Spondylolisthesis: Difference between revisions
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{{Infobox medical condition | |||
| name = Spondylolisthesis | |||
| image = [[File:SpondylolisthesisL5S1.jpg|250px]] | |||
| caption = X-ray of the lateral lumbar spine showing spondylolisthesis at L5-S1 | |||
| field = [[Orthopedics]] | |||
| symptoms = [[Lower back pain]], [[leg pain]], [[muscle tightness]], [[stiffness]] | |||
| complications = [[Chronic pain]], [[nerve damage]], [[spinal stenosis]] | |||
| onset = Can occur at any age, more common in [[adolescents]] and [[adults]] | |||
| duration = Can be [[chronic]] | |||
| types = [[Congenital]], [[isthmic]], [[degenerative]], [[traumatic]], [[pathologic]] | |||
| causes = [[Genetics]], [[overuse]], [[trauma]], [[degenerative changes]] | |||
| risks = [[Genetic predisposition]], [[repetitive stress]], [[sports]] | |||
| diagnosis = [[Physical examination]], [[X-ray]], [[CT scan]], [[MRI]] | |||
| differential = [[Herniated disc]], [[spinal stenosis]], [[sciatica]] | |||
| prevention = [[Proper lifting techniques]], [[core strengthening exercises]], [[avoiding repetitive stress]] | |||
| treatment = [[Physical therapy]], [[pain management]], [[surgery]] | |||
| medication = [[NSAIDs]], [[analgesics]] | |||
| prognosis = Varies; many improve with conservative treatment, some may require surgery | |||
| frequency = Common | |||
}} | |||
'''Spondylolisthesis''' is a medical condition where one of the [[vertebrae]] of the [[spine]] slides forward over the bone below it. This can occur in any part of the spine, but it is most common in the lower back ([[lumbar spine]]). The severity of the condition can vary from mild to severe. In some cases, the patient may not experience any symptoms, while in others, it can cause severe back pain and nerve problems. | '''Spondylolisthesis''' is a medical condition where one of the [[vertebrae]] of the [[spine]] slides forward over the bone below it. This can occur in any part of the spine, but it is most common in the lower back ([[lumbar spine]]). The severity of the condition can vary from mild to severe. In some cases, the patient may not experience any symptoms, while in others, it can cause severe back pain and nerve problems. | ||
[[File:Spondylolisthesis.png|Spondylolisthesis|left|thumb]] [[File:CT and X-ray of spondylolisthesis, and post-operative.jpg|CT and X-ray of spondylolisthesis, and post-operative|left|thumb]] [[File:Spondylolisthesis vera 51M - CT axial und sagittal - 001 - Annotation.jpg|Spondylolisthesis vera 51M - CT axial und sagittal - 001 - Annotation|left|thumb]] | |||
== Causes == | == Causes == | ||
Spondylolisthesis can be caused by a number of factors, including: | Spondylolisthesis can be caused by a number of factors, including: | ||
* [[Congenital abnormality|Congenital abnormalities]]: Some people are born with a spine that is more likely to slip forward. | * [[Congenital abnormality|Congenital abnormalities]]: Some people are born with a spine that is more likely to slip forward. | ||
* [[Degenerative diseases]]: Conditions such as [[arthritis]] and [[osteoporosis]] can weaken the bones and joints in the spine, making them more likely to slip. | * [[Degenerative diseases]]: Conditions such as [[arthritis]] and [[osteoporosis]] can weaken the bones and joints in the spine, making them more likely to slip. | ||
* [[Trauma]]: Injuries to the spine can cause the vertebrae to slip forward. | * [[Trauma]]: Injuries to the spine can cause the vertebrae to slip forward. | ||
* [[Tumors]]: In rare cases, tumors can cause spondylolisthesis. | * [[Tumors]]: In rare cases, tumors can cause spondylolisthesis. | ||
== Symptoms == | == Symptoms == | ||
The symptoms of spondylolisthesis can vary depending on the severity of the condition. They can include: | The symptoms of spondylolisthesis can vary depending on the severity of the condition. They can include: | ||
* Lower back pain | * Lower back pain | ||
* Stiffness in the back and legs | * Stiffness in the back and legs | ||
| Line 19: | Line 35: | ||
* Difficulty walking | * Difficulty walking | ||
* Loss of bladder or bowel control in severe cases | * Loss of bladder or bowel control in severe cases | ||
== Diagnosis == | == Diagnosis == | ||
Spondylolisthesis is typically diagnosed through a combination of physical examination and imaging tests. These can include: | Spondylolisthesis is typically diagnosed through a combination of physical examination and imaging tests. These can include: | ||
* [[X-ray]]: This can show if any of the vertebrae have slipped forward. | * [[X-ray]]: This can show if any of the vertebrae have slipped forward. | ||
* [[MRI]]: This can provide a detailed image of the spine and can show if any of the nerves are being compressed. | * [[MRI]]: This can provide a detailed image of the spine and can show if any of the nerves are being compressed. | ||
* [[CT scan]]: This can provide a detailed image of the bones in the spine. | * [[CT scan]]: This can provide a detailed image of the bones in the spine. | ||
== Treatment == | == Treatment == | ||
The treatment for spondylolisthesis depends on the severity of the condition. It can include: | The treatment for spondylolisthesis depends on the severity of the condition. It can include: | ||
* [[Physical therapy]]: This can help to strengthen the muscles in the back and improve flexibility. | * [[Physical therapy]]: This can help to strengthen the muscles in the back and improve flexibility. | ||
* [[Pain medication]]: This can help to manage the pain associated with the condition. | * [[Pain medication]]: This can help to manage the pain associated with the condition. | ||
* [[Surgery]]: In severe cases, surgery may be required to realign the vertebrae and relieve pressure on the nerves. | * [[Surgery]]: In severe cases, surgery may be required to realign the vertebrae and relieve pressure on the nerves. | ||
== See also == | == See also == | ||
* [[Spinal disc herniation]] | * [[Spinal disc herniation]] | ||
* [[Spinal stenosis]] | * [[Spinal stenosis]] | ||
* [[Scoliosis]] | * [[Scoliosis]] | ||
==External links== | ==External links== | ||
{{Medical resources | {{Medical resources | ||
Revision as of 15:57, 12 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Spondylolisthesis | |
|---|---|
| |
| Synonyms | N/A |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Lower back pain, leg pain, muscle tightness, stiffness |
| Complications | Chronic pain, nerve damage, spinal stenosis |
| Onset | Can occur at any age, more common in adolescents and adults |
| Duration | Can be chronic |
| Types | Congenital, isthmic, degenerative, traumatic, pathologic |
| Causes | Genetics, overuse, trauma, degenerative changes |
| Risks | Genetic predisposition, repetitive stress, sports |
| Diagnosis | Physical examination, X-ray, CT scan, MRI |
| Differential diagnosis | Herniated disc, spinal stenosis, sciatica |
| Prevention | Proper lifting techniques, core strengthening exercises, avoiding repetitive stress |
| Treatment | Physical therapy, pain management, surgery |
| Medication | NSAIDs, analgesics |
| Prognosis | Varies; many improve with conservative treatment, some may require surgery |
| Frequency | Common |
| Deaths | N/A |
Spondylolisthesis is a medical condition where one of the vertebrae of the spine slides forward over the bone below it. This can occur in any part of the spine, but it is most common in the lower back (lumbar spine). The severity of the condition can vary from mild to severe. In some cases, the patient may not experience any symptoms, while in others, it can cause severe back pain and nerve problems.
Causes
Spondylolisthesis can be caused by a number of factors, including:
- Congenital abnormalities: Some people are born with a spine that is more likely to slip forward.
- Degenerative diseases: Conditions such as arthritis and osteoporosis can weaken the bones and joints in the spine, making them more likely to slip.
- Trauma: Injuries to the spine can cause the vertebrae to slip forward.
- Tumors: In rare cases, tumors can cause spondylolisthesis.
Symptoms
The symptoms of spondylolisthesis can vary depending on the severity of the condition. They can include:
- Lower back pain
- Stiffness in the back and legs
- Pain, numbness, or weakness in one or both legs
- Difficulty walking
- Loss of bladder or bowel control in severe cases
Diagnosis
Spondylolisthesis is typically diagnosed through a combination of physical examination and imaging tests. These can include:
- X-ray: This can show if any of the vertebrae have slipped forward.
- MRI: This can provide a detailed image of the spine and can show if any of the nerves are being compressed.
- CT scan: This can provide a detailed image of the bones in the spine.
Treatment
The treatment for spondylolisthesis depends on the severity of the condition. It can include:
- Physical therapy: This can help to strengthen the muscles in the back and improve flexibility.
- Pain medication: This can help to manage the pain associated with the condition.
- Surgery: In severe cases, surgery may be required to realign the vertebrae and relieve pressure on the nerves.
See also
External links
| Spinal disease | ||||||||||||||
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| Congenital malformations and deformations of musculoskeletal system / musculoskeletal abnormality | ||||||||||||||||||||
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