Is Isthmic spondylolisthesis worse?

Is Isthmic spondylolisthesis worse?

The slip resulting from the fracture is most likely to worsen in juvenile or adolescent patients. Progression of the condition in adulthood is not common.

How is Isthmic spondylolisthesis treated?

For most cases of isthmic spondylolisthesis (especially Grades I and II), treatment consists of temporary bed rest, restriction of the activities that caused the onset of symptoms, pain/ anti-inflammatory medications, steroid-anesthetic injections, physical therapy and/or spinal bracing.

What is Spondylitic spondylolisthesis?

In spondylitic spondylolisthesis, there is a pars interarticularis defect, most commonly seen as a fracture, but in degenerative spondylolisthesis, the pars is intact and the vertebrae as a whole slips forward secondary to osteoarthritis of the facet joints and insufficient ligamentous support.

What is adult Isthmic spondylolisthesis?

Adult Isthmic Spondylolisthesis is a common adult spinal condition characterized by subluxation of one vertebral body anterior to the adjacent inferior vertebral body, caused by a defect in the pars interarticularis.

How is the diagnosis of degenerative spondylolisthesis made?

The diagnosis process varies a bit between the two types. Since degenerative spondylolisthesis is more likely to cause noticeable symptoms—such as lower back pain, leg pain, or leg aches—it’s usually diagnosed after a patient complains of these symptoms, and the physician orders an X-ray or an MRI.

Where does isthmic spondylolisthesis occur in the spine?

The exact bones that are affected can vary from person to person. But generally, isthmic spondylolisthesis occurs a little lower in the spine than degenerative spondylolisthesis. The diagnosis process varies a bit between the two types.

When do you need surgery for isthmic spondylolisthesis?

Low-grade (Grade I and Grade II) typically don’t require surgery. Low grade cases are usually seen in adolescents with isthmic spondylolisthesis and in almost all cases of degenerative spondylolisthesis. High-grade (Grade III and Grade IV) may require surgery if you’re in a lot of pain.

Is it possible to not have symptoms of spondylolisthesis?

Spondylolisthesis and spondylolysis occur in about 4% to 6% of the adult population. It’s possible to live with spondylolisthesis for years and not know it, since you may not have symptoms. Degenerative spondylolisthesis (which occurs due to aging and wear and tear on the spine), is more common after age 50 and more common in women than men.