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Cervical & Lumbar Spine

Deciding the right way to treat your neck or back pain begins with an accurate diagnosis, which involves a thorough orthopaedic evaluation and the use of tools such as MRI and electrodiagnostics.

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Arthroscopic Surgery

Arthroscopy is a common surgical procedure in which a joint is viewed using a small camera. Arthroscopy gives doctors a clear view of the inside of the joint and helps treat orthopaedic problems.

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Sports Medicine

Sports medicine is specialized medical care for treatment and prevention of sports-related injuries. From athletes to active individuals, sports medicine helps patients continue injury-free active lifestyles.

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Spondylolisthesis

Description

Spondylolisthesis is defined as a slip of one vertebral body relative to an adjacent vertebral body. This spinal condition most commonly presents as a degenerative disease in adults but may be present in adolescents as a result of deformity or trauma.

Often there is mild to moderate back pain. If the slip is compressing a nerve, leg pain often develops.

Symptoms

A change in the position of the vertebra can lead to back pain. Nerve compression may occur as the condition worsens, resulting in leg pain.

  • Lower back pain
  • Leg pain and numbness may develop if there is nerve compression

Causes

Adults

  • Arthritic changes
  • Disc degeneration
  • Pars defect

Adolescents

  • Trauma due to athletic activities
  • Congenital deformity
  • Isthmic Spondylolisthesis

Possible Treatment Options

Non Operative Treatment
Medications, physical therapy or spinal cortisone injections are indicated for pain relief. Surgery can be considered for those who do not improve.

Decompression
This procedure involves removing all or a portion of the lamina, removing bone spurs and/or enlarging the foramen to relieve pressure on the nerve roots or spinal cord. This pressure is often the source of pain.

Posterolateral Fusion
Usually, in addition to a decompression, your surgeon will also perform an instrumented posterolateral fusion by inserting a series of rods and screws coupled with the placement of bone graft. This fusion provides increased spinal stability. Depending on the severity of the slip and degree of malalignment, the slipped vertebral body is sometimes pulled back to its original position using special instrumentation.

For more information on Spondylolisthesis, visit UnderstandSpineSurgery.com.

UnderstandSpineSurgery.com