Spondylolisthesis is the name given to slipping a vertebra on the other vertebra. Two types are available. The most common type is the type seen in children and young age (see. Children). Shifts in adulthood occur as a result of degenerative changes and failure of the disc and intervertebral joints.
Complaints usually start over 50 year old age.
The slipping intensity is determined by 5 levels (1 least 5 fully slipped vertebrae).
Spinal canal and nerve roots may be trapped due to slipping and may cause complaints similar to spinal canal stenosis.
HOW TO DIAGNOSIS
After examination of the spinal surgeon you are applying, radiological examinations may be requested.
The first requested examination is lumbar spine X-ray and scoliosis imaging. Slip and level of slip can be determined in these films.
If leg pains are in the forefront, the spinal canal and nerve roots are examined with MRI test.
WHAT ARE THE TREATMENT OPTIONS?
Non-surgical treatments;
If there is only low back pain
should be applied if the slip level is low.
Non-operative treatment;
pain killer, muscle relaxant drugs
physical therapy and exercise programs
intramuscular and / or nerve root injections
Surgical treatment;
severe grade shifts
shifts that differ in the X-ray motion analysis
non-response to non-surgical treatment
muscle weakness in legs, irresistible pain
It is applied in case of loss of control bladder and bowels.
Spondylolisthesis surgery is fixation with instrumentation and fusion. Reducing the amount of slipping by surgery is aimed at relieving the nerves under pressure.