Congenital spondylolisthesis is most common at the L5-S1 level and is due abnormal bone formation during development. But it usually becomes symptomatic at teen age when there is a growth spurt.
Isthmic spondylolisthesis occurs as a result of spondylolysis, a crack or fracture in a part of spine that leads to the weakening of the bone.
Degenerative spondylolisthesis happens due to aging. As age increases, disc, the cushion that protects vertebrae loses water leading to thinning of the disc and abnormal growth of the facet joint leads to slippage of the vertebral bone.
Less common types of spondylolistheses involve-
The diagnosis can be made through a spinal X-ray.
CT scan or MRI scan helps to visualize the bony structures and nerves in the spinal canal in detail.
Non-surgical lower back pain treatment options include–
Rest- Take a break from tiring exercises and sports.
Medications- Non-steroidal anti-inflammatory drugs (NSAID) such as ibuprofen or naproxen can bring pain relief.
Local steroid or anesthetic Injections in which the patient is given an injection of steroidal medications directly in the affected joints.
Physical therapy- involves local pain therapy and back strengthening exercises
If you have been advised to undergo Lumbar spondylolisthesis spine surgery, then consult another surgeon for lumbar spondylolisthesis to get a second opinion to explore all the available treatment options.
Consult Dr. Arun with a professional experience of more than 13 years in the field of Neurosurgery