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Spondylolisthesis patients without symptoms do not need to be treated. [41] Non-operative management, also referred to as conservative treatment, is the recommended treatment for spondylolisthesis in most cases with or without neurological symptoms. [42] Most patients with spondylolisthesis respond to conservative treatment. [41]
Forward displacement of a proximal vertebra in relation to its adjacent vertebra in association with an intact neural arch, and in the presence of degenerative changes, is known as degenerative spondylolisthesis, [9] [10] which narrows the spinal canal, and symptoms of spinal stenosis are common. Of these, neural claudication is most common.
Degenerative process of spondylosis such as disc bulging, osteophyte formation, and hypertrophy of the superior articular process all contributes to the narrowing of the spinal canal and intervertebral foramen, leading to compression of these spinal nerves that results in radiculopathy-related symptoms. [6]
Spondylolisthesis affects between 4% and 8% of the U.S. population, and the most common form, degenerative spondylolisthesis, can be due to the wear and tear of normal aging, ...
The predominant symptoms of NC involve one or both legs and usually presents as some combination of tingling, cramping discomfort, pain, numbness, or weakness in the lower back, calves, glutes, and thighs and is precipitated by walking and prolonged standing. However, the symptoms vary depending on the severity and cause of the condition.
Severe symptoms may include loss of bladder control, loss of bowel control, or sexual dysfunction. [ 1 ] Causes may include osteoarthritis , rheumatoid arthritis , spinal tumors , trauma, Paget's disease of the bone , scoliosis , spondylolisthesis , and the genetic condition achondroplasia . [ 3 ]
Spondylolisthesis symptoms can improve with rest, over-the-counter pain medications, such as NSAIDs or acetaminophen, corticosteroids, a prescription anti-inflammatory medication, physical therapy ...
There was a better result in patients who had a degenerative spondylolisthesis. [13] A similarly designed study by Mardjekto et al. found that a concomitant spinal arthrodesis (fusion) had a greater success rate. [14] Herron and Trippi evaluated 24 patients, all with degenerative spondylolisthesis treated with laminectomy alone.
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