Treatment Options for Isthmic Spondylolisthesis
Arthritis is a general term applied to degenerative conditions of any joint throughout the body. Degeneration of our joints is actually a natural phenomenon that occurs in virtually all individuals. Studies have shown that significant degenerative changes begin in the spinal column by the age of 30. By this age, the water content within the lumbar discs begins to decrease, and there is an associated loss of disc height with bulging of the discs. This is a natural phenomenon. The joints in the spine respond by forming bone spurs as the body's defense mechanism in an attempt to reestablish stability of an otherwise aging spine. The loss of disc height and the associated development of bone spur formation in the spine is commonly referred to as arthritis. It is important to note, however, that the existence of back pain does not necessary correspond with the extent of degeneration seen. Typically, back pain related to spinal degeneration can be treated with conservative maneuvers, including anti-inflammatory medications, physical therapy, rest, and, at times, various injection modalities. If back pain persists beyond several weeks, an individual should seek evaluation from a spine specialist to interpret the degree of "arthritis" seen on routine spinal imaging, and its contribution to the patient’s particular symptoms.
The Wallis Implant: Alternative To Spinal Fusion Surgery
Most often, spinal fusion surgery is done through a posterior approach, meaning that the surgery is done through incisions in the back of the spine. This type of posterior spinal fusion surgery does not pose any additional risks for men as compared to women. When anterior spine surgery is performed, that is, surgery performed through an abdominal incision resulting in exposure of the front, or anterior, part of the lumbar spine, there are some additional risks that are more relevant to men. Specifically, the dissection of the fine latticework of the parasympathetic nerves spanning the anterior disc spaces at L4-L5 and L5-S1 can result in retrograde ejaculation and impotency.
Spondylolisthesis is treated according to the Grade. For grades 1 and 2, conservative treatment, including physical therapy, home exercises, stretching and the use a brace are often given.
Spinal stenosis surgery recovery time - Things You …
The need for post-operative bracing depends on many factors. Standard lumbar spine fusions making use of bone grafting without the use of instrumentation typically require post-operative brace immobilization to provide a semi-rigid environment to encourage the bone fusion to occur. With the advent of pedicle screw instrumentation, that rigid environment may be provided internally, foregoing the need for brace instrumentation. The quality of the patient's bone and the length of the spinal fusion may also be factors that contribute to a surgeon's recommendation for post-operative bracing. For example, osteoporosis is a condition in which the pedicle screw instrumentation may have less purchase in the bone and, accordingly, supplemental support by virtue of a rigid post-operative brace may be advantageous until the body can initiate the healing process.
Get Treatment For Spondylolisthesis
Spine surgery is often invasive and requires the dissection through the muscles of the low back. Additionally, the manipulation of nerves and the mechanical changes in the lumbar spine associated with a spinal fusion can result in post-operative pain. Typically, oral narcotic medications are prescribed in the post-operative period. Long-term usage of oral narcotics can result in physiologic addiction. All attempts ought to be made to wean from the post-operative narcotic medication within the first two to four weeks if at all possible.
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Back pain is a major health problem. Pain in the back and legs caused by spinal conditions can affect one’s ability to work and to engage in everyday activities. Chances are you or someone close to you has been affected by a spinal problem. As much as 70 percent of the population experiences debilitating back pain due to a spinal condition at some time in their lives. Spinal stenosis of the lower back – lumbar spinal stenosis - is among the most common of these spinal disorders. Now there’s a new surgical solution which provides better clinical outcomes following spinal decompression than spinal fusion back surgery for patients with moderate to severe symptoms of spinal stenosis: The TOPS™ System from Premia Spine.