Spondylothesis Repair

Spondylothesis Repair-54
This consists of exercises to strengthen the abdominal muscles (eg, William flexion-type exercises) and flexibility programs to stretch the spinal extensor muscles, hamstrings, and lumbodorsal fascia.

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Surgery is indicated if the slippage is greater than 50% or in cases of refractory symptoms or progressive neurologic deficit.

For specific procedures, see Treatment, Acute Phase, Surgical Intervention.

In an asymptomatic child with slippage up to 25% (grade 1), initially observe with radiographs every 4-6 months if younger than age 10 years, semiannually until age 15 years, then annually until the end of growth.

No limitation of activities is required, but the patient is advised to avoid occupations that entail heavy labor.

Recommend that the patient continue with his or her home exercise program, focusing on lumbar stabilization to reduce biomechanical stresses (particularly extension) in the lumbosacral spine.

The program should continue to include both stretching and strengthening exercises.

The athlete now starts to focus on sports-specific retraining, with attention to skill and technique refinement.

Similar recommendations are continued in the maintenance phase as compared with the acute and recovery phases.

The postoperative rate of permanent neurologic deficits is high (25-30%), although many are preexistent.

This does not appear to be balanced by improved results; fusion in situ has achieved similar clinical outcomes with a lower complication rate.

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Comments Spondylothesis Repair

  • Spondylolisthesis Treatment, Surgery & Symptoms Cleveland Clinic
    Reply

    Spondylolisthesis is a condition in which one of the vertebrae slips out of place onto the bone below it. Some people have no symptoms, but low back pain is the most common symptom if symptoms exist.…

  • Spondylolisthesi Causes, Symptoms, Treatments
    Reply

    Spondylolisthesis is a slipping of vertebra that occurs, in most cases, at the base of the spine. Spondylolysis, which is a defect or fracture of one or both wing-shaped parts of a vertebra, can.…

  • Deciding on Surgery for Isthmic Spondylolisthesis
    Reply

    In some cases, repair of the bone defect may be considered without fusion of the motion segment if there is no nerve compression or significant disc degenerative changes. Read more Spinal Fusion Surgery for Isthmic Spondylolisthesis…

  • Surgery for Spondylolisthesis - YouTube
    Reply

    Education video on Surgery for Spondylolisthesis by Dr. Gary Simonds at Carilion Clinic. Education video on Surgery for Spondylolisthesis by Dr. Gary Simonds at Carilion Clinic.…

  • Surgery for Spondylolisthesis - SpineUniverse
    Reply

    Spine surgery for spondylolisthesis is a much-debated topic. While most surgeons agree that decompression of the nerves may benefit the patient, the question is whether the slipped vertebra needs to be realigned at all. It depends on what caused the spondylolisthesis. However, for other types of.…

  • Common Spondylolithesis Questions - SpineUniverse
    Reply

    A spondylolisthesis is a forward slip of one vertebra over the one beneath it. Spondylolisthesis occurs most often in the lumbar low back spine. There are several types of spondylolisthesis, such as congenital, developmental, and acquired. Some people are born with a thin vertebral bone called the.…

  • Spondylolisthesis, Spondylolysis, and Spondylosis Treatment.
    Reply

    Spondylolisthesis refers to the forward slippage of one vertebral body with respect to the one beneath it. This most commonly occurs at the lumbosacral junction with L5 slipping over S1, but it can occur at higher levels as well.…

  • Adult Spondylolisthesis in the Low Back - OrthoInfo - AAOS
    Reply

    Spondylolytic Spondylolisthesis. One of the bones in your lower back can break and this can cause a vertebra to slip forward. The break most often occurs in the area of your lumbar spine called the pars interarticularis. In most cases of spondylolytic spondylolisthesis, the pars fracture occurs during adolescence and goes unnoticed until adulthood.…

  • Surgery for Degenerative Spondylolisthesis - Spine-Health
    Reply

    Since degenerative spondylolisthesis is a condition that disproportionately affects individuals over age 60 or 65, the surgery does present some additional risk. Surgical risk is more directly related to the overall health of a patient and not his or her absolute age.…

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