisms underlying the causation of Vertebral Slippage. Single targeted surgery enables Vertebral Slippage to be precisely treated with the minimum of damage to tissues, reduced patient risk and enhanced long-term outcome.
This is only possible by the use of Endoscopic Minimally Invasive Spine Surgery where the full length of the exiting nerve can be explored and the points of irritation clearly demonstrated. It is not as effective as Foraminoplasty in addressing and ameliorating the effects of Vertebral Slippage, rather it runs the risk of increased complications including recurrent disc bulging, infection, nerve damage and scarring round the nerve, implant failure, major vessel damage or sexual dysfunction.
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Search form Search. Vertebral Slippage. What Causes Vertebral Slippage?
Degenerate Spondylolisthesis: As the disc degenerates the internal mass of the disc breaks up and leaves the body, the disc shrinks and looses height. Failed - Enbrel stopped working after 10 months , Humira no effect and Remicade failed after two years. TI, I don't wonder about the degenerative stuff - I don't think it is related to spondylitis.
It was my pain doc who ordered this MRI due to some other even stranger findings in one a few weeks earlier. When I saw him for follow-up he didn't talk much about it - it is outside his expertise - but referred me to a neurosurgeon which was pretty much the plan all along, after I went in to discuss the first MRI findings a couple weeks before. He feels the NS is a guy who can look at the images and the report and help figure out what, if anything, is actually going on - whether or not any of this stuff actually represents a risk for me. I am guessing a revisit to my physiatrist is in order - I am recommended to go yearly but last visit was 2 yrs ago.
My pain doc spoke very highly of this particular NS so I don't think he will try to pull any nonsense like unnecessary surgery. Especially since another spine surgeon in town is facing a criminal lawsuit from Medicare and civil class action suit from about plaintiffs - all for unnecessary spine surgery - so I imagine the spine surgeons here are laying pretty low and being extra conservative these days.
I think the only treatment for spondylolisthesis is pain management - and surgery if it impinges nerves. Not clear to me if the same is true for retrolisthesis.
There are measurements for grading the listhesis - percent of the vertebra that is over the one under it - but my MRI gave millimeters of overlap, not percent. Will see surgeon on the 16th Keep us update on what the neuro recommends.
I've never heard of retrolisthesis Joined: Jan Never heard of it, but found this picture of retrolisthesis. Left total hip replacement in , lost 2" of height due to osteoporosis. Tried for a year to return to work and couldn't make it past a 5 hour day, so was forced to go on disability in and haven't been able to attempt another day of work since then. Living to help others now.
Joined: Jul United States.
Related spondylosis with retrolisthesis
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